Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Sonora › NPI 1780673376
Hospital

Sonora Community Hospital

Sonora Community Hospital was paid $22.82M by Medicaid between Jan 2018 and Dec 2024, across 318 billing codes. Its largest line is 0450, Emergency room services — 26% of everything it billed.

33Billing provider infoSONORA COMMUNITY HOSPITAL
SONORA, CA 95370
33aNPI1780673376assigned 10/17/2005
28Total paid$22.82M
24GClaims793,584
24DCodes billed318
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#112 of 410
Median peer was paid$6.90M
This provider vs. median3.3×

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$200K$400K$600K2018201920202021202220232024
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
2018109,232$2.95M
2019109,223$3.08M
202087,330$2.44M
2021115,093$3.35M
2022129,023$3.88M
2023140,146$4.24M
2024incomplete103,537$2.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 26% 42,623 36,413 $6.02M
99199 Unlisted special service, procedure or report 6.7% 21,074 17,621 $1.52M
80053 Comprehensive metabolic panel 4.0% 42,503 36,993 $919K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.5% 27,192 8,074 $790K
0510 3.2% 18,105 15,924 $730K
97139 1.9% 15,198 3,061 $436K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 7,290 6,993 $405K
96361 Intravenous infusion, hydration; each additional hour 1.8% 7,333 6,647 $402K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.7% 11,160 10,072 $389K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 14,898 13,887 $382K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.6% 2,458 2,449 $360K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.5% 5,569 1,994 $344K
306 more codes
77067 Screening mammography, bilateral, including computer-aided detection 1.4% 3,409 $325K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 6,177 $267K
97750 1.1% 3,975 $257K
J7030 Infusion, normal saline solution , 1000 cc 1.1% 10,505 $251K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 4,384 $241K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1.0% 4,785 $234K
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% 5,264 $227K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 9,918 $221K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 698 $210K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 46,180 $197K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 10,254 $192K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 3,991 $192K
84443 Thyroid stimulating hormone (TSH) <1% 12,784 $187K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,815 $168K
0760 <1% 3,893 $160K
96375 Therapeutic injection; each additional sequential IV push <1% 8,973 $155K
G0378 Hospital observation service, per hour <1% 4,074 $151K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,044 $141K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,354 $140K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,595 $136K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,123 $136K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,377 $133K
J3490 Unclassified drugs <1% 5,082 $126K
80061 Lipid panel <1% 9,947 $115K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,051 $112K
81001 <1% 24,486 $111K
71046 Radiologic examination, chest; 2 views <1% 7,224 $106K
78815 Positron emission tomography (PET) for limited area imaging <1% 92 $101K
99283 Emergency room visit (moderate) <1% 1,567 $99K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,359 $97K
70450 Computed tomography, head or brain; without contrast material <1% 3,213 $94K
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% 3,824 $94K
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% 4,266 $92K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,894 $91K
99284 Emergency room visit (serious) <1% 1,588 $91K
76830 Ultrasound, transvaginal <1% 2,104 $88K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 995 $88K
83036 Hemoglobin; glycosylated (A1C) <1% 8,983 $88K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,057 $87K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,859 $86K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,649 $86K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,041 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,057 $77K
73630 <1% 2,412 $75K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,961 $72K
73562 <1% 2,454 $68K
73610 <1% 2,205 $67K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,113 $64K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,175 $63K
97597 <1% 2,726 $62K
0360 <1% 330 $62K
73030 <1% 2,196 $61K
80048 Basic metabolic panel (calcium, ionized) <1% 4,751 $61K
0250 <1% 9,204 $57K
73110 <1% 1,891 $55K
84484 <1% 10,319 $55K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,499 $55K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 104 $55K
82962 <1% 1,643 $54K
73130 <1% 1,712 $54K
97799 <1% 2,125 $53K
72100 <1% 1,927 $52K
99285 Emergency room visit (most serious) <1% 986 $52K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,024 $51K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 584 $51K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 458 $50K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,150 $47K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 469 $46K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,714 $45K
84439 <1% 5,229 $45K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,733 $42K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 131 $41K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 569 $40K
73502 <1% 1,122 $39K
96367 <1% 889 $38K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 806 $37K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,393 $37K
84145 <1% 946 $36K
72141 <1% 119 $36K
93971 <1% 889 $34K
76770 <1% 716 $34K
J2060 Injection, lorazepam, 2 mg <1% 2,180 $34K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,162 $33K
0270 <1% 8,980 $33K
99070 <1% 12,798 $31K
82728 <1% 3,222 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 275 $31K
Z7500 <1% 885 $30K
59025 Fetal non-stress test <1% 575 $30K
82607 <1% 3,355 $30K
83690 <1% 8,860 $29K
81025 <1% 7,074 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,561 $28K
99203 Doctor's office visit, new patient (routine) <1% 547 $27K
83735 <1% 6,494 $26K
99214 Doctor's office visit, returning patient (more involved) <1% 903 $26K
87400 <1% 1,693 $26K
83880 <1% 4,523 $26K
72125 Computed tomography, cervical spine; without contrast material <1% 756 $25K
84481 <1% 1,769 $25K
76801 <1% 655 $25K
84153 <1% 1,335 $25K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,663 $24K
84466 <1% 2,033 $23K
80143 <1% 1,248 $23K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 822 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,007 $23K
72050 <1% 517 $22K
86140 <1% 5,660 $22K
86803 <1% 1,368 $22K
71275 Computed tomographic angiography, chest, with contrast material <1% 770 $21K
J2704 Injection, propofol, 10 mg <1% 591 $20K
94060 <1% 659 $20K
71045 Radiologic examination, chest; single view <1% 6,052 $20K
82746 <1% 1,157 $20K
85610 <1% 10,094 $19K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,122 $19K
93017 <1% 367 $18K
83655 <1% 1,169 $18K
90714 <1% 811 $18K
Z7502 <1% 494 $18K
80074 <1% 317 $17K
73140 <1% 632 $17K
73221 <1% 65 $17K
94729 <1% 653 $17K
86901 <1% 1,127 $16K
87081 <1% 3,482 $16K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,448 $16K
80055 <1% 327 $16K
85027 <1% 3,056 $16K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 687 $16K
83540 <1% 2,677 $16K
76642 <1% 311 $16K
94726 <1% 636 $16K
86900 <1% 1,070 $16K
84403 <1% 641 $15K
80305 <1% 1,148 $15K
36415 Collection of venous blood by venipuncture <1% 1,187 $15K
87806 <1% 510 $14K
87186 <1% 2,800 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 725 $13K
97016 <1% 774 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 653 $12K
11043 <1% 149 $12K
97010 <1% 243 $12K
83605 <1% 5,327 $12K
84703 <1% 2,159 $12K
86038 <1% 1,051 $12K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 3,080 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 136 $11K
73080 <1% 352 $11K
76536 <1% 209 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 171 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 322 $11K
86592 <1% 1,519 $10K
84702 <1% 660 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,051 $10K
J7050 Infusion, normal saline solution, 250 cc <1% 1,118 $10K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 51 $10K
74018 <1% 579 $10K
82948 <1% 1,046 $10K
70551 Magnetic resonance imaging, brain; without contrast material <1% 40 $10K
85018 <1% 3,343 $10K
87077 <1% 2,042 $9K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 547 $9K
81003 <1% 2,469 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 129 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 650 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 718 $8K
82043 <1% 1,368 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,205 $8K
J3475 Injection, magnesium sulfate, per 500 mg <1% 718 $7K
87040 <1% 3,613 $7K
85652 <1% 3,292 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 37 $7K
93016 <1% 239 $7K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 50 $6K
85730 <1% 2,679 $6K
72072 <1% 198 $6K
S0028 Injection, famotidine, 20 mg <1% 77 $6K
82570 <1% 1,345 $6K
86787 <1% 436 $6K
80076 <1% 712 $5K
93018 <1% 239 $5K
87340 <1% 420 $5K
85379 <1% 1,559 $5K
83516 <1% 480 $4K
71271 <1% 54 $4K
86850 <1% 342 $4K
87070 <1% 417 $4K
73564 <1% 123 $4K
97162 <1% 845 $4K
86317 <1% 247 $4K
93000 <1% 1,162 $4K
85007 <1% 1,721 $3K
82950 <1% 589 $3K
0729 <1% 90 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 296 $3K
93880 <1% 27 $3K
73590 <1% 122 $3K
93922 <1% 127 $3K
81002 <1% 1,049 $3K
62323 <1% 36 $3K
82784 <1% 337 $3K
71250 <1% 29 $2K
80179 <1% 1,212 $2K
86376 <1% 222 $2K
83970 <1% 66 $2K
76857 <1% 311 $2K
70496 <1% 114 $2K
0259 <1% 212 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 484 $2K
87088 <1% 717 $2K
82565 <1% 399 $2K
90686 <1% 77 $2K
86800 <1% 158 $2K
87807 <1% 399 $2K
73620 <1% 98 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 29 $2K
82550 <1% 560 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 108 $2K
99215 Doctor's office visit, returning patient (complex) <1% 33 $2K
29581 <1% 361 $2K
84100 <1% 538 $2K
97165 <1% 26 $2K
77080 <1% 75 $1K
52000 <1% 37 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 446 $1K
99152 <1% 222 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 17 $1K
76870 <1% 46 $1K
74022 <1% 169 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 312 $1K
86160 <1% 60 $1K
83615 <1% 175 $1K
86430 <1% 173 $941.33
0636 <1% 226 $941.26
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 13 $934.53
70498 <1% 104 $914.76
87205 <1% 289 $803.27
J2550 Injection, promethazine hcl, up to 50 mg <1% 120 $768.50
86431 <1% 151 $684.00
87522 Neg quan hep c or qual rna <1% 17 $662.24
86308 <1% 57 $659.27
70486 <1% 12 $653.97
83525 <1% 75 $631.25
86704 <1% 50 $615.81
73090 <1% 34 $602.73
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 243 $598.56
99001 <1% 79 $552.23
82747 <1% 72 $543.75
86481 <1% 13 $528.00
86235 <1% 12 $497.52
86705 <1% 35 $492.38
99204 Doctor's office visit, new patient (more involved) <1% 13 $462.52
86039 <1% 39 $447.26
84550 <1% 98 $444.90
82533 <1% 27 $442.76
84270 <1% 26 $411.84
95117 <1% 298 $384.45
0761 <1% 13 $378.84
82670 <1% 15 $370.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 57 $286.51
71020 <1% 89 $274.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 12 $266.82
82805 <1% 33 $257.31
82378 <1% 13 $245.20
82105 <1% 26 $240.60
83001 <1% 12 $229.11
84425 <1% 12 $226.44
80047 <1% 14 $218.54
J1630 Injection, haloperidol, up to 5 mg <1% 13 $190.00
86762 <1% 31 $175.45
71101 <1% 12 $165.39
93356 <1% 12 $162.72
82247 <1% 21 $107.40
82977 <1% 14 $105.84
86200 <1% 14 $99.40
90694 <1% 20 $95.18
82140 <1% 15 $86.74
J8540 Dexamethasone, oral, 0.25 mg <1% 121 $78.02
84156 <1% 28 $75.62
82248 <1% 13 $75.56
90653 <1% 18 $74.87
S0164 Injection, pantoprazole sodium, 40 mg <1% 75 $64.21
J0780 Injection, prochlorperazine, up to 10 mg <1% 38 $51.01
86677 <1% 14 $47.75
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 12 $37.01
71010 <1% 15 $31.27
87147 <1% 12 $25.21
85014 <1% 30 $6.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 13 $3.32
87210 <1% 54 $2.85
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 15 $1.32
0710R 0% 83 $0.00
1159F 0% 789 $0.00
1160F 0% 427 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 263 $0.00
97161 0% 13 $0.00
0258R 0% 12 $0.00
3008F 0% 223 $0.00
0250R 0% 253 $0.00
G0008 Administration of influenza virus vaccine 0% 22 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 45 $0.00
A9150 Non-prescription drugs 0% 13 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 16 $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 officialMCCULLOCH, GREGORY (PRESIDENT)
Parent organizationSONORA COMMUNITY HOSPITAL
Same official

Other billing entities under MCCULLOCH, GREGORY

Full network →
ProviderLocationPaid
Sonora Community HospitalSonora, CA$41.36M
Sonora Community HospitalSonora, CA$723K
Sonora Community HospitalSonora, CA$371K
Sonora Community HospitalSonora, CA$210K
Sonora Community HospitalGroveland, CA$120K
Sonora Community HospitalHanford, CA$34K
Sonora Community HospitalSonora, CA$0.00

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