Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Placerville › NPI 1972503142
Hospital

Marshall Medical Center

Marshall Medical Center was paid $33.81M by Medicaid between Jan 2018 and Dec 2024, across 348 billing codes. Its largest line is 0450, Emergency room services — 11% of everything it billed.

33Billing provider infoMARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
33aNPI1972503142assigned 07/28/2005
28Total paid$33.81M
24GClaims939,906
24DCodes billed348
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#86 of 410
Median peer was paid$6.90M
This provider vs. median4.9×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018115,089$3.97M
2019129,062$4.71M
2020108,046$3.58M
2021137,585$4.59M
2022148,466$5.39M
2023165,703$6.63M
2024incomplete135,955$4.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 11% 50,310 43,914 $3.73M
0519 7.3% 52,058 43,260 $2.48M
G0378 Hospital observation service, per hour 4.9% 32,280 25,067 $1.65M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.4% 4,284 4,115 $1.16M
80053 Comprehensive metabolic panel 2.8% 56,931 51,329 $951K
99199 Unlisted special service, procedure or report 2.8% 16,158 14,005 $947K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.2% 9,126 7,855 $750K
0250 2.2% 36,693 20,464 $746K
77067 Screening mammography, bilateral, including computer-aided detection 1.9% 5,354 5,342 $630K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 14,264 6,368 $605K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.8% 53,486 47,357 $601K
0760 1.7% 11,098 10,215 $564K
336 more codes
70450 Computed tomography, head or brain; without contrast material 1.6% 3,234 $546K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.6% 2,513 $528K
84443 Thyroid stimulating hormone (TSH) 1.4% 19,346 $472K
96375 Therapeutic injection; each additional sequential IV push 1.3% 8,402 $449K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 14,301 $448K
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 1.3% 5,912 $438K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 6,541 $403K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 3,949 $366K
87631 1.1% 3,894 $364K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.0% 9,197 $354K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.0% 6,416 $347K
80061 Lipid panel 1.0% 19,949 $342K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,298 $334K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,885 $319K
72125 Computed tomography, cervical spine; without contrast material <1% 1,328 $315K
71046 Radiologic examination, chest; 2 views <1% 9,753 $300K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 739 $294K
99283 Emergency room visit (moderate) <1% 3,641 $286K
76830 Ultrasound, transvaginal <1% 3,055 $273K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,138 $262K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,771 $255K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 572 $243K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,465 $237K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,370 $236K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,813 $236K
Z7500 <1% 6,396 $210K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,182 $207K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,685 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,402 $189K
83036 Hemoglobin; glycosylated (A1C) <1% 13,458 $182K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 3,281 $173K
93971 <1% 1,269 $172K
84439 <1% 13,177 $172K
0761 <1% 3,290 $165K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 795 $156K
97139 <1% 3,624 $154K
73630 <1% 3,766 $142K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,853 $141K
97161 <1% 2,480 $133K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 11,358 $133K
76770 <1% 1,339 $130K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,994 $128K
0710 <1% 3,002 $128K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,317 $120K
J3490 Unclassified drugs <1% 7,736 $118K
80306 <1% 3,820 $116K
85027 <1% 11,816 $114K
59025 Fetal non-stress test <1% 3,357 $113K
0750 <1% 507 $112K
Z7502 <1% 3,010 $111K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 3,960 $108K
81025 <1% 7,494 $105K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 119 $105K
73130 <1% 2,457 $103K
73610 <1% 2,596 $103K
80048 Basic metabolic panel (calcium, ionized) <1% 7,008 $102K
76641 <1% 1,196 $101K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,383 $101K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,721 $100K
73564 <1% 2,123 $98K
73030 <1% 2,780 $97K
83880 <1% 2,623 $96K
90715 <1% 1,980 $95K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,829 $95K
G0422 Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session <1% 1,253 $94K
76536 <1% 1,289 $93K
99284 Emergency room visit (serious) <1% 806 $92K
84484 <1% 6,432 $92K
71045 Radiologic examination, chest; single view <1% 4,723 $90K
97597 <1% 1,689 $89K
73110 <1% 2,099 $87K
71275 Computed tomographic angiography, chest, with contrast material <1% 412 $86K
86803 <1% 3,876 $86K
81001 <1% 15,045 $82K
84466 <1% 4,679 $82K
82728 <1% 4,442 $81K
83690 <1% 7,168 $80K
83735 <1% 7,666 $76K
0370 <1% 937 $76K
78815 Positron emission tomography (PET) for limited area imaging <1% 52 $76K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,907 $75K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 877 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,714 $73K
87480 <1% 2,064 $72K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 635 $71K
73502 <1% 1,450 $69K
82607 <1% 3,162 $66K
73221 <1% 173 $65K
82746 <1% 3,039 $64K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 845 $62K
72100 <1% 1,487 $62K
87660 <1% 2,588 $61K
0360 <1% 255 $61K
72110 <1% 884 $57K
84153 <1% 2,036 $57K
87340 <1% 3,285 $56K
93017 <1% 848 $55K
76642 <1% 758 $53K
87040 <1% 3,239 $52K
83605 <1% 3,169 $52K
73562 <1% 1,539 $51K
0272 <1% 5,066 $50K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 1,034 $49K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 403 $45K
99285 Emergency room visit (most serious) <1% 251 $45K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,862 $45K
0270 <1% 2,737 $45K
84403 <1% 1,457 $45K
83540 <1% 4,806 $45K
87510 <1% 1,263 $45K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 993 $44K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 686 $44K
90686 <1% 1,560 $42K
87186 <1% 3,164 $40K
85652 <1% 6,238 $39K
77065 Tomosynthesis, mammo <1% 375 $39K
86140 <1% 5,082 $38K
J2704 Injection, propofol, 10 mg <1% 2,898 $37K
81003 <1% 9,098 $36K
72141 <1% 68 $36K
86850 <1% 2,538 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,861 $35K
87077 <1% 3,700 $34K
92557 <1% 596 $34K
71250 <1% 186 $33K
70551 Magnetic resonance imaging, brain; without contrast material <1% 79 $32K
87081 <1% 3,088 $32K
85610 <1% 5,630 $31K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,792 $31K
86038 <1% 1,766 $31K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 390 $31K
82043 <1% 3,563 $30K
81513 <1% 176 $29K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 655 $28K
84481 <1% 1,213 $27K
86762 <1% 1,285 $26K
86592 <1% 3,968 $25K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 83 $25K
0949 <1% 519 $25K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 591 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,971 $24K
85379 <1% 1,519 $24K
0942 <1% 334 $22K
86787 <1% 1,121 $22K
70486 <1% 96 $22K
77066 Tomosynthesis, mammo <1% 165 $21K
83970 <1% 332 $21K
82550 <1% 2,256 $21K
87810 <1% 1,262 $21K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,557 $20K
85007 <1% 3,900 $20K
82962 <1% 3,380 $19K
87070 <1% 1,502 $19K
36415 Collection of venous blood by venipuncture <1% 1,576 $19K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,771 $18K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,371 $18K
G0423 Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session <1% 363 $17K
84702 <1% 775 $17K
J2785 Injection, regadenoson, 0.1 mg <1% 131 $17K
86901 <1% 2,759 $17K
74018 <1% 507 $16K
99000 <1% 3,318 $16K
90651 <1% 58 $16K
96361 Intravenous infusion, hydration; each additional hour <1% 217 $16K
72052 <1% 250 $15K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,127 $14K
73080 <1% 377 $14K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 126 $14K
97750 <1% 202 $13K
86900 <1% 2,760 $13K
87493 <1% 197 $13K
85730 <1% 1,499 $13K
82670 <1% 285 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 100 $13K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,834 $12K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 528 $12K
87481 <1% 176 $12K
82248 <1% 1,594 $11K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 729 $11K
J2060 Injection, lorazepam, 2 mg <1% 1,800 $11K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 39 $11K
87147 <1% 1,697 $11K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,473 $11K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,814 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 140 $11K
86709 <1% 622 $10K
86431 <1% 1,179 $10K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 438 $10K
84550 <1% 1,503 $10K
96367 <1% 241 $10K
83516 <1% 868 $9K
72040 <1% 251 $8K
77080 <1% 305 $8K
94729 <1% 172 $8K
87522 Neg quan hep c or qual rna <1% 176 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 177 $8K
86376 <1% 498 $8K
87205 <1% 1,293 $8K
86705 <1% 436 $8K
97010 <1% 175 $8K
83001 <1% 242 $7K
82950 <1% 927 $7K
82803 <1% 257 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 833 $7K
84402 <1% 410 $7K
J2550 Injection, promethazine hcl, up to 50 mg <1% 785 $7K
0510 <1% 153 $6K
Z7610 <1% 1,248 $6K
93226 <1% 85 $6K
0636 <1% 836 $6K
94726 <1% 133 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 131 $6K
93970 <1% 27 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 65 $5K
87015 <1% 427 $5K
74021 <1% 151 $5K
96523 <1% 319 $5K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 480 $5K
84100 <1% 726 $5K
87045 <1% 331 $4K
93225 <1% 85 $4K
76870 <1% 60 $4K
90662 <1% 133 $4K
20610 <1% 206 $4K
92587 <1% 56 $4K
73590 <1% 156 $4K
86625 <1% 136 $4K
73140 <1% 129 $4K
81002 <1% 1,088 $4K
84270 <1% 203 $4K
12001 <1% 78 $4K
90688 <1% 140 $4K
87899 <1% 206 $4K
86481 <1% 38 $3K
87280 <1% 183 $3K
73090 <1% 76 $3K
83615 <1% 400 $3K
71101 <1% 45 $3K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 1,104 $3K
82274 <1% 146 $3K
86141 <1% 237 $3K
93922 <1% 63 $3K
80076 <1% 239 $3K
86356 <1% 36 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 106 $3K
82533 <1% 104 $3K
93246 <1% 144 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 25 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 480 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 368 $2K
29125 <1% 54 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 13 $2K
71271 <1% 28 $2K
82553 <1% 154 $2K
86328 <1% 39 $2K
99201 <1% 64 $2K
90677 <1% 12 $2K
92551 <1% 103 $2K
94060 <1% 51 $2K
83520 <1% 123 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 29 $2K
93321 <1% 43 $2K
0258 <1% 153 $2K
86706 <1% 82 $2K
86147 <1% 33 $2K
77061 <1% 42 $2K
97802 <1% 14 $2K
82784 <1% 107 $1K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 350 $1K
93356 <1% 26 $1K
83002 <1% 37 $1K
86003 <1% 13 $1K
86308 <1% 90 $1K
86160 <1% 54 $1K
97799 <1% 26 $1K
83655 <1% 104 $977.92
72072 <1% 29 $924.42
82105 <1% 12 $919.40
83630 <1% 42 $892.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 170 $872.22
72050 <1% 15 $842.25
96376 <1% 145 $819.17
82947 <1% 158 $812.40
80164 <1% 38 $809.24
J3360 Injection, diazepam, up to 5 mg <1% 75 $795.45
82787 <1% 18 $769.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 99 $765.92
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 39 $735.88
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 28 $727.95
97803 <1% 14 $705.00
82542 <1% 45 $703.50
86800 <1% 73 $700.69
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 16 $685.86
82565 <1% 109 $653.41
86039 <1% 64 $634.65
99173 <1% 124 $628.99
84146 <1% 25 $609.87
93925 <1% 12 $609.84
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 74 $603.28
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 453 $602.37
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 115 $601.81
84425 <1% 39 $599.46
93296 <1% 26 $574.18
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 24 $554.10
83993 <1% 37 $548.72
Q3014 Telehealth originating site facility fee <1% 90 $520.14
10060 <1% 24 $494.24
86225 <1% 54 $457.04
77062 <1% 12 $425.07
J0690 Injection, cefazolin sodium, 500 mg <1% 28 $421.13
86200 <1% 53 $370.88
82785 <1% 39 $336.43
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 72 $323.22
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 63 $313.21
82977 <1% 25 $300.74
86703 <1% 24 $291.40
84145 <1% 15 $290.16
99070 <1% 73 $281.27
87209 <1% 12 $211.42
87075 <1% 15 $177.29
84630 <1% 14 $156.64
80178 <1% 13 $138.78
83550 <1% 54 $131.03
J1630 Injection, haloperidol, up to 5 mg <1% 17 $123.76
J7050 Infusion, normal saline solution, 250 cc <1% 18 $115.00
90716 <1% 12 $108.00
0255 <1% 12 $101.35
90707 <1% 12 $99.00
82150 <1% 12 $95.06
86258 <1% 26 $66.18
87177 <1% 12 $59.29
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 46 $36.93
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 130 $30.22
J1010 Injection, methylprednisolone acetate, 1 mg <1% 13 $21.60
0250R 0% 127 $0.00
0272R 0% 520 $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 officialNELSON, SIRI (CEO)
Same official

Other billing entities under NELSON, SIRI

Full network →
ProviderLocationPaid
Marshall Medical CenterPlacerville, CA$1.55M
Marshall Medical CenterPlacerville, CA$1.17M
Marshall Medical CenterCameron Park, CA$596K
Marshall Medical CenterDiamond Springs, CA$260K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.