Providence Health System - Southern California
Providence Health System - Southern California was paid $125K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 61% of everything it billed.
MISSION HILLS, CA 91345
Next to other Emergency Medicine Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 44 | $887.56 | |
| 2019 | 156 | $7K | |
| 2020 | 456 | $25K | |
| 2021 | 281 | $16K | |
| 2022 | 271 | $20K | |
| 2023 | 409 | $39K | |
| 2024incomplete | 325 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 61% | 710 | 375 | $76K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 602 | 143 | $24K |
| 99223 | Prolong inpt eval add15 m | 8.9% | 147 | 144 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.7% | 287 | 103 | $8K |
| 0450 | Emergency room services | 3.7% | 135 | 123 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 13 | 13 | $729.43 |
| 93308 | <1% | 12 | 12 | $256.68 | |
| 76604 | <1% | 12 | 12 | $162.71 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 0% | 24 | 24 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.