Medicaid Provider Spending

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

NPI: 1942247291 · SAN PEDRO, CA 90732 · General Acute Care Hospital · NPI assigned 06/02/2006

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

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

$24.26M
Total Medicaid Paid
508,762
Total Claims
455,794
Beneficiaries
179
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date06/02/2006

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 TORRANCE CA $27.29M
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 81,834 $2.42M
2019 68,547 $2.83M
2020 54,167 $2.11M
2021 66,731 $2.86M
2022 71,214 $3.88M
2023 83,952 $4.93M
2024 82,317 $5.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 75,212 66,071 $9.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,415 2,350 $1.19M
70450 Computed tomography, head or brain; without contrast material 3,668 3,585 $1.01M
74176 Computed tomography, abdomen and pelvis; without contrast material 1,750 1,717 $664K
80053 Comprehensive metabolic panel 15,019 14,070 $654K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,193 14,912 $639K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,966 13,965 $599K
96375 Therapeutic injection; each additional sequential IV push 12,962 11,592 $530K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,367 25,516 $518K
71045 Radiologic examination, chest; single view 9,106 8,684 $478K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,960 12,149 $464K
80048 Basic metabolic panel (calcium, ionized) 12,957 11,941 $453K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,538 3,930 $413K
71046 Radiologic examination, chest; 2 views 7,847 7,631 $381K
99199 Unlisted special service, procedure or report 6,104 5,439 $349K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,698 1,574 $329K
Z7502 8,874 8,697 $320K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,878 7,152 $309K
96361 Intravenous infusion, hydration; each additional hour 9,095 8,288 $259K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,458 7,629 $242K
81001 23,464 21,842 $242K
99284 Emergency department visit for the evaluation and management, high severity 2,907 2,650 $235K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,062 3,683 $233K
83690 12,069 11,144 $201K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,124 2,065 $191K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,344 3,167 $165K
84484 9,194 7,560 $152K
87086 Culture, bacterial; quantitative colony count, urine 4,932 4,748 $136K
99283 Emergency department visit for the evaluation and management, moderate severity 2,649 2,426 $132K
80076 5,536 5,253 $132K
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 2,912 2,827 $126K
87040 3,282 1,697 $123K
76830 Ultrasound, transvaginal 1,508 1,467 $119K
J7030 Infusion, normal saline solution , 1000 cc 9,191 8,087 $114K
0250 16,574 11,111 $107K
93975 650 635 $88K
96376 2,424 2,069 $86K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,342 2,274 $85K
83880 4,644 4,425 $78K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 943 834 $78K
83605 2,495 2,145 $77K
76801 1,044 921 $77K
J3490 Unclassified drugs 11,944 10,004 $76K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,306 9,130 $73K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 721 708 $72K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,976 9,326 $68K
93971 708 693 $67K
J2270 Injection, morphine sulfate, up to 10 mg 6,417 5,358 $67K
73562 1,505 1,387 $66K
85610 4,912 4,690 $59K
73630 1,579 1,508 $59K
84702 1,368 1,177 $59K
73610 1,535 1,483 $58K
72125 Computed tomography, cervical spine; without contrast material 96 96 $54K
87186 1,395 1,356 $52K
71275 Computed tomographic angiography, chest, with contrast material 134 131 $45K
73130 1,088 1,037 $42K
90715 1,263 1,253 $41K
73030 791 758 $36K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,636 557 $31K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 134 132 $31K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,839 3,731 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,407 3,259 $29K
85730 2,003 1,949 $28K
87807 1,275 1,256 $28K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,562 613 $27K
81003 3,760 3,663 $26K
87077 1,234 1,210 $25K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,337 2,289 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,336 2,281 $23K
81025 2,358 2,216 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 873 864 $22K
80143 922 880 $21K
J2060 Injection, lorazepam, 2 mg 2,201 1,909 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,518 1,485 $20K
86900 1,957 1,898 $20K
80179 893 858 $20K
87210 1,009 988 $20K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,576 2,353 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 724 229 $18K
70498 57 57 $18K
86901 1,971 1,899 $18K
70496 55 55 $17K
0270 9,117 6,585 $17K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,260 2,169 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 517 233 $16K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,335 2,178 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 204 187 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 745 733 $14K
86850 818 793 $14K
J7050 Infusion, normal saline solution, 250 cc 1,135 962 $13K
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 406 383 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 29 29 $11K
72100 151 151 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 136 133 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,309 1,297 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 228 219 $8K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,375 1,321 $8K
0762 78 42 $8K
87081 740 729 $8K
J1170 Injection, hydromorphone, up to 4 mg 901 733 $8K
0761 264 230 $8K
73110 243 234 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 365 357 $8K
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 1,155 1,120 $7K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 567 498 $7K
83735 517 474 $7K
S9484 Crisis intervention mental health services, per hour 46 31 $7K
77067 Screening mammography, bilateral, including computer-aided detection 74 74 $6K
0350 379 373 $6K
J1815 Injection, insulin, per 5 units 180 160 $4K
84703 181 176 $4K
76770 38 38 $3K
70486 15 15 $3K
73502 56 53 $3K
96367 68 68 $2K
0324 81 81 $2K
85379 268 264 $2K
93017 29 29 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 29 27 $2K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,655 1,433 $2K
82550 113 105 $2K
93970 12 12 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 155 148 $2K
Z7610 355 290 $2K
29125 104 103 $2K
Z9725 40 40 $2K
85027 163 152 $2K
84443 Thyroid stimulating hormone (TSH) 38 38 $2K
J3486 Injection, ziprasidone mesylate, 10 mg 51 44 $2K
71101 14 14 $2K
73140 59 59 $1K
0351 229 223 $1K
J2785 Injection, regadenoson, 0.1 mg 27 27 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 119 109 $1K
36415 Collection of venous blood by venipuncture 243 182 $1K
76870 13 13 $1K
87088 198 188 $1K
73590 27 25 $1K
J3370 Injection, vancomycin hcl, 500 mg 14 13 $972.05
97116 65 40 $971.80
87205 28 27 $880.47
84100 63 61 $850.84
0258 44 37 $843.36
J7120 Ringers lactate infusion, up to 1000 cc 178 147 $638.53
82248 53 53 $620.34
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 25 25 $608.05
0710 130 116 $566.36
73080 15 15 $437.34
J2250 Injection, midazolam hydrochloride, per 1 mg 63 53 $433.57
81002 253 187 $428.85
73090 13 12 $399.34
0636 1,165 839 $345.74
J1644 Injection, heparin sodium, per 1000 units 29 12 $297.70
82077 16 15 $271.17
83036 Hemoglobin; glycosylated (A1C) 25 24 $265.70
A4217 Sterile water/saline, 500 ml 28 24 $246.63
J2704 Injection, propofol, 10 mg 13 13 $234.67
82010 15 12 $220.99
S0164 Injection, pantoprazole sodium, 40 mg 30 27 $215.10
87070 12 12 $196.89
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 437 415 $196.56
0301 30 24 $161.01
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 13 $132.90
J3010 Injection, fentanyl citrate, 0.1 mg 28 25 $130.14
87420 12 12 $128.94
J8540 Dexamethasone, oral, 0.25 mg 149 146 $107.20
86592 13 13 $104.26
J0780 Injection, prochlorperazine, up to 10 mg 13 13 $93.84
J1940 Injection, furosemide, up to 20 mg 14 12 $87.79
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 32 31 $60.07
0760 22 22 $40.54
0637 42 34 $20.31
29130 14 13 $6.12
J7510 Prednisolone oral, per 5 mg 14 14 $2.51
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 206 171 $0.00
A9270 Non-covered item or service 32 12 $0.00
0305 14 14 $0.00
0300 14 14 $0.00