Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHN MUIR HEALTH

NPI: 1801821376 · CONCORD, CA 94520 · General Acute Care Hospital · NPI assigned 07/12/2006

$32.05M
Total Medicaid Paid
1,106,795
Total Claims
906,793
Beneficiaries
296
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, MICHAEL (CEO)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: THOMAS, MICHAEL

ProviderCityStateTotal Paid
CITY OF NEW BEDFORD NEW BEDFORD MA $11.68M
STATE OF DELAWARE DOVER DE $1.15M
POTENTIAL DEVELOPMENT PROGRAM YOUNGSTOWN OH $681K
COASTAL CAROLINA CARE PLLC HAMPSTEAD NC $379K
JOHN MUIR HEALTH CONCORD CA $300K
ALTERNATIVE COUNSELING GROUP, LLC CHESTER VA $24K
MICHAEL R THOMAS DDS MARSHALL MN $289.94

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 150,480 $5.77M
2019 139,347 $3.22M
2020 108,354 $2.48M
2021 142,241 $3.40M
2022 164,332 $4.42M
2023 179,413 $4.34M
2024 222,628 $8.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 135,796 121,849 $4.74M
J3490 Unclassified drugs 152,524 65,618 $2.25M
J9271 Injection, pembrolizumab, 1 mg 149 122 $1.57M
0121 208 204 $1.52M
0202U Oncology (prostate), multianalyte, gene expression profiling 4,523 4,486 $1.25M
0206 198 194 $1.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,144 18,723 $1.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,674 5,577 $1.15M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 113 80 $780K
0272 8,064 7,685 $699K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,858 32,980 $684K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,845 4,738 $621K
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 10,774 10,432 $586K
93976 2,778 2,727 $537K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,247 10,897 $536K
80053 Comprehensive metabolic panel 54,295 49,481 $520K
70450 Computed tomography, head or brain; without contrast material 6,383 6,261 $498K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 65,717 58,142 $432K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,855 3,811 $383K
96375 Therapeutic injection; each additional sequential IV push 13,960 12,074 $362K
71275 Computed tomographic angiography, chest, with contrast material 1,716 1,694 $314K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,082 10,686 $309K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,603 1,022 $307K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,283 5,130 $307K
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 4,881 4,504 $304K
96361 Intravenous infusion, hydration; each additional hour 16,112 14,229 $304K
96376 4,805 3,240 $299K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,183 1,179 $277K
99199 Unlisted special service, procedure or report 5,306 4,725 $275K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12,660 12,300 $274K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,994 3,788 $224K
71045 Radiologic examination, chest; single view 22,975 21,840 $224K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,989 2,952 $219K
0250 2,447 1,444 $209K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,697 4,630 $201K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,834 5,756 $196K
84484 22,770 18,655 $195K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,776 6,661 $191K
72125 Computed tomography, cervical spine; without contrast material 1,619 1,608 $184K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,489 2,343 $182K
70498 947 943 $181K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,193 3,074 $179K
70496 920 915 $173K
93971 1,916 1,889 $166K
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 2,223 2,144 $164K
Z7502 5,283 5,026 $160K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,220 3,175 $153K
99283 Emergency department visit for the evaluation and management, moderate severity 2,304 2,075 $143K
J7030 Infusion, normal saline solution , 1000 cc 22,781 19,420 $141K
83690 23,047 21,636 $141K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,882 1,705 $139K
76830 Ultrasound, transvaginal 2,796 2,756 $137K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,168 10,153 $120K
71046 Radiologic examination, chest; 2 views 6,802 6,713 $118K
84703 16,630 15,884 $104K
99284 Emergency department visit for the evaluation and management, high severity 2,395 2,113 $103K
83880 3,979 3,768 $101K
81001 34,235 32,548 $99K
76801 1,481 1,341 $94K
97162 2,053 2,044 $94K
87086 Culture, bacterial; quantitative colony count, urine 13,642 13,155 $92K
99233 Prolong inpt eval add15 m 2,046 942 $91K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 113 86 $87K
80048 Basic metabolic panel (calcium, ionized) 11,275 9,942 $85K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,329 1,206 $77K
94664 6,076 5,756 $72K
76770 1,229 1,219 $72K
84702 5,583 5,182 $70K
84443 Thyroid stimulating hormone (TSH) 4,451 4,315 $67K
0510 2,796 2,377 $61K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,079 3,038 $61K
87040 6,258 3,340 $54K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,614 10,388 $49K
77067 Screening mammography, bilateral, including computer-aided detection 525 525 $47K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 3,930 1,930 $47K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,082 2,726 $43K
J2270 Injection, morphine sulfate, up to 10 mg 6,119 5,372 $42K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,872 8,397 $41K
J1815 Injection, insulin, per 5 units 2,458 1,482 $41K
93458 40 40 $40K
83735 6,756 6,073 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,078 3,038 $39K
74018 2,233 2,192 $36K
83605 4,165 3,574 $36K
73630 2,083 2,068 $36K
87077 5,404 4,543 $36K
99070 1,693 812 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,630 1,773 $34K
97139 2,099 499 $33K
73030 1,678 1,668 $31K
73564 1,492 1,483 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete 510 509 $31K
73610 1,634 1,627 $31K
87186 4,415 3,884 $30K
J1170 Injection, hydromorphone, up to 4 mg 3,976 3,057 $30K
99152 539 524 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material 197 197 $27K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 5,256 4,514 $27K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 844 833 $27K
99232 Subsequent hospital care, per day, moderate complexity 704 364 $26K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 914 641 $25K
97014 2,709 1,384 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 141 132 $23K
85379 2,509 2,478 $23K
93970 159 153 $22K
J0780 Injection, prochlorperazine, up to 10 mg 2,117 1,975 $22K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 69 66 $21K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,785 3,453 $21K
72100 932 928 $20K
J7050 Infusion, normal saline solution, 250 cc 4,953 3,117 $20K
85730 4,033 3,883 $20K
J1644 Injection, heparin sodium, per 1000 units 3,342 1,740 $19K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 79 55 $18K
0002A 469 469 $18K
73130 942 937 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 779 546 $17K
85610 5,339 5,087 $17K
0001A 420 420 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,252 695 $17K
82550 2,942 2,624 $16K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,511 3,143 $16K
97161 242 241 $16K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 2,675 2,484 $15K
71250 164 164 $14K
Z7610 1,868 1,622 $14K
70486 152 148 $14K
80306 863 838 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 941 796 $14K
82553 1,342 1,252 $14K
82803 1,119 1,027 $13K
87070 1,671 1,640 $13K
96367 361 252 $12K
77063 Screening digital breast tomosynthesis, bilateral 523 523 $12K
73502 424 421 $12K
83036 Hemoglobin; glycosylated (A1C) 1,537 1,521 $12K
90715 273 272 $11K
J0561 Injection, penicillin g benzathine, 100,000 units 215 213 $11K
84145 575 536 $11K
76536 211 209 $10K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,748 3,357 $9K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,774 1,556 $9K
84439 1,096 1,073 $9K
76642 197 165 $9K
J3010 Injection, fentanyl citrate, 0.1 mg 1,823 1,574 $8K
73110 363 359 $8K
J2060 Injection, lorazepam, 2 mg 1,773 1,620 $7K
96523 133 115 $7K
96417 261 186 $7K
J2785 Injection, regadenoson, 0.1 mg 61 61 $7K
71101 307 307 $7K
86901 2,596 2,492 $7K
J0640 Injection, leucovorin calcium, per 50 mg 143 62 $7K
76870 180 178 $7K
86140 1,423 1,353 $7K
73560 458 455 $7K
0271 166 157 $6K
82010 941 867 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,328 1,225 $6K
J1453 Injection, fosaprepitant, 1 mg 306 206 $6K
86900 2,421 2,331 $6K
J2469 Injection, palonosetron hcl, 25 mcg 433 292 $6K
J3535 Drug administered through a metered dose inhaler 55 53 $6K
0636 573 412 $6K
J8540 Dexamethasone, oral, 0.25 mg 1,679 873 $6K
96415 242 175 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,415 1,244 $6K
87210 1,368 1,347 $6K
J1650 Injection, enoxaparin sodium, 10 mg 871 414 $5K
77336 162 67 $5K
90714 169 169 $5K
87507 12 12 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 17 17 $5K
0420 315 312 $5K
93017 84 81 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 665 636 $4K
77334 30 25 $4K
77412 132 13 $4K
97166 57 57 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,021 650 $4K
J9190 Injection, fluorouracil, 500 mg 297 96 $4K
0762 1,053 483 $4K
J3480 Injection, potassium chloride, per 2 meq 272 195 $4K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 19 12 $4K
85652 1,423 1,373 $3K
73140 237 237 $3K
73590 190 189 $3K
J2704 Injection, propofol, 10 mg 285 254 $3K
74174 13 13 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 868 814 $3K
96377 30 26 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 325 302 $3K
82728 350 328 $3K
85027 619 576 $3K
97802 25 25 $3K
73080 146 144 $3K
99223 Prolong inpt eval add15 m 40 40 $3K
86850 965 915 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 32 30 $3K
85018 1,309 955 $2K
72040 128 128 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 470 237 $2K
99153 Mod sedat endo service >5yrs 225 215 $2K
80061 Lipid panel 220 219 $2K
J1171 Injection, hydromorphone, 0.1 mg 133 99 $2K
J2560 Injection, phenobarbital sodium, up to 120 mg 15 12 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 303 281 $2K
96401 184 120 $2K
82565 503 474 $2K
84132 590 529 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 134 109 $2K
72131 14 14 $2K
0270 402 194 $2K
83550 319 305 $2K
82247 349 332 $2K
85014 751 641 $1K
83540 326 309 $1K
72070 60 59 $1K
97116 114 69 $1K
84450 257 248 $1K
84075 257 248 $1K
82040 255 247 $1K
J1756 Injection, iron sucrose, 1 mg 17 12 $1K
77066 Tomosynthesis, mammo 12 12 $1K
36600 366 326 $1K
72110 31 31 $1K
96368 61 41 $1K
83615 218 175 $998.45
77065 Tomosynthesis, mammo 13 12 $962.09
84100 241 196 $926.01
84155 257 248 $885.10
99222 Initial hospital care, per day, moderate complexity 13 13 $885.06
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 845 766 $828.12
J0131 Injection, acetaminophen, not otherwise specified,10 mg 41 41 $776.97
80047 108 107 $760.78
96402 83 79 $697.75
J2003 Injection, lidocaine hydrochloride, 1 mg 36 31 $684.83
82248 150 127 $655.07
85049 190 173 $650.15
86403 61 55 $574.90
90686 26 26 $556.99
87420 151 149 $506.88
73090 32 32 $501.79
84295 162 156 $499.27
84520 172 166 $482.36
77080 13 13 $468.37
87486 17 17 $452.68
87581 17 17 $452.68
J2470 Injection, pantoprazole sodium, 40 mg 92 78 $435.98
J7510 Prednisolone oral, per 5 mg 31 29 $434.71
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 1,570 1,482 $420.89
84550 117 97 $417.34
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 17 17 $412.09
J1940 Injection, furosemide, up to 20 mg 191 152 $382.60
87081 69 67 $338.81
97035 60 43 $314.82
73660 25 25 $304.80
J3475 Injection, magnesium sulfate, per 500 mg 25 18 $281.25
85347 60 31 $263.34
J7120 Ringers lactate infusion, up to 1000 cc 50 43 $241.04
36430 4,523 1,944 $183.04
73620 15 14 $157.50
87205 46 40 $150.97
J0360 Injection, hydralazine hcl, up to 20 mg 15 14 $142.65
86780 13 12 $139.39
97032 20 14 $138.60
J0690 Injection, cefazolin sodium, 500 mg 21 12 $122.16
82947 42 41 $117.04
J1630 Injection, haloperidol, up to 5 mg 16 12 $116.68
77062 12 12 $110.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 17 13 $99.73
97535 Self-care/home management training, each 15 minutes 281 252 $88.75
J3360 Injection, diazepam, up to 5 mg 13 13 $88.40
80076 12 12 $76.56
0300 307 302 $75.00
85048 26 26 $53.63
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 155 98 $48.14
81015 15 15 $41.00
74021 13 13 $40.68
80320 657 626 $38.77
80329 617 300 $15.10
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 596 452 $1.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 13 12 $0.50
0306 272 265 $0.00
0250R 119 69 $0.00
0352 136 136 $0.00
0324 214 209 $0.00
0307 246 241 $0.00
0305 370 361 $0.00
0410 100 98 $0.00
0301 370 361 $0.00
0320 66 65 $0.00
0730 296 289 $0.00
0402 102 101 $0.00
0483 49 49 $0.00
0351 14 14 $0.00
0430 15 15 $0.00