Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MADERA › MADERA COMMUNITY HOSPITAL

MADERA COMMUNITY HOSPITAL

NPI: 1669673646 · MADERA, CA 93637 · Rural Health Clinic/Center · NPI assigned 05/29/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THOMPSON, TAMMY controls 19+ related entities in our dataset. Read more

$3.80M
Total Medicaid Paid
735,751
Total Claims
667,134
Beneficiaries
291
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialTHOMPSON, TAMMY (CFO)
Parent OrganizationMADERA FAMILY HEALTH SERVICES
NPI Enumeration Date05/29/2007

Related Entities

Other providers sharing the same authorized official: THOMPSON, TAMMY

ProviderCityStateTotal Paid
CENTRAL VALLEY SPECIALTY HOSPITAL INC MODESTO CA $130.74M
COLUSA MEDICAL CENTER, LLC COLUSA CA $5.95M
GLENN MEDICAL CENTER, LLC WILLOWS CA $5.62M
AMERICAN SPECIALTY PHYSICIANS GROUP INC MODESTO CA $5.11M
COLUSA MEDICAL CENTER, LLC WILLIAMS CA $3.75M
COLUSA MEDICAL CENTER, LLC ORLAND CA $2.44M
COLUSA MEDICAL CENTER LLC COLUSA CA $2.33M
COLUSA MEDICAL CENTER, LLC RED BLUFF CA $2.09M
GLENN MEDICAL CENTER, LLC WILLOWS CA $1.73M
COLUSA MEDICAL CENTER, LLC ARBUCKLE CA $1.37M
COALINGA MEDICAL CENTER, LLC COALINGA CA $1.32M
GLENN MEDICAL CENTER, LLC WILLOWS CA $672K
GLENN MEDICAL CENTER, LLC WILLOWS CA $669K
PROGRESSIVE SPECIALTY THERAPY SERVICES LLC MODESTO CA $404K
PROGRESSIVE HOME HEALTH AND HOSPICE CARE, LLC MODESTO CA $389K
COALINGA MEDICAL CENTER, LLC COALINGA CA $254K
GLENN MEDICAL CENTER, LLC WILLOWS CA $85K
COLUSA MEDICAL CENTER LLC COLUSA CA $51K
1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC KENTFIELD CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168,104 $1.09M
2019 149,533 $703K
2020 123,669 $465K
2021 138,313 $689K
2022 155,840 $849K
2023 292 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 10,251 9,582 $532K
0450 Emergency room services 56,586 50,865 $525K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,684 57,595 $456K
Z7502 11,045 10,784 $414K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 6,007 4,211 $167K
80053 Comprehensive metabolic panel 43,215 40,442 $152K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 51,748 48,241 $145K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,674 17,401 $109K
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 5,653 5,420 $98K
99215 Prolong outpt/office vis 6,300 5,937 $74K
Z7610 5,114 4,862 $67K
59025 Fetal non-stress test 8,645 4,384 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,325 14,537 $61K
0360 2,774 2,252 $58K
Z7500 1,596 954 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,210 8,815 $49K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,587 3,514 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,963 3,876 $34K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,822 2,757 $33K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,418 2,380 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,640 9,049 $31K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,643 1,496 $27K
71045 Radiologic examination, chest; single view 5,797 5,631 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,584 3,358 $25K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,259 4,987 $25K
81025 14,317 13,644 $23K
70450 Computed tomography, head or brain; without contrast material 2,142 2,084 $22K
81001 17,636 16,668 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg 13,500 12,344 $15K
71046 Radiologic examination, chest; 2 views 6,041 5,948 $14K
83690 7,634 7,259 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,091 2,086 $13K
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 1,763 1,724 $12K
Z9725 284 283 $12K
93000 2,008 1,846 $12K
90686 1,949 1,945 $12K
84484 4,600 4,338 $11K
80048 Basic metabolic panel (calcium, ionized) 5,131 4,866 $11K
0012A 256 256 $10K
84443 Thyroid stimulating hormone (TSH) 9,320 9,212 $10K
81003 12,429 11,492 $9K
80061 Lipid panel 10,601 10,511 $9K
0710 2,094 1,843 $9K
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 1,534 1,419 $8K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 1,167 1,161 $8K
83036 Hemoglobin; glycosylated (A1C) 9,444 9,365 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 425 424 $8K
47562 234 232 $7K
0011A 220 220 $7K
96375 Therapeutic injection; each additional sequential IV push 4,172 3,828 $7K
96361 Intravenous infusion, hydration; each additional hour 3,930 3,636 $6K
87086 Culture, bacterial; quantitative colony count, urine 8,428 7,994 $6K
90732 296 295 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 3,734 2,621 $5K
A4217 Sterile water/saline, 500 ml 2,740 2,644 $5K
0769 154 81 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,143 6,109 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,751 1,632 $5K
86318 1,888 1,874 $5K
82948 5,076 4,623 $5K
99283 Emergency department visit for the evaluation and management, moderate severity 720 680 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,659 1,614 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,290 3,271 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 991 969 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,044 3,028 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,618 4,613 $4K
85730 3,160 3,054 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,276 1,218 $4K
90715 1,657 1,633 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,860 2,822 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,117 2,070 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,110 2,063 $3K
85610 4,152 3,922 $3K
J7030 Infusion, normal saline solution , 1000 cc 2,056 1,610 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,915 1,814 $3K
83880 876 844 $3K
76770 910 902 $2K
J3490 Unclassified drugs 13,776 9,438 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,287 2,169 $2K
76830 Ultrasound, transvaginal 1,495 1,488 $2K
73562 2,674 2,307 $2K
77067 Screening mammography, bilateral, including computer-aided detection 6,919 6,914 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,116 3,048 $2K
0270 10,566 9,382 $2K
0002A 49 49 $2K
73030 1,715 1,616 $2K
87276 1,272 1,247 $2K
0403 23 23 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,162 1,162 $2K
J2270 Injection, morphine sulfate, up to 10 mg 2,825 2,068 $2K
0300 75 35 $2K
85018 3,299 3,223 $2K
76641 2,241 2,225 $2K
90670 16 16 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,185 960 $1K
72110 1,661 1,656 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 637 583 $1K
83605 1,652 1,342 $1K
94760 1,182 1,061 $1K
73610 1,292 1,258 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 330 330 $1K
73130 1,135 1,035 $1K
82962 2,218 1,896 $1K
0761 1,496 568 $1K
84439 3,396 3,364 $1K
87275 1,272 1,247 $1K
76801 487 459 $1K
92558 773 767 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 66 52 $1K
83735 1,296 1,098 $987.58
J0690 Injection, cefazolin sodium, 500 mg 986 733 $971.83
0001A 57 57 $965.58
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,615 2,473 $946.24
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 39 39 $945.00
77066 Tomosynthesis, mammo 1,360 1,360 $937.29
82607 2,665 2,606 $929.26
92551 462 462 $897.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,857 1,495 $851.57
80074 797 786 $841.63
S0020 Injection, bupivicaine hydrochloride, 30 ml 410 343 $815.16
73630 1,558 1,448 $813.30
87081 2,642 2,617 $812.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,864 1,519 $800.29
V5008 Hearing screening 387 384 $774.54
87040 583 554 $748.21
84702 2,799 2,298 $740.68
J0171 Injection, adrenalin, epinephrine, 0.1 mg 532 527 $734.17
J0696 Injection, ceftriaxone sodium, per 250 mg 2,316 2,074 $703.10
71250 25 25 $700.98
73110 797 763 $662.78
94375 142 136 $643.89
80076 1,815 1,787 $641.12
72050 351 350 $622.72
87186 2,689 2,592 $598.91
86850 848 813 $591.37
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 528 528 $571.57
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 36 34 $557.50
86140 1,884 1,788 $546.43
90733 160 159 $532.69
73502 189 183 $520.84
J2175 Injection, meperidine hydrochloride, per 100 mg 242 216 $516.62
93971 248 245 $505.95
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,281 1,178 $501.71
86689 943 936 $490.36
71020 107 69 $486.73
82150 523 513 $474.32
87077 2,772 2,639 $469.89
86901 1,920 1,814 $469.37
94664 504 488 $462.25
99000 5,263 5,100 $431.57
82570 2,964 2,886 $429.89
71275 Computed tomographic angiography, chest, with contrast material 42 42 $427.81
J1170 Injection, hydromorphone, up to 4 mg 770 505 $405.98
99070 422 386 $397.07
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 388 355 $395.28
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 60 57 $372.20
0031A 13 13 $369.07
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 55 55 $340.56
84436 754 747 $338.50
90674 92 87 $337.81
99421 61 57 $330.60
86900 1,614 1,548 $323.92
J2060 Injection, lorazepam, 2 mg 969 770 $320.14
86480 896 893 $320.00
81000 176 172 $307.87
84481 455 450 $305.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 617 612 $301.40
J7120 Ringers lactate infusion, up to 1000 cc 103 94 $296.15
76536 574 573 $292.36
86592 1,431 1,417 $286.01
99201 12 12 $284.76
0324 26 25 $275.44
99422 12 12 $272.16
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 225 220 $265.95
84153 552 545 $255.87
86317 102 101 $252.18
82728 1,279 1,253 $236.83
82043 1,887 1,868 $233.88
90651 22 22 $229.44
86003 132 73 $217.88
87070 599 582 $217.19
87340 467 466 $189.31
87501 48 48 $187.46
36415 Collection of venous blood by venipuncture 941 912 $186.90
87338 628 622 $180.88
86038 283 280 $180.71
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 201 200 $180.00
86703 323 322 $177.02
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 257 241 $174.32
99282 Emergency department visit for the evaluation and management, low to moderate severity 46 43 $172.19
72100 178 175 $171.16
72125 Computed tomography, cervical spine; without contrast material 63 63 $170.92
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 787 781 $161.08
83540 1,693 1,667 $157.38
J2795 Injection, ropivacaine hydrochloride, 1 mg 354 352 $154.98
86235 280 128 $145.90
90658 1,177 1,177 $141.99
84100 200 163 $138.14
85379 234 230 $132.00
85651 2,186 2,147 $128.83
82746 455 452 $119.25
84550 1,162 1,117 $113.79
86580 493 484 $111.01
84466 813 796 $104.41
69209 60 59 $101.52
96376 356 336 $99.24
83615 401 393 $97.81
84703 696 680 $86.77
86431 530 521 $75.30
73080 126 122 $74.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 193 190 $74.52
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 82 81 $73.73
82785 57 54 $73.00
86593 166 166 $71.31
0760 3,484 1,745 $71.27
84480 121 121 $69.70
86706 155 155 $67.60
82550 127 114 $60.82
80069 84 76 $60.80
82977 268 267 $58.14
80055 295 294 $54.49
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 188 186 $52.23
87280 151 149 $51.45
72072 114 114 $49.37
74019 13 12 $45.97
86331 179 177 $45.90
73140 107 105 $45.62
87147 444 439 $45.50
71010 71 37 $44.67
82274 38 38 $42.42
0250 148 142 $41.86
86171 91 91 $39.92
90472 Immunization administration, each additional vaccine (list separately) 100 95 $39.88
74018 103 103 $34.10
82950 572 572 $32.14
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 140 140 $31.15
99443 38 38 $30.78
86039 290 284 $30.24
86701 68 68 $28.34
99173 250 248 $27.88
J1815 Injection, insulin, per 5 units 198 184 $26.35
86707 47 47 $23.14
82565 469 466 $22.67
87350 47 47 $20.80
86225 146 141 $18.60
82610 122 119 $14.80
S0164 Injection, pantoprazole sodium, 40 mg 28 12 $9.79
J0780 Injection, prochlorperazine, up to 10 mg 46 45 $8.91
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 524 500 $7.16
82272 12 12 $6.11
82248 530 393 $6.08
99050 219 191 $5.55
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 811 461 $4.94
99284 Emergency department visit for the evaluation and management, high severity 108 102 $3.11
84156 153 149 $2.93
86695 12 12 $0.00
99441 397 387 $0.00
72040 96 96 $0.00
0250R 97 91 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 116 116 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 16 15 $0.00
86803 12 12 $0.00
A6260 Wound cleansers, any type, any size 136 88 $0.00
82952 13 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 43 42 $0.00
82951 26 26 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 44 44 $0.00
83001 16 16 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 34 30 $0.00
86762 13 12 $0.00
77065 Tomosynthesis, mammo 72 72 $0.00
90649 162 162 $0.00
0270R 659 598 $0.00
82947 98 97 $0.00
84520 24 24 $0.00
96367 57 55 $0.00
82247 87 62 $0.00
90746 25 25 $0.00
99001 34 30 $0.00
0258R 13 12 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 27 27 $0.00
73590 28 24 $0.00
94060 12 12 $0.00
99442 28 28 $0.00
84145 12 12 $0.00
87177 41 41 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 12 12 $0.00
86696 42 41 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 16 16 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 12 12 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 13 12 $0.00