SONORA COMMUNITY HOSPITAL
NPI: 1962493791
· SONORA, CA 95370
· 261QU0200X
$876K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,258 |
$220K |
| 2019 |
9,974 |
$216K |
| 2020 |
4,100 |
$127K |
| 2021 |
3,310 |
$128K |
| 2022 |
3,941 |
$116K |
| 2023 |
3,289 |
$69K |
| 2024 |
18 |
$862.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
21,667 |
20,663 |
$576K |
| G0378 |
Hospital observation per hr |
4,105 |
3,806 |
$155K |
| 0510 |
|
2,487 |
2,356 |
$58K |
| 87880 |
|
1,075 |
1,057 |
$12K |
| 99212 |
|
541 |
538 |
$12K |
| 96372 |
|
527 |
468 |
$10K |
| 71046 |
|
404 |
395 |
$8K |
| 99214 |
|
164 |
164 |
$7K |
| 87804 |
|
363 |
318 |
$6K |
| 87081 |
|
730 |
726 |
$5K |
| 87086 |
|
553 |
538 |
$5K |
| 87491 |
|
104 |
102 |
$4K |
| 87591 |
|
104 |
102 |
$4K |
| 94640 |
|
142 |
140 |
$3K |
| 81002 |
|
1,059 |
1,020 |
$3K |
| 0270 |
|
255 |
248 |
$3K |
| 99203 |
|
49 |
49 |
$2K |
| 81025 |
|
269 |
265 |
$2K |
| 87186 |
|
56 |
55 |
$415.63 |
| 87077 |
|
56 |
55 |
$282.39 |
| 87389 |
|
12 |
12 |
$200.82 |
| 87400 |
|
24 |
19 |
$189.12 |
| J1885 |
Ketorolac tromethamine inj |
25 |
24 |
$142.33 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$89.04 |
| T1999 |
Noc retail items andsupplies |
13 |
13 |
$61.20 |
| J7613 |
Albuterol non-comp unit |
81 |
80 |
$3.15 |
| J8499 |
Oral prescrip drug non chemo |
12 |
12 |
$1.54 |