Supplier
Kaiser Foundation Health Plan INC
Kaiser Foundation Health Plan INC was paid $193K by Medicaid between Jan 2018 and Dec 2023, across 33 billing codes. Its largest line is 0450, Emergency room services — 76% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN INC
OAKLAND, CA 94611
OAKLAND, CA 94611
33aNPI1891246377assigned 10/19/2016
33bProvider typePharmacy
28Total paid$193K
24GClaims14,638
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pharmacy providers in California
Rank by total paid#26 of 179
Median peer was paid$2K
This provider vs. median109×
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 | 5,866 | $51K | |
| 2019 | 3,744 | $58K | |
| 2020 | 1,249 | $17K | |
| 2021 | 1,897 | $21K | |
| 2022 | 1,383 | $23K | |
| 2023 | 499 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0450 | Emergency room services | 76% | 3,600 | 3,309 | $146K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.4% | 190 | 185 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 1,269 | 1,178 | $5K |
| 80051 | 2.2% | 1,163 | 1,047 | $4K | |
| 82565 | 1.6% | 1,306 | 1,191 | $3K | |
| 82947 | 1.2% | 1,270 | 1,175 | $2K | |
| 84520 | 1.1% | 1,302 | 1,191 | $2K | |
| 90686 | 1.1% | 110 | 110 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 65 | 63 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 33 | 33 | $2K |
| 83690 | <1% | 311 | 297 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 73 | 73 | $1K |
21 more codes
| 84460 | <1% | 374 | $1K | |
| 84450 | <1% | 349 | $903.80 | |
| 82247 | <1% | 362 | $876.83 | |
| 84075 | <1% | 334 | $859.99 | |
| 81003 | <1% | 658 | $782.23 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 99 | $605.20 |
| 84484 | <1% | 79 | $447.35 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $432.67 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 67 | $423.92 |
| 71045 | Radiologic examination, chest; single view | <1% | 41 | $396.30 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 70 | $267.35 |
| 85610 | <1% | 91 | $194.97 | |
| 84702 | <1% | 28 | $164.16 | |
| 87088 | <1% | 37 | $139.76 | |
| 82248 | <1% | 46 | $116.45 | |
| 82310 | <1% | 54 | $110.70 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $81.42 |
| J3490 | Unclassified drugs | <1% | 84 | $3.61 |
| 99199 | Unlisted special service, procedure or report | 0% | 611 | $0.00 |
| 0637 | 0% | 357 | $0.00 | |
| 0258 | 0% | 163 | $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 officialKVANCZ, DAVID (VP NAT'L PHRMCY PROG & SVCS)
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Hospitals | Downey, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.