Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

John Muir Health

John Muir Health was paid $32.05M by Medicaid between Jan 2018 and Dec 2024, across 296 billing codes. Its largest line is 0450, Emergency room services — 15% of everything it billed.

33Billing provider infoJOHN MUIR HEALTH
CONCORD, CA 94520
33aNPI1801821376assigned 07/12/2006
28Total paid$32.05M
24GClaims1,106,795
24DCodes billed296
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#89 of 410
Median peer was paid$6.90M
This provider vs. median4.6×

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$1.0M2018201920202021202220232024
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
2018150,480$5.77M
2019139,347$3.22M
2020108,354$2.48M
2021142,241$3.40M
2022164,332$4.42M
2023179,413$4.34M
2024incomplete222,628$8.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 15% 135,796 121,849 $4.74M
J3490 Unclassified drugs 7.0% 152,524 65,618 $2.25M
J9271 Injection, pembrolizumab, 1 mg 4.9% 149 122 $1.57M
0121 4.7% 208 204 $1.52M
0202U Oncology (prostate), multianalyte, gene expression profiling 3.9% 4,523 4,486 $1.25M
0206 3.7% 198 194 $1.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.6% 20,144 18,723 $1.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.6% 5,674 5,577 $1.15M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 2.4% 113 80 $780K
0272 2.2% 8,064 7,685 $699K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.1% 35,858 32,980 $684K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.9% 4,845 4,738 $621K
284 more codes
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 1.8% 10,774 $586K
93976 1.7% 2,778 $537K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.7% 11,247 $536K
80053 Comprehensive metabolic panel 1.6% 54,295 $520K
70450 Computed tomography, head or brain; without contrast material 1.6% 6,383 $498K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 65,717 $432K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 3,855 $383K
96375 Therapeutic injection; each additional sequential IV push 1.1% 13,960 $362K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,716 $314K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14,082 $309K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,603 $307K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,283 $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 <1% 4,881 $304K
96361 Intravenous infusion, hydration; each additional hour <1% 16,112 $304K
96376 <1% 4,805 $299K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,183 $277K
99199 Unlisted special service, procedure or report <1% 5,306 $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 <1% 12,660 $274K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,994 $224K
71045 Radiologic examination, chest; single view <1% 22,975 $224K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,989 $219K
0250 <1% 2,447 $209K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,697 $201K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 5,834 $196K
84484 <1% 22,770 $195K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 14,776 $191K
72125 Computed tomography, cervical spine; without contrast material <1% 1,619 $184K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,489 $182K
70498 <1% 947 $181K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,193 $179K
70496 <1% 920 $173K
93971 <1% 1,916 $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 <1% 2,223 $164K
Z7502 <1% 5,283 $160K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,220 $153K
99283 Emergency room visit (moderate) <1% 2,304 $143K
J7030 Infusion, normal saline solution , 1000 cc <1% 22,781 $141K
83690 <1% 23,047 $141K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,882 $139K
76830 Ultrasound, transvaginal <1% 2,796 $137K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,168 $120K
71046 Radiologic examination, chest; 2 views <1% 6,802 $118K
84703 <1% 16,630 $104K
99284 Emergency room visit (serious) <1% 2,395 $103K
83880 <1% 3,979 $101K
81001 <1% 34,235 $99K
76801 <1% 1,481 $94K
97162 <1% 2,053 $94K
87086 Culture, bacterial; quantitative colony count, urine <1% 13,642 $92K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,046 $91K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 113 $87K
80048 Basic metabolic panel (calcium, ionized) <1% 11,275 $85K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,329 $77K
94664 <1% 6,076 $72K
76770 <1% 1,229 $72K
84702 <1% 5,583 $70K
84443 Thyroid stimulating hormone (TSH) <1% 4,451 $67K
0510 <1% 2,796 $61K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,079 $61K
87040 <1% 6,258 $54K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,614 $49K
77067 Screening mammography, bilateral, including computer-aided detection <1% 525 $47K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 3,930 $47K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,082 $43K
J2270 Injection, morphine sulfate, up to 10 mg <1% 6,119 $42K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,872 $41K
J1815 Injection, insulin, per 5 units <1% 2,458 $41K
93458 <1% 40 $40K
83735 <1% 6,756 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,078 $39K
74018 <1% 2,233 $36K
83605 <1% 4,165 $36K
73630 <1% 2,083 $36K
87077 <1% 5,404 $36K
99070 <1% 1,693 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,630 $34K
97139 <1% 2,099 $33K
73030 <1% 1,678 $31K
73564 <1% 1,492 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 510 $31K
73610 <1% 1,634 $31K
87186 <1% 4,415 $30K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,976 $30K
99152 <1% 539 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 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 <1% 5,256 $27K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 844 $27K
99232 Hospital visit by a doctor, follow-up day <1% 704 $26K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 914 $25K
97014 <1% 2,709 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 141 $23K
85379 <1% 2,509 $23K
93970 <1% 159 $22K
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,117 $22K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 69 $21K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,785 $21K
72100 <1% 932 $20K
J7050 Infusion, normal saline solution, 250 cc <1% 4,953 $20K
85730 <1% 4,033 $20K
J1644 Injection, heparin sodium, per 1000 units <1% 3,342 $19K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 79 $18K
0002A <1% 469 $18K
73130 <1% 942 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 779 $17K
85610 <1% 5,339 $17K
0001A <1% 420 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,252 $17K
82550 <1% 2,942 $16K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,511 $16K
97161 <1% 242 $16K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 2,675 $15K
71250 <1% 164 $14K
Z7610 <1% 1,868 $14K
70486 <1% 152 $14K
80306 <1% 863 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 941 $14K
82553 <1% 1,342 $14K
82803 <1% 1,119 $13K
87070 <1% 1,671 $13K
96367 <1% 361 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 523 $12K
73502 <1% 424 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 1,537 $12K
90715 <1% 273 $11K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 215 $11K
84145 <1% 575 $11K
76536 <1% 211 $10K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,748 $9K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,774 $9K
84439 <1% 1,096 $9K
76642 <1% 197 $9K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,823 $8K
73110 <1% 363 $8K
J2060 Injection, lorazepam, 2 mg <1% 1,773 $7K
96523 <1% 133 $7K
96417 <1% 261 $7K
J2785 Injection, regadenoson, 0.1 mg <1% 61 $7K
71101 <1% 307 $7K
86901 <1% 2,596 $7K
J0640 Injection, leucovorin calcium, per 50 mg <1% 143 $7K
76870 <1% 180 $7K
86140 <1% 1,423 $7K
73560 <1% 458 $7K
0271 <1% 166 $6K
82010 <1% 941 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,328 $6K
J1453 Injection, fosaprepitant, 1 mg <1% 306 $6K
86900 <1% 2,421 $6K
J2469 Injection, palonosetron hcl, 25 mcg <1% 433 $6K
J3535 Drug administered through a metered dose inhaler <1% 55 $6K
0636 <1% 573 $6K
J8540 Dexamethasone, oral, 0.25 mg <1% 1,679 $6K
96415 <1% 242 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,415 $6K
87210 <1% 1,368 $6K
J1650 Injection, enoxaparin sodium, 10 mg <1% 871 $5K
77336 <1% 162 $5K
90714 <1% 169 $5K
87507 <1% 12 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 17 $5K
0420 <1% 315 $5K
93017 <1% 84 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 665 $4K
77334 <1% 30 $4K
77412 <1% 132 $4K
97166 <1% 57 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,021 $4K
J9190 Injection, fluorouracil, 500 mg <1% 297 $4K
0762 <1% 1,053 $4K
J3480 Injection, potassium chloride, per 2 meq <1% 272 $4K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 19 $4K
85652 <1% 1,423 $3K
73140 <1% 237 $3K
73590 <1% 190 $3K
J2704 Injection, propofol, 10 mg <1% 285 $3K
74174 <1% 13 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 868 $3K
96377 <1% 30 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 325 $3K
82728 <1% 350 $3K
85027 <1% 619 $3K
97802 <1% 25 $3K
73080 <1% 146 $3K
99223 Prolong inpt eval add15 m <1% 40 $3K
86850 <1% 965 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $3K
85018 <1% 1,309 $2K
72040 <1% 128 $2K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 470 $2K
99153 Mod sedat endo service >5yrs <1% 225 $2K
80061 Lipid panel <1% 220 $2K
J1171 Injection, hydromorphone, 0.1 mg <1% 133 $2K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 15 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 303 $2K
96401 <1% 184 $2K
82565 <1% 503 $2K
84132 <1% 590 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 134 $2K
72131 <1% 14 $2K
0270 <1% 402 $2K
83550 <1% 319 $2K
82247 <1% 349 $2K
85014 <1% 751 $1K
83540 <1% 326 $1K
72070 <1% 60 $1K
97116 <1% 114 $1K
84450 <1% 257 $1K
84075 <1% 257 $1K
82040 <1% 255 $1K
J1756 Injection, iron sucrose, 1 mg <1% 17 $1K
77066 Tomosynthesis, mammo <1% 12 $1K
36600 <1% 366 $1K
72110 <1% 31 $1K
96368 <1% 61 $1K
83615 <1% 218 $998.45
77065 Tomosynthesis, mammo <1% 13 $962.09
84100 <1% 241 $926.01
84155 <1% 257 $885.10
99222 Initial hospital care, per day, moderate complexity <1% 13 $885.06
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 845 $828.12
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 41 $776.97
80047 <1% 108 $760.78
96402 <1% 83 $697.75
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 36 $684.83
82248 <1% 150 $655.07
85049 <1% 190 $650.15
86403 <1% 61 $574.90
90686 <1% 26 $556.99
87420 <1% 151 $506.88
73090 <1% 32 $501.79
84295 <1% 162 $499.27
84520 <1% 172 $482.36
77080 <1% 13 $468.37
87486 <1% 17 $452.68
87581 <1% 17 $452.68
J2470 Injection, pantoprazole sodium, 40 mg <1% 92 $435.98
J7510 Prednisolone oral, per 5 mg <1% 31 $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% 1,570 $420.89
84550 <1% 117 $417.34
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 17 $412.09
J1940 Injection, furosemide, up to 20 mg <1% 191 $382.60
87081 <1% 69 $338.81
97035 <1% 60 $314.82
73660 <1% 25 $304.80
J3475 Injection, magnesium sulfate, per 500 mg <1% 25 $281.25
85347 <1% 60 $263.34
J7120 Ringers lactate infusion, up to 1000 cc <1% 50 $241.04
36430 <1% 4,523 $183.04
73620 <1% 15 $157.50
87205 <1% 46 $150.97
J0360 Injection, hydralazine hcl, up to 20 mg <1% 15 $142.65
86780 <1% 13 $139.39
97032 <1% 20 $138.60
J0690 Injection, cefazolin sodium, 500 mg <1% 21 $122.16
82947 <1% 42 $117.04
J1630 Injection, haloperidol, up to 5 mg <1% 16 $116.68
77062 <1% 12 $110.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 17 $99.73
97535 Self-care/home management training, each 15 minutes <1% 281 $88.75
J3360 Injection, diazepam, up to 5 mg <1% 13 $88.40
80076 <1% 12 $76.56
0300 <1% 307 $75.00
85048 <1% 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 <1% 155 $48.14
81015 <1% 15 $41.00
74021 <1% 13 $40.68
80320 <1% 657 $38.77
80329 <1% 617 $15.10
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 596 $1.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 13 $0.50
0306 0% 272 $0.00
0250R 0% 119 $0.00
0352 0% 136 $0.00
0324 0% 214 $0.00
0307 0% 246 $0.00
0305 0% 370 $0.00
0410 0% 100 $0.00
0301 0% 370 $0.00
0320 0% 66 $0.00
0730 0% 296 $0.00
0402 0% 102 $0.00
0483 0% 49 $0.00
0351 0% 14 $0.00
0430 0% 15 $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 officialTHOMAS, MICHAEL (CEO)
Same official

Other billing entities under THOMAS, MICHAEL

Full network →
ProviderLocationPaid
City of New BedfordNew Bedford, MA$11.68M
State of DelawareDover, DE$1.15M
Potential Development ProgramYoungstown, OH$681K
Coastal Carolina Care PLLCHampstead, NC$379K
John Muir HealthConcord, CA$300K
Alternative Counseling Group, LLCChester, VA$24K
Michael R Thomas DDSMarshall, MN$289.94

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