Scripps Health

Scripps Health was paid $57K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 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 — 56% of everything it billed.

33Billing provider infoSCRIPPS HEALTH
LA JOLLA, CA 92037

33aNPI1841233780assigned 06/14/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$57K

24GClaims1,827

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#333 of 410

Median peer was paid$6.90M

This provider vs. median0.0×

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

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

Year	Claims	Paid
2018	231	$782.48
2019	56	$83.76
2020	33	$1.68
2021	447	$20K
2022	496	$21K
2023	437	$13K
2024incomplete	127	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	56%	450	445	$32K
71046	Radiologic examination, chest; 2 views	31%	680	659	$18K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	10%	258	137	$6K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	2.2%	48	26	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	38	28	$183.43
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	16	15	$154.00
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%	119	116	$89.65
J3490	Unclassified drugs	<1%	110	44	$63.42
36415	Collection of venous blood by venipuncture	<1%	14	14	$12.45
0272		<1%	76	65	$2.36
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	0%	18	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 officialTANDE, BRETT (EVP/CFO)

Same official

Other billing entities under TANDE, BRETT

Full network →

Provider	Location	Paid
Scripps Health	San Diego, CA	$64.23M
Scripps Health	Encinitas, CA	$11.95M
Scripps Health	La Jolla, CA	$9.79M
Scripps Health	La Jolla, CA	$502K

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