Hospital
Sierra Vista Hospital, INC.
Sierra Vista Hospital, INC. was paid $3.05M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 0450, Emergency room services — 70% of everything it billed.
33Billing provider infoSIERRA VISTA HOSPITAL, INC.
SAN LUIS OBISPO, CA 93405
SAN LUIS OBISPO, CA 93405
33aNPI1639101116assigned 07/07/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.05M
24GClaims100,303
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in California
Rank by total paid#242 of 410
Median peer was paid$6.90M
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,216 | $588K | |
| 2019 | 17,678 | $490K | |
| 2020 | 14,134 | $388K | |
| 2021 | 16,288 | $485K | |
| 2022 | 18,358 | $640K | |
| 2023 | 10,552 | $356K | |
| 2024incomplete | 2,077 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0450 | Emergency room services | 70% | 44,879 | 31,124 | $2.13M |
| 0300 | 13% | 29,297 | 9,251 | $405K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 1,972 | 738 | $168K |
| 0636 | 2.0% | 6,690 | 2,625 | $62K | |
| 0761 | 1.4% | 1,265 | 1,225 | $44K | |
| 0270 | 1.4% | 5,360 | 5,114 | $43K | |
| Z9725 | 1.3% | 1,316 | 1,311 | $39K | |
| 0360 | 1.0% | 274 | 131 | $31K | |
| 0320 | <1% | 1,113 | 935 | $22K | |
| 0489 | <1% | 104 | 104 | $14K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 490 | 455 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,637 | 1,537 | $9K |
44 more codes
| 0480 | <1% | 48 | $8K | |
| A9270 | Non-covered item or service | <1% | 501 | $7K |
| 99285 | Emergency room visit (most serious) | <1% | 171 | $7K |
| 99284 | Emergency room visit (serious) | <1% | 325 | $6K |
| 0250 | <1% | 926 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 964 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 204 | $5K |
| 0730 | <1% | 185 | $4K | |
| 0310 | <1% | 122 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 244 | $3K |
| 0350 | <1% | 22 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 300 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 218 | $1K |
| 0012A | <1% | 34 | $1K | |
| J3490 | Unclassified drugs | <1% | 40 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 96 | $992.35 |
| 0011A | <1% | 23 | $920.00 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $744.00 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 109 | $491.35 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 205 | $479.50 |
| 81001 | <1% | 147 | $340.73 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 92 | $300.80 |
| 81002 | <1% | 224 | $274.84 | |
| 71045 | Radiologic examination, chest; single view | <1% | 90 | $267.59 |
| 0410 | <1% | 15 | $214.69 | |
| 87420 | <1% | 44 | $191.29 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $146.77 |
| 80076 | <1% | 26 | $142.27 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 14 | $126.33 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 50 | $121.38 |
| 84439 | <1% | 13 | $78.78 | |
| 87081 | <1% | 14 | $61.74 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $61.27 |
| 86140 | <1% | 25 | $60.39 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 83 | $29.96 |
| 82962 | <1% | 36 | $25.68 | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 16 | $20.30 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $19.04 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 13 | $14.83 |
| 85610 | <1% | 58 | $14.49 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 107 | $5.13 |
| 85730 | <1% | 13 | $4.30 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 12 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWARTELLE, SCOTT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Twin Cities Community Hospital, INC. | Templeton, CA | $5.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.