Medicaid Provider Spending

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

PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA

NPI: 1902844988 · TORRANCE, CA 90503 · General Acute Care Hospital · NPI assigned 06/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$27.29M
Total Medicaid Paid
1,011,657
Total Claims
907,791
Beneficiaries
252
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 207,505 $4.20M
2019 167,857 $4.33M
2020 124,125 $2.83M
2021 135,569 $3.71M
2022 122,071 $4.41M
2023 138,687 $4.73M
2024 115,843 $3.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 84,685 77,088 $4.07M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,952 8,550 $1.77M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 7,220 7,080 $1.61M
70450 Computed tomography, head or brain; without contrast material 9,872 9,475 $1.21M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23,632 22,175 $1.02M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,040 31,690 $763K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,444 3,235 $724K
80053 Comprehensive metabolic panel 56,192 50,843 $658K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17,559 16,771 $646K
99281 Emergency department visit for the evaluation and management, self-limited or minor 10,124 9,188 $581K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,391 4,202 $563K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,439 9,749 $530K
96375 Therapeutic injection; each additional sequential IV push 16,286 14,632 $475K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 7,200 7,027 $474K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 59,199 52,853 $413K
96361 Intravenous infusion, hydration; each additional hour 13,611 12,123 $401K
77067 Screening mammography, bilateral, including computer-aided detection 4,047 4,043 $392K
71275 Computed tomographic angiography, chest, with contrast material 2,105 2,050 $369K
0762 2,920 1,706 $366K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,879 6,681 $354K
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 4,870 4,656 $354K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,602 6,210 $338K
83880 17,144 16,198 $325K
71045 Radiologic examination, chest; single view 22,258 21,213 $320K
71046 Radiologic examination, chest; 2 views 15,077 14,497 $293K
99199 Unlisted special service, procedure or report 7,814 7,094 $293K
Z7502 7,921 7,772 $278K
99284 Emergency department visit for the evaluation and management, high severity 3,600 3,391 $269K
72125 Computed tomography, cervical spine; without contrast material 1,666 1,612 $262K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,030 3,921 $241K
84484 27,936 23,021 $225K
70551 Magnetic resonance imaging, brain; without contrast material 939 920 $206K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,702 4,498 $206K
76830 Ultrasound, transvaginal 3,372 3,286 $198K
93971 2,040 1,973 $161K
83690 25,872 24,167 $155K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,686 11,974 $151K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 981 954 $142K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,396 6,508 $138K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,550 1,371 $135K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,866 2,613 $133K
J7030 Infusion, normal saline solution , 1000 cc 16,892 14,369 $126K
93970 873 850 $125K
0260 805 549 $123K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 593 564 $117K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,280 11,891 $116K
Z9725 2,635 2,585 $113K
76801 2,418 2,184 $112K
99283 Emergency department visit for the evaluation and management, moderate severity 2,018 1,842 $104K
76642 1,962 1,849 $103K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,135 2,046 $96K
81001 31,017 29,368 $96K
0761 3,402 2,881 $95K
85730 19,037 17,643 $95K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,965 4,343 $95K
87040 8,683 4,880 $93K
87086 Culture, bacterial; quantitative colony count, urine 13,255 12,701 $93K
82550 18,200 16,456 $92K
84703 11,996 11,381 $90K
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 1,762 1,605 $90K
77066 Tomosynthesis, mammo 734 729 $83K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,132 6,610 $80K
85610 20,876 19,084 $75K
97139 3,515 796 $74K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 576 551 $74K
70496 306 300 $73K
70486 475 465 $70K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,476 1,394 $67K
0160 883 352 $66K
J1815 Injection, insulin, per 5 units 761 555 $64K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,082 10,301 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,655 8,308 $60K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 140 137 $59K
84145 4,237 4,038 $58K
83605 4,965 4,124 $57K
77065 Tomosynthesis, mammo 685 681 $55K
0250 23,591 14,427 $54K
J3490 Unclassified drugs 14,914 11,921 $54K
82553 5,321 4,700 $50K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,619 1,435 $48K
84702 3,925 3,612 $48K
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 3,381 3,209 $47K
J2270 Injection, morphine sulfate, up to 10 mg 5,979 4,958 $46K
70498 192 191 $46K
72100 1,590 1,571 $45K
73630 2,069 1,917 $45K
73030 1,895 1,798 $44K
96376 3,418 2,771 $43K
0202U Oncology (prostate), multianalyte, gene expression profiling 206 202 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,645 1,625 $38K
73610 1,814 1,742 $38K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,460 1,410 $37K
84443 Thyroid stimulating hormone (TSH) 2,594 2,522 $37K
0301 920 732 $36K
0300 531 418 $36K
90715 1,096 1,080 $33K
93017 771 744 $32K
73562 1,641 1,498 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,747 3,650 $30K
77063 Screening digital breast tomosynthesis, bilateral 1,098 1,096 $27K
73130 1,193 1,105 $27K
80179 1,931 1,787 $27K
93975 155 151 $27K
80143 1,882 1,750 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,796 1,741 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,750 1,685 $24K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,815 1,709 $24K
80048 Basic metabolic panel (calcium, ionized) 2,996 2,675 $23K
A9585 Injection, gadobutrol, 0.1 ml 940 923 $23K
81003 10,306 9,809 $22K
87186 2,446 2,383 $22K
84481 1,771 1,730 $22K
96367 734 710 $20K
87081 3,699 3,599 $20K
83735 3,712 3,215 $19K
81025 4,133 4,025 $18K
73110 648 614 $17K
0940 340 252 $17K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,498 3,207 $17K
J2060 Injection, lorazepam, 2 mg 2,935 2,425 $17K
82330 1,512 1,489 $17K
J7050 Infusion, normal saline solution, 250 cc 3,286 2,702 $16K
J2785 Injection, regadenoson, 0.1 mg 115 111 $15K
86850 2,750 2,662 $15K
73502 492 466 $15K
99221 588 500 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes 898 576 $15K
86901 4,843 4,598 $15K
87077 2,430 2,362 $14K
87807 1,729 1,678 $14K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,376 1,221 $14K
84439 1,912 1,868 $14K
0710 560 518 $14K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,708 2,526 $13K
86900 4,833 4,604 $13K
86140 2,077 1,996 $13K
74018 712 683 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 436 354 $12K
J1170 Injection, hydromorphone, up to 4 mg 1,547 1,220 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 80 80 $12K
0258 319 287 $12K
85379 1,512 1,455 $11K
S0164 Injection, pantoprazole sodium, 40 mg 1,214 1,117 $10K
72131 102 99 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 49 49 $9K
0270 6,461 4,486 $9K
97750 200 151 $9K
72040 279 275 $9K
0214 13 13 $8K
73564 303 263 $7K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,180 1,128 $7K
97161 123 119 $7K
0636 2,002 1,473 $7K
G0378 Hospital observation service, per hour 93 72 $7K
J1650 Injection, enoxaparin sodium, 10 mg 508 373 $7K
0306 283 267 $7K
J3370 Injection, vancomycin hcl, 500 mg 528 452 $6K
87070 758 734 $6K
0305 341 323 $6K
Z7610 966 879 $6K
76641 61 61 $6K
87205 1,473 1,367 $6K
V5008 Hearing screening 289 281 $6K
J2704 Injection, propofol, 10 mg 110 107 $6K
81002 2,705 2,416 $6K
80061 Lipid panel 787 749 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,258 1,226 $5K
70491 37 37 $5K
83036 Hemoglobin; glycosylated (A1C) 813 781 $5K
J1644 Injection, heparin sodium, per 1000 units 314 197 $5K
36415 Collection of venous blood by venipuncture 3,063 2,506 $5K
80047 797 783 $5K
85027 968 842 $4K
73140 263 259 $4K
84100 1,198 1,082 $4K
73080 145 142 $4K
97163 27 27 $4K
73700 12 12 $3K
76870 93 92 $3K
71020 137 77 $3K
76770 52 50 $3K
85652 787 757 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 53 52 $3K
76819 Fetal biophysical profile; without non-stress testing 76 69 $2K
0324 314 300 $2K
92585 55 54 $2K
97162 40 40 $2K
A4217 Sterile water/saline, 500 ml 582 564 $2K
80076 327 319 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 283 255 $2K
87210 611 590 $2K
71101 68 67 $2K
87420 524 484 $2K
85014 1,231 1,209 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 84 84 $2K
J7120 Ringers lactate infusion, up to 1000 cc 376 329 $2K
82010 307 293 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 82 82 $2K
87088 447 431 $2K
71250 12 12 $2K
0370 30 29 $2K
73590 104 100 $1K
92558 53 52 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 64 56 $1K
83930 186 182 $1K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 6,072 5,276 $1K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 17 12 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 61 61 $1K
J0280 Injection, aminophyllin, up to 250 mg 83 80 $993.06
71010 73 43 $960.40
86308 136 134 $945.84
88305 Level IV - Surgical pathology, gross and microscopic examination 52 51 $865.05
J1630 Injection, haloperidol, up to 5 mg 144 125 $846.76
J3010 Injection, fentanyl citrate, 0.1 mg 291 261 $844.31
99282 Emergency department visit for the evaluation and management, low to moderate severity 27 26 $816.22
J3475 Injection, magnesium sulfate, per 500 mg 44 40 $756.23
82077 64 53 $733.60
J1836 Injection, metronidazole, 10 mg 24 12 $730.58
J3486 Injection, ziprasidone mesylate, 10 mg 33 25 $722.33
J3411 Injection, thiamine hcl, 100 mg 63 56 $570.03
J1940 Injection, furosemide, up to 20 mg 65 51 $527.17
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 65 55 $509.26
97802 36 26 $507.93
84132 106 106 $452.55
73560 31 28 $398.00
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 633 615 $387.92
J0360 Injection, hydralazine hcl, up to 20 mg 56 49 $320.34
84550 100 88 $260.76
29515 31 30 $227.97
A4649 Surgical supply; miscellaneous 1,426 1,151 $224.48
J1245 Injection, dipyridamole, per 10 mg 25 25 $180.34
J2470 Injection, pantoprazole sodium, 40 mg 76 73 $150.52
J0706 Injection, caffeine citrate, 5 mg 13 13 $140.92
87045 24 24 $139.16
0760 26 24 $136.40
29125 28 25 $134.79
0637 449 236 $112.84
J7042 5% dextrose/normal saline (500 ml = 1 unit) 15 12 $111.97
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 461 439 $101.41
J7060 5% dextrose/water (500 ml = 1 unit) 17 13 $82.79
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 55 51 $81.25
82247 14 12 $33.29
J0690 Injection, cefazolin sodium, 500 mg 17 14 $20.42
A9270 Non-covered item or service 154 55 $16.61
J7510 Prednisolone oral, per 5 mg 74 71 $14.01
0302 141 113 $1.91
99070 40 30 $1.83
0410 14 14 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 111 106 $0.00
0307 44 44 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 29 26 $0.00
0730 39 38 $0.00