Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Diego › NPI 1659359446
Hospital

Scripps Health

Scripps Health was paid $64.23M by Medicaid between Jan 2018 and Dec 2024, across 338 billing codes. Its largest line is 0450, Emergency room services — 11% of everything it billed.

33Billing provider infoSCRIPPS HEALTH
SAN DIEGO, CA 92103
33aNPI1659359446assigned 01/03/2006
28Total paid$64.23M
24GClaims1,854,550
24DCodes billed338
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#45 of 410
Median peer was paid$6.90M
This provider vs. median9.3×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018351,673$10.37M
2019289,276$9.70M
2020210,315$7.01M
2021239,442$8.41M
2022293,999$10.61M
2023275,684$10.63M
2024incomplete194,161$7.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 11% 113,593 99,994 $7.26M
99499 11% 40,892 31,526 $7.02M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.1% 90,223 87,154 $5.87M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.9% 56,496 52,831 $3.81M
0762 3.7% 1,198 1,124 $2.40M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3.5% 86,107 80,577 $2.28M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3.5% 14,350 14,168 $2.23M
70450 Computed tomography, head or brain; without contrast material 3.4% 17,103 16,144 $2.21M
Z7502 3.1% 52,902 51,959 $1.97M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 11,998 10,954 $1.97M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.4% 6,763 6,195 $1.54M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.2% 13,277 12,447 $1.41M
326 more codes
96375 Therapeutic injection; each additional sequential IV push 2.0% 30,780 $1.28M
80053 Comprehensive metabolic panel 2.0% 108,280 $1.27M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 145,694 $1.04M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.5% 12,991 $995K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 7,609 $989K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.4% 14,262 $876K
72125 Computed tomography, cervical spine; without contrast material 1.2% 4,932 $787K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.1% 14,342 $711K
A4217 Sterile water/saline, 500 ml 1.0% 53,087 $667K
0360 <1% 4,535 $610K
71045 Radiologic examination, chest; single view <1% 42,025 $591K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16,916 $460K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,806 $432K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,733 $426K
96361 Intravenous infusion, hydration; each additional hour <1% 12,828 $400K
71046 Radiologic examination, chest; 2 views <1% 15,060 $362K
84484 <1% 38,692 $359K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,315 $349K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,583 $343K
J3490 Unclassified drugs <1% 175,698 $330K
70486 <1% 1,966 $298K
83690 <1% 41,639 $291K
76801 <1% 4,235 $290K
71250 <1% 2,266 $264K
72131 <1% 1,590 $218K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,399 $216K
83880 <1% 9,733 $212K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,024 $210K
70496 <1% 923 $202K
93975 <1% 1,036 $196K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 21,840 $196K
80048 Basic metabolic panel (calcium, ionized) <1% 23,120 $194K
0710 <1% 4,049 $190K
0720 <1% 5,147 $183K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,618 $181K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,257 $178K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 22,133 $172K
76830 Ultrasound, transvaginal <1% 2,488 $171K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,465 $163K
70498 <1% 853 $161K
99199 Unlisted special service, procedure or report <1% 3,458 $161K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,509 $161K
93971 <1% 1,717 $156K
93970 <1% 952 $155K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 933 $151K
80306 <1% 6,293 $148K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,363 $147K
90715 <1% 3,512 $147K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,512 $143K
0510 <1% 4,760 $134K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,125 $132K
59025 Fetal non-stress test <1% 6,974 $123K
72128 <1% 903 $121K
Z7610 <1% 20,057 $119K
81001 <1% 36,748 $112K
73630 <1% 3,707 $109K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,110 $107K
73130 <1% 3,085 $102K
0270 <1% 13,500 $101K
73610 <1% 3,060 $97K
73562 <1% 3,421 $96K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,089 $95K
77066 Tomosynthesis, mammo <1% 694 $92K
73030 <1% 2,962 $91K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 820 $85K
93976 <1% 431 $82K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,490 $80K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,500 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 352 $78K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,851 $77K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 491 $76K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,013 $74K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,342 $73K
96379 <1% 4,683 $71K
J1756 Injection, iron sucrose, 1 mg <1% 308 $67K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,937 $66K
J2704 Injection, propofol, 10 mg <1% 4,737 $63K
73110 <1% 2,017 $63K
83605 <1% 7,053 $62K
76819 Fetal biophysical profile; without non-stress testing <1% 978 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,478 $59K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,591 $58K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 856 $57K
72100 <1% 1,785 $55K
87040 <1% 4,131 $54K
J0690 Injection, cefazolin sodium, 500 mg <1% 4,265 $53K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,314 $51K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,000 $49K
85730 <1% 10,479 $49K
0259 <1% 10,874 $47K
85610 <1% 15,101 $47K
97139 <1% 1,397 $45K
84703 <1% 7,916 $44K
73502 <1% 1,461 $43K
81025 <1% 7,012 $43K
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,977 $42K
84702 <1% 3,172 $42K
84443 Thyroid stimulating hormone (TSH) <1% 5,883 $42K
94060 <1% 951 $42K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,836 $39K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,961 $39K
29125 <1% 983 $38K
J1170 Injection, hydromorphone, up to 4 mg <1% 4,108 $37K
76641 <1% 513 $36K
73590 <1% 1,420 $35K
83735 <1% 7,238 $34K
77065 Tomosynthesis, mammo <1% 301 $31K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,686 $29K
86900 <1% 4,241 $29K
87077 <1% 4,447 $29K
87186 <1% 4,042 $28K
0750 <1% 186 $28K
94644 <1% 1,209 $28K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,148 $26K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 385 $26K
94729 <1% 807 $25K
73080 <1% 851 $25K
J2060 Injection, lorazepam, 2 mg <1% 3,455 $25K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 916 $24K
76642 <1% 430 $24K
J7050 Infusion, normal saline solution, 250 cc <1% 3,493 $24K
10060 <1% 492 $23K
73090 <1% 854 $22K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 2,804 $22K
36415 Collection of venous blood by venipuncture <1% 21,763 $22K
0258 <1% 2,262 $21K
72040 <1% 784 $21K
81003 <1% 9,386 $21K
29515 <1% 443 $21K
85379 <1% 2,189 $21K
12001 <1% 542 $20K
12002 <1% 238 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 684 $19K
77080 <1% 350 $18K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 347 $18K
74022 <1% 437 $18K
0760 <1% 468 $18K
97750 <1% 349 $18K
70551 Magnetic resonance imaging, brain; without contrast material <1% 98 $17K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 30 $16K
82805 <1% 804 $15K
86901 <1% 4,344 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 350 $15K
78264 <1% 38 $15K
82803 <1% 1,494 $14K
97161 <1% 685 $14K
86850 <1% 2,644 $14K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 324 $13K
10061 <1% 405 $13K
86140 <1% 3,338 $13K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 55 $13K
88304 <1% 1,058 $12K
94726 <1% 460 $12K
93308 <1% 164 $12K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 155 $12K
0250 <1% 2,363 $12K
87631 <1% 184 $12K
87210 <1% 1,848 $11K
82550 <1% 2,113 $11K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,371 $11K
76813 <1% 148 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 268 $11K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 469 $11K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 136 $10K
73060 <1% 457 $10K
0272 <1% 7,115 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 614 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 39 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 27 $9K
73552 <1% 364 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 373 $8K
71020 <1% 276 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 15 $8K
76870 <1% 150 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 535 $8K
97799 <1% 260 $8K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 177 $7K
J1630 Injection, haloperidol, up to 5 mg <1% 1,071 $7K
0160 <1% 60 $7K
82330 <1% 700 $7K
90686 <1% 231 $7K
74018 <1% 289 $7K
J1953 Injection, levetiracetam, 10 mg <1% 87 $6K
0681 <1% 44 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,612 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 15 $6K
12011 <1% 196 $6K
87070 <1% 993 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 4,315 $6K
72170 <1% 289 $6K
93798 <1% 358 $6K
94727 <1% 187 $5K
87081 <1% 743 $5K
0370 <1% 799 $5K
J3370 Injection, vancomycin hcl, 500 mg <1% 408 $5K
Z7500 <1% 143 $5K
P9016 Red blood cells, leukocytes reduced, each unit <1% 30 $4K
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) <1% 90 $4K
85652 <1% 2,548 $4K
97116 <1% 643 $4K
76770 <1% 69 $4K
S0164 Injection, pantoprazole sodium, 40 mg <1% 334 $4K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 82 $4K
99070 <1% 1,247 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 84 $4K
J0897 Injection, denosumab, 1 mg <1% 20 $4K
72070 <1% 124 $4K
76604 <1% 129 $4K
70491 <1% 17 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 359 $3K
87205 <1% 1,230 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 509 $3K
J1650 Injection, enoxaparin sodium, 10 mg <1% 975 $3K
71010 <1% 168 $3K
97165 <1% 157 $3K
51702 <1% 45 $3K
95812 <1% 38 $3K
J1940 Injection, furosemide, up to 20 mg <1% 378 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 28 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $3K
84145 <1% 208 $2K
73140 <1% 134 $2K
36600 <1% 314 $2K
80061 Lipid panel <1% 3,194 $2K
70490 <1% 13 $2K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,360 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,668 $2K
82140 <1% 173 $2K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 16 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 73 $2K
82010 <1% 318 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 492 $2K
82570 <1% 1,988 $2K
71101 <1% 56 $2K
97162 <1% 92 $2K
93017 <1% 57 $2K
J0780 Injection, prochlorperazine, up to 10 mg <1% 146 $2K
76536 <1% 30 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 15 $2K
82553 <1% 198 $2K
99213 Doctor's office visit, returning patient (routine) <1% 234 $2K
96376 <1% 138 $2K
G0378 Hospital observation service, per hour <1% 29 $2K
73560 <1% 91 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 87 $2K
0320 <1% 32 $1K
90632 <1% 32 $1K
80051 <1% 279 $1K
85018 <1% 730 $1K
12013 <1% 19 $1K
93356 <1% 55 $1K
84100 <1% 871 $1K
96367 <1% 25 $1K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 50 $1K
41899 Unlisted procedure, dentoalveolar structures <1% 24 $1K
74220 <1% 31 $1K
62270 <1% 13 $1K
29505 <1% 13 $1K
A0429 Emergency ambulance ride, basic life support <1% 40 $1K
85014 <1% 469 $1K
82947 <1% 229 $923.55
84439 <1% 867 $919.39
86780 <1% 55 $914.07
84156 <1% 535 $881.55
82248 <1% 215 $871.17
A9585 Injection, gadobutrol, 0.1 ml <1% 38 $864.65
82728 <1% 692 $855.59
92611 <1% 27 $844.17
87505 <1% 15 $728.78
87147 <1% 81 $689.75
76775 <1% 13 $680.12
84550 <1% 220 $663.73
80074 <1% 14 $549.56
C1769 Guide wire <1% 252 $515.24
85027 <1% 121 $512.55
82607 <1% 396 $508.34
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 15 $506.30
82375 <1% 90 $491.24
80164 <1% 39 $489.64
J3475 Injection, magnesium sulfate, per 500 mg <1% 75 $450.96
73564 <1% 14 $444.65
74230 <1% 13 $442.32
0301 <1% 18 $435.76
82950 <1% 110 $431.05
72072 <1% 12 $382.98
96368 <1% 14 $373.87
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 26 $369.88
70360 <1% 27 $369.58
97166 <1% 16 $369.10
84466 <1% 623 $367.76
83540 <1% 709 $338.79
88307 <1% 13 $328.10
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 45 $312.10
82043 <1% 1,087 $282.20
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 15 $282.18
87449 <1% 18 $272.55
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 12 $252.05
80185 <1% 31 $244.70
83050 <1% 61 $213.80
83970 <1% 169 $207.64
84132 <1% 61 $203.29
0255 <1% 16 $197.36
88342 <1% 13 $163.97
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 102 $128.36
88300 <1% 41 $113.62
94760 <1% 81 $110.99
87075 <1% 12 $95.11
0379 <1% 277 $88.62
87340 <1% 90 $72.10
86308 <1% 15 $66.77
82247 <1% 16 $56.68
83550 <1% 46 $56.37
86592 <1% 13 $53.57
97535 Self-care/home management training, each 15 minutes <1% 21 $48.06
89051 <1% 26 $44.52
83615 <1% 12 $41.97
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 65 $15.70
36416 <1% 32 $15.59
81002 <1% 13 $8.88
80069 <1% 39 $7.52
99214 Doctor's office visit, returning patient (more involved) 0% 13 $0.00
0001A 0% 16 $0.00
C1781 Mesh (implantable) 0% 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 42 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 42 $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 officialTANDE, BRETT (EVP/CFO)
Same official

Other billing entities under TANDE, BRETT

Full network →
ProviderLocationPaid
Scripps HealthEncinitas, CA$11.95M
Scripps HealthLa Jolla, CA$9.79M
Scripps HealthLa Jolla, CA$502K
Scripps HealthLa Jolla, CA$57K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.