Medicaid Provider Spending

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

MISSION HOSPITAL REGIONAL MEDICAL CENTER

NPI: 1912108002 · MISSION VIEJO, CA 92691 · General Acute Care Hospital · NPI assigned 05/29/2007

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

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

$10.09M
Total Medicaid Paid
548,533
Total Claims
427,599
Beneficiaries
242
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date05/29/2007

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 TORRANCE CA $27.29M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91,239 $820K
2019 60,777 $1.05M
2020 67,351 $984K
2021 65,786 $1.11M
2022 84,158 $1.49M
2023 102,159 $2.01M
2024 77,063 $2.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 40,414 34,695 $964K
74176 Computed tomography, abdomen and pelvis; without contrast material 6,004 5,529 $632K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,659 11,753 $631K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,816 6,675 $409K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,990 1,865 $393K
70450 Computed tomography, head or brain; without contrast material 6,073 5,675 $380K
96375 Therapeutic injection; each additional sequential IV push 11,555 8,868 $353K
77067 Screening mammography, bilateral, including computer-aided detection 3,007 2,982 $341K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17,284 15,189 $326K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,031 4,575 $291K
72125 Computed tomography, cervical spine; without contrast material 2,326 2,208 $229K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 4,061 2,925 $225K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 33,905 27,869 $204K
71275 Computed tomographic angiography, chest, with contrast material 1,085 1,007 $201K
80053 Comprehensive metabolic panel 23,426 20,264 $199K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,995 2,871 $154K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,755 2,300 $152K
76830 Ultrasound, transvaginal 2,798 2,678 $151K
96361 Intravenous infusion, hydration; each additional hour 5,756 4,680 $148K
83880 5,634 5,116 $141K
J3490 Unclassified drugs 30,300 10,597 $139K
71045 Radiologic examination, chest; single view 12,649 11,507 $134K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,814 4,490 $128K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,612 1,723 $113K
99199 Unlisted special service, procedure or report 1,624 1,407 $110K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,249 2,094 $109K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 604 570 $106K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,963 1,023 $106K
84484 12,184 9,574 $98K
77066 Tomosynthesis, mammo 680 675 $97K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,593 1,418 $93K
93971 711 682 $85K
77063 Screening digital breast tomosynthesis, bilateral 3,030 3,005 $85K
83690 12,209 10,658 $64K
Z7502 1,670 1,644 $64K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,072 1,003 $60K
Z9725 1,350 1,327 $58K
0160 2,533 1,573 $57K
80048 Basic metabolic panel (calcium, ionized) 10,078 8,236 $57K
76641 702 647 $54K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,862 4,413 $51K
71046 Radiologic examination, chest; 2 views 2,436 2,328 $50K
84145 2,516 2,131 $50K
84443 Thyroid stimulating hormone (TSH) 3,881 3,530 $48K
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 586 545 $47K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 558 552 $45K
93976 902 867 $42K
71260 Computed tomography, thorax, diagnostic; with contrast material 437 400 $38K
99283 Emergency department visit for the evaluation and management, moderate severity 1,472 1,280 $36K
J1170 Injection, hydromorphone, up to 4 mg 6,948 4,150 $36K
73630 1,633 1,485 $36K
93970 157 151 $36K
76801 576 522 $35K
76700 Ultrasound, abdominal, real time with image documentation; complete 476 471 $35K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 287 254 $34K
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 308 277 $33K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,103 7,942 $33K
87086 Culture, bacterial; quantitative colony count, urine 4,778 4,350 $29K
81001 12,328 11,147 $29K
76642 446 443 $29K
87040 2,940 1,929 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 913 909 $28K
82553 3,852 3,290 $28K
83605 3,263 2,714 $28K
0760 1,700 1,362 $26K
83735 5,319 4,247 $26K
72131 373 334 $25K
90715 746 711 $24K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 825 761 $23K
73562 1,005 894 $22K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,266 945 $21K
82550 4,907 4,138 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,799 5,314 $21K
72100 842 814 $21K
73030 949 875 $20K
70486 236 232 $20K
71250 223 200 $20K
84702 3,373 3,055 $20K
97750 318 280 $19K
73610 874 814 $19K
87631 422 348 $19K
70551 Magnetic resonance imaging, brain; without contrast material 119 107 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 718 502 $17K
85379 2,026 1,909 $15K
85610 5,373 4,791 $14K
84703 5,929 5,449 $14K
J2270 Injection, morphine sulfate, up to 10 mg 2,432 1,728 $13K
80076 2,438 2,163 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 151 149 $13K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 327 297 $12K
59025 Fetal non-stress test 863 325 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 65 58 $12K
77065 Tomosynthesis, mammo 109 100 $11K
77080 307 307 $11K
J3010 Injection, fentanyl citrate, 0.1 mg 2,634 1,719 $11K
85730 2,883 2,640 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,918 2,241 $10K
73130 460 429 $10K
85027 2,166 1,812 $10K
J2704 Injection, propofol, 10 mg 1,635 1,243 $10K
J2060 Injection, lorazepam, 2 mg 3,102 2,091 $10K
80047 2,069 1,871 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,659 2,009 $9K
72141 87 75 $9K
A9585 Injection, gadobutrol, 0.1 ml 372 315 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 918 884 $8K
81025 2,362 2,171 $8K
72128 136 117 $8K
87077 994 903 $7K
86901 3,072 2,818 $7K
81003 6,694 6,122 $7K
J7030 Infusion, normal saline solution , 1000 cc 967 782 $7K
86900 3,070 2,816 $7K
70496 25 24 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 75 73 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 657 608 $6K
86140 1,540 1,280 $6K
87186 903 833 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,675 1,394 $6K
J0690 Injection, cefazolin sodium, 500 mg 969 746 $6K
94760 1,359 778 $5K
0270 32,968 12,846 $5K
86850 2,101 1,933 $5K
97139 356 41 $5K
87081 1,269 1,158 $5K
73110 231 210 $5K
82150 1,630 1,498 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,862 1,433 $5K
96376 5,128 3,308 $4K
84100 1,311 996 $4K
82947 2,415 1,553 $3K
80143 136 127 $3K
80179 133 126 $3K
74018 230 208 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 774 725 $3K
A4217 Sterile water/saline, 500 ml 503 460 $3K
J7050 Infusion, normal saline solution, 250 cc 531 228 $3K
S0164 Injection, pantoprazole sodium, 40 mg 374 241 $3K
85652 1,178 1,057 $2K
J3411 Injection, thiamine hcl, 100 mg 200 138 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 270 259 $2K
93017 44 40 $2K
J2785 Injection, regadenoson, 0.1 mg 13 13 $2K
J3475 Injection, magnesium sulfate, per 500 mg 225 194 $2K
97802 14 14 $2K
J1815 Injection, insulin, per 5 units 73 51 $2K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 42 42 $2K
76536 33 32 $1K
J3370 Injection, vancomycin hcl, 500 mg 143 96 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 611 430 $1K
J7120 Ringers lactate infusion, up to 1000 cc 180 127 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 170 89 $1K
96367 46 25 $1K
85007 640 540 $1K
84439 174 158 $937.57
86141 230 211 $931.83
J1644 Injection, heparin sodium, per 1000 units 205 108 $922.53
71020 48 47 $898.92
J3535 Drug administered through a metered dose inhaler 40 38 $892.95
71010 118 112 $818.95
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 831 758 $811.14
73590 40 38 $755.90
76770 12 12 $741.00
87205 351 308 $736.30
73080 30 26 $702.46
J1650 Injection, enoxaparin sodium, 10 mg 135 65 $698.31
72170 47 40 $691.58
Z7610 126 64 $659.75
85014 744 618 $608.79
76870 13 13 $598.39
73502 16 16 $568.41
87420 176 170 $540.64
83036 Hemoglobin; glycosylated (A1C) 136 129 $529.62
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 114 81 $529.20
87070 144 127 $509.35
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 17 14 $486.80
J3360 Injection, diazepam, up to 5 mg 44 36 $445.82
72040 12 12 $444.47
0250 1,199 574 $383.47
J0171 Injection, adrenalin, epinephrine, 0.1 mg 44 42 $382.80
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 42 38 $326.50
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 41 37 $319.50
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 12 12 $309.60
0710 951 881 $287.42
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49 29 $270.41
99281 Emergency department visit for the evaluation and management, self-limited or minor 32 19 $248.00
82077 24 23 $228.55
0258 706 449 $191.06
J2550 Injection, promethazine hcl, up to 50 mg 72 56 $189.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 290 261 $185.54
82248 60 53 $182.23
0761 226 191 $170.50
S0020 Injection, bupivicaine hydrochloride, 30 ml 71 60 $170.43
87430 46 46 $170.04
10060 17 16 $165.00
80061 Lipid panel 53 53 $164.62
99070 284 140 $160.04
J1171 Injection, hydromorphone, 0.1 mg 74 55 $156.69
J2919 Injection, methylprednisolone sodium succinate, 5 mg 36 25 $154.79
82728 32 27 $148.80
0360 524 410 $146.17
83615 41 31 $125.15
0272 829 530 $120.80
J3480 Injection, potassium chloride, per 2 meq 18 15 $113.36
12001 13 12 $112.80
80050 General health panel 94 56 $103.95
87147 38 37 $103.11
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 33 24 $67.70
99152 15 12 $65.31
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 12 12 $63.65
87075 13 13 $57.94
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 381 362 $57.50
87210 23 16 $45.94
0637 50 23 $39.62
86308 13 13 $32.31
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 551 237 $29.56
94664 75 69 $24.68
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 8,154 5,590 $16.81
S0028 Injection, famotidine, 20 mg 134 104 $8.84
0636 266 138 $0.00
0307 80 71 $0.00
0305 121 76 $0.00
0352 99 72 $0.00
0301 821 222 $0.00
0350 14 13 $0.00
0324 114 108 $0.00
C9399 Unclassified drugs or biologicals 26 25 $0.00
J1630 Injection, haloperidol, up to 5 mg 17 13 $0.00
0306 180 102 $0.00
0922 12 12 $0.00
C1769 Guide wire 16 12 $0.00
0949 67 22 $0.00
77062 125 125 $0.00
0300 513 212 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 30 29 $0.00
0351 58 48 $0.00
0762 317 305 $0.00
0403 40 20 $0.00
0302 28 26 $0.00
0402 154 98 $0.00
0320 116 86 $0.00
0489 16 12 $0.00