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

Tri-City Hospital

Tri-City Hospital was paid $44.74M by Medicaid between Jan 2018 and Dec 2024, across 267 billing codes. Its largest line is 0450, Emergency room services — 27% of everything it billed.

33Billing provider infoTRI-CITY HOSPITAL
OCEANSIDE, CA 92056
33aNPI1801861190assigned 02/21/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$44.74M
24GClaims824,334
24DCodes billed267
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#72 of 410
Median peer was paid$6.90M
This provider vs. median6.5×

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
2018164,780$8.60M
2019149,448$7.07M
202098,346$5.32M
202197,265$5.79M
2022108,966$6.30M
2023111,526$6.34M
2024incomplete94,003$5.33M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 27% 50,237 44,668 $12.06M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.2% 25,298 23,384 $3.66M
99499 6.0% 12,943 11,580 $2.67M
80053 Comprehensive metabolic panel 5.3% 56,530 49,637 $2.35M
81003 2.3% 16,960 16,117 $1.02M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.2% 9,195 8,463 $962K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.1% 9,671 8,139 $940K
J3490 Unclassified drugs 2.1% 26,661 19,836 $925K
70450 Computed tomography, head or brain; without contrast material 2.0% 7,564 7,115 $914K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 4,975 4,772 $824K
86769 1.8% 9,191 8,943 $784K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.6% 34,130 30,421 $704K
255 more codes
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.5% 5,414 $678K
71046 Radiologic examination, chest; 2 views 1.4% 15,127 $619K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.3% 5,464 $572K
99284 Emergency room visit (serious) 1.2% 3,391 $531K
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 1.2% 8,400 $523K
99285 Emergency room visit (most serious) <1% 2,310 $438K
71045 Radiologic examination, chest; single view <1% 15,717 $399K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,176 $373K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes <1% 2,233 $345K
81025 <1% 8,831 $339K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,161 $339K
99199 Unlisted special service, procedure or report <1% 5,273 $330K
84484 <1% 23,230 $327K
76801 <1% 3,426 $311K
0710 <1% 1,389 $292K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 52,069 $291K
83880 <1% 5,275 $283K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,065 $277K
72125 Computed tomography, cervical spine; without contrast material <1% 2,703 $273K
Z7502 <1% 6,758 $260K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,855 $256K
J0690 Injection, cefazolin sodium, 500 mg <1% 554 $247K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 935 $225K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,481 $204K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,425 $203K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,728 $192K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,916 $190K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,511 $189K
96361 Intravenous infusion, hydration; each additional hour <1% 2,498 $182K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,293 $180K
86900 <1% 4,196 $177K
73564 <1% 1,986 $176K
76830 Ultrasound, transvaginal <1% 2,732 $175K
96375 Therapeutic injection; each additional sequential IV push <1% 8,832 $171K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,328 $170K
0761 <1% 2,770 $158K
93970 <1% 1,280 $156K
73610 <1% 1,755 $151K
93971 <1% 1,994 $148K
76642 <1% 1,329 $143K
73030 <1% 1,911 $137K
73630 <1% 2,190 $135K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,546 $116K
70498 <1% 856 $115K
0270 <1% 3,798 $114K
76813 <1% 878 $111K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 928 $110K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,783 $105K
82553 <1% 12,735 $102K
83690 <1% 18,937 $99K
0250 <1% 7,033 $96K
81001 <1% 19,143 $95K
82948 <1% 7,192 $89K
73130 <1% 1,289 $87K
84702 <1% 4,637 $85K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,551 $85K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,563 $84K
70496 <1% 759 $83K
93017 <1% 689 $83K
97162 <1% 1,009 $82K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 7,786 $82K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,762 $79K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 348 $77K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,573 $71K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 136 $67K
Z9725 <1% 1,558 $67K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,093 $64K
70486 <1% 400 $63K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,139 $63K
73110 <1% 802 $61K
80048 Basic metabolic panel (calcium, ionized) <1% 2,947 $59K
J1815 Injection, insulin, per 5 units <1% 835 $59K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,538 $59K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,776 $58K
90715 <1% 1,909 $57K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,560 $57K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 547 $56K
84443 Thyroid stimulating hormone (TSH) <1% 4,388 $55K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,788 $54K
72110 <1% 607 $50K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 640 $49K
83605 <1% 5,983 $48K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 610 $48K
81015 <1% 2,913 $48K
87040 <1% 3,754 $48K
J7050 Infusion, normal saline solution, 250 cc <1% 1,467 $47K
82550 <1% 10,411 $46K
0762 <1% 791 $46K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,116 $45K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes <1% 283 $45K
59025 Fetal non-stress test <1% 563 $45K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,255 $44K
77066 Tomosynthesis, mammo <1% 535 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 202 $42K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,364 $39K
97014 <1% 1,562 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,822 $38K
85027 <1% 7,911 $38K
84703 <1% 4,960 $37K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 981 $37K
0272 <1% 1,792 $36K
85610 <1% 9,725 $36K
36415 Collection of venous blood by venipuncture <1% 20,495 $36K
29125 <1% 125 $34K
73590 <1% 903 $33K
97161 <1% 335 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 944 $31K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 185 $30K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 213 $29K
87503 <1% 2,777 $28K
73502 <1% 642 $26K
73140 <1% 250 $26K
83735 <1% 6,326 $25K
73080 <1% 388 $25K
87186 <1% 3,593 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $24K
86140 <1% 4,294 $24K
72100 <1% 357 $22K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie <1% 327 $22K
72131 <1% 214 $22K
85379 <1% 1,835 $20K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 338 $20K
83520 <1% 2,609 $20K
96367 <1% 451 $19K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,540 $19K
86901 <1% 4,192 $18K
82805 <1% 280 $18K
87070 <1% 1,129 $17K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,275 $17K
85730 <1% 4,343 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 907 $15K
76770 <1% 249 $15K
76819 Fetal biophysical profile; without non-stress testing <1% 140 $15K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,772 $14K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 378 $14K
86850 <1% 1,769 $14K
J1644 Injection, heparin sodium, per 1000 units <1% 545 $14K
85007 <1% 3,444 $14K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,014 $13K
97172 <1% 319 $13K
73090 <1% 334 $13K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,560 $12K
80061 Lipid panel <1% 1,033 $12K
87077 <1% 1,940 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,150 $12K
80306 <1% 1,779 $12K
A9270 Non-covered item or service <1% 5,750 $11K
J2785 Injection, regadenoson, 0.1 mg <1% 93 $11K
85651 <1% 3,344 $10K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 388 $10K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 306 $10K
96376 <1% 1,871 $9K
G0378 Hospital observation service, per hour <1% 247 $9K
97113 <1% 183 $9K
77065 Tomosynthesis, mammo <1% 125 $9K
J2060 Injection, lorazepam, 2 mg <1% 1,718 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 102 $8K
86756 <1% 562 $8K
97139 <1% 245 $7K
84100 <1% 2,571 $7K
87210 <1% 520 $7K
87147 <1% 528 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 173 $7K
72050 <1% 72 $6K
71250 <1% 42 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 178 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,206 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 1,290 $6K
29515 <1% 37 $6K
0320 <1% 68 $5K
94644 <1% 185 $5K
C1769 Guide wire <1% 71 $5K
12001 <1% 39 $5K
12011 <1% 14 $5K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 14 $5K
82375 <1% 691 $5K
77063 Screening digital breast tomosynthesis, bilateral <1% 92 $4K
99070 <1% 310 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 158 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 116 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 130 $3K
82330 <1% 339 $3K
71020 <1% 178 $3K
76870 <1% 54 $3K
82962 <1% 217 $3K
73562 <1% 51 $3K
74019 <1% 56 $3K
73552 <1% 82 $3K
84145 <1% 15 $3K
0510 <1% 35 $2K
P9016 Red blood cells, leukocytes reduced, each unit <1% 17 $2K
71010 <1% 49 $2K
0001A <1% 93 $2K
82140 <1% 346 $2K
74018 <1% 47 $2K
94760 <1% 182 $2K
S0164 Injection, pantoprazole sodium, 40 mg <1% 172 $2K
J1630 Injection, haloperidol, up to 5 mg <1% 197 $2K
97116 <1% 95 $2K
72128 <1% 25 $2K
0002A <1% 81 $2K
86308 <1% 50 $2K
83050 <1% 477 $2K
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) <1% 50 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 183 $1K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 493 $1K
87420 <1% 165 $1K
74241 <1% 15 $1K
J2704 Injection, propofol, 10 mg <1% 298 $1K
A0429 Emergency ambulance ride, basic life support <1% 64 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 21 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 597 $1K
Z7610 <1% 82 $1K
97802 <1% 13 $1K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 54 $1K
71111 <1% 12 $1K
J2550 Injection, promethazine hcl, up to 50 mg <1% 155 $974.89
97750 <1% 28 $912.18
73620 <1% 12 $848.94
76536 <1% 12 $836.71
Z7500 <1% 19 $647.90
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed <1% 14 $630.00
87205 <1% 85 $614.20
87641 <1% 121 $567.34
74022 <1% 13 $511.27
77080 <1% 13 $511.19
J1650 Injection, enoxaparin sodium, 10 mg <1% 63 $501.60
82728 <1% 70 $440.93
82150 <1% 95 $427.65
82803 <1% 55 $404.21
82010 <1% 46 $346.88
J8540 Dexamethasone, oral, 0.25 mg <1% 87 $339.05
84439 <1% 43 $323.26
71101 <1% 12 $319.68
87071 <1% 50 $309.57
83615 <1% 70 $304.61
0370 <1% 652 $289.37
84550 <1% 30 $258.61
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 14 $209.54
80051 <1% 135 $207.37
A9585 Injection, gadobutrol, 0.1 ml <1% 12 $204.51
85018 <1% 124 $185.45
J0780 Injection, prochlorperazine, up to 10 mg <1% 27 $166.94
86317 <1% 12 $151.65
85014 <1% 142 $120.51
84480 <1% 15 $116.61
86780 <1% 12 $115.18
84436 <1% 13 $64.96
82607 <1% 13 $59.60
J3480 Injection, potassium chloride, per 2 meq <1% 12 $29.85
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 58 $0.01
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 60 $0.01
90853 Group psychotherapy (other than of a multiple-family group) 0% 2,031 $0.00
90832 Psychotherapy session, about 30 minutes 0% 120 $0.00
91300 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 officialRIVAS, RAY (CFO)
Same official

Other billing entities under RIVAS, RAY

Full network →
ProviderLocationPaid
Tri City HospitalOceanside, CA$838K

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