Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN LUIS OBISPO › SIERRA VISTA HOSPITAL, INC.

SIERRA VISTA HOSPITAL, INC.

NPI: 1639101116 · SAN LUIS OBISPO, CA 93405 · 282N00000X

$3.05M
Total Medicaid Paid
100,303
Total Claims
59,925
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,077 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 44,879 31,124 $2.13M
0300 29,297 9,251 $405K
99213 1,972 738 $168K
0636 6,690 2,625 $62K
0761 1,265 1,225 $44K
0270 5,360 5,114 $43K
Z9725 1,316 1,311 $39K
0360 274 131 $31K
0320 1,113 935 $22K
0489 104 104 $14K
99283 490 455 $9K
85025 1,637 1,537 $9K
0480 48 48 $8K
A9270 Non-covered item or service 501 446 $7K
99285 171 160 $7K
99284 325 308 $6K
0250 926 687 $5K
80053 964 919 $5K
96374 204 195 $5K
0730 185 183 $4K
0310 122 97 $4K
87804 244 231 $3K
0350 22 14 $3K
93005 300 286 $1K
80048 218 207 $1K
0012A 34 34 $1K
J3490 Drugs unclassified injection 40 39 $1K
96375 96 88 $992.35
0011A 23 23 $920.00
99281 12 12 $744.00
71046 109 108 $491.35
J7030 Normal saline solution infus 205 188 $479.50
81001 147 143 $340.73
J2405 Ondansetron hcl injection 92 85 $300.80
81002 224 213 $274.84
71045 90 83 $267.59
0410 15 14 $214.69
87420 44 38 $191.29
84443 13 13 $146.77
80076 26 25 $142.27
96361 14 14 $126.33
Q9967 Locm 300-399mg/ml iodine,1ml 50 49 $121.38
84439 13 13 $78.78
87081 14 14 $61.74
96372 27 27 $61.27
86140 25 25 $60.39
J3010 Fentanyl citrate injection 83 81 $29.96
82962 36 27 $25.68
J1170 Hydromorphone injection 16 14 $20.30
J1885 Ketorolac tromethamine inj 13 12 $19.04
88305 13 12 $14.83
85610 58 56 $14.49
J2250 Inj midazolam hydrochloride 107 107 $5.13
85730 13 13 $4.30
J0690 Cefazolin sodium injection 12 12 $0.00
J7120 Ringers lactate infusion 12 12 $0.00