Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Kadlec Regional Medical Center

Kadlec Regional Medical Center was paid $151.60M by Medicaid between Jan 2018 and Dec 2024, across 703 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 21% of everything it billed.

33Billing provider infoKADLEC REGIONAL MEDICAL CENTER
RICHLAND, WA 99352
33aNPI1972507580assigned 06/10/2005
28Total paid$151.60M
24GClaims3,639,406
24DCodes billed703
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Washington

Rank by total paid#1 of 49
Median peer was paid$20.06M
This provider vs. median7.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018639,733$26.64M
2019580,197$24.15M
2020464,038$18.26M
2021523,547$20.52M
2022517,790$22.78M
2023499,227$20.78M
2024incomplete414,874$18.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21% 377,050 310,562 $31.71M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.2% 117,675 110,898 $13.96M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.8% 240,161 228,502 $11.78M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 193,321 185,262 $8.20M
96361 Intravenous infusion, hydration; each additional hour 5.3% 26,319 23,111 $7.99M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.2% 69,187 64,105 $6.40M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.4% 41,662 38,621 $3.59M
J9271 Injection, pembrolizumab, 1 mg 1.9% 695 526 $2.84M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.5% 13,239 12,800 $2.29M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 21,020 20,189 $1.88M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.1% 39,284 16,641 $1.72M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 20,558 20,454 $1.64M
691 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 16,489 $1.62M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.0% 56,140 $1.57M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 38,363 $1.45M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 15,148 $1.45M
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 10,488 $1.41M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 17,786 $1.35M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 17,365 $1.27M
70450 Computed tomography, head or brain; without contrast material <1% 9,138 $1.24M
44970 <1% 381 $1.17M
99233 Hospital visit by a doctor, follow-up day (complex) <1% 29,160 $1.13M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 7,996 $1.07M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,420 $1.05M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 5,408 $947K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 10,524 $918K
99232 Hospital visit by a doctor, follow-up day <1% 31,326 $882K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 7,816 $865K
99215 Doctor's office visit, returning patient (complex) <1% 12,228 $859K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 4,549 $794K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 9,232 $769K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 9,948 $737K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,254 $710K
96415 <1% 3,763 $704K
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 <1% 10,112 $704K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,074 $681K
99203 Doctor's office visit, new patient (routine) <1% 11,279 $627K
76830 Ultrasound, transvaginal <1% 8,920 $598K
99223 Prolong inpt eval add15 m <1% 7,883 $575K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,612 $555K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 9,756 $547K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 2,870 $537K
99204 Doctor's office visit, new patient (more involved) <1% 7,650 $533K
17110 <1% 3,067 $529K
12001 <1% 2,573 $521K
99480 Subsequent intensive care, per day, low birth weight infant <1% 5,853 $425K
80053 Comprehensive metabolic panel <1% 92,593 $422K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 19,802 $421K
96367 <1% 6,485 $415K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,263 $409K
62323 <1% 2,965 $403K
64615 <1% 2,460 $401K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 14,183 $392K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 6,152 $380K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 5,063 $376K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 11,746 $362K
12011 <1% 1,620 $356K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,928 $356K
97113 <1% 7,227 $353K
76775 <1% 4,347 $352K
76819 Fetal biophysical profile; without non-stress testing <1% 6,827 $347K
78815 Positron emission tomography (PET) for limited area imaging <1% 807 $345K
G0378 Hospital observation service, per hour <1% 18,394 $333K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,817 $332K
59025 Fetal non-stress test <1% 4,620 $332K
76642 <1% 4,141 $323K
J2323 Injection, natalizumab, 1 mg <1% 311 $322K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) <1% 549 $319K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 11,979 $315K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 6,442 $311K
99238 Hospital discharge day management, 30 minutes or less <1% 6,534 $307K
93971 <1% 3,794 $302K
97161 <1% 6,865 $301K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,259 $299K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 4,428 $279K
92523 <1% 2,236 $278K
90686 <1% 19,639 $275K
92588 <1% 2,307 $272K
52000 <1% 503 $267K
99239 Hospital discharge day management, more than 30 minutes <1% 6,526 $266K
96416 <1% 1,150 $265K
31575 <1% 1,869 $264K
99460 <1% 3,508 $254K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,716 $245K
76536 <1% 2,792 $237K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 4,390 $235K
92557 <1% 5,663 $225K
36902 <1% 200 $217K
76801 <1% 4,698 $217K
J2469 Injection, palonosetron hcl, 25 mcg <1% 4,107 $208K
93017 <1% 2,415 $197K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 6,142 $193K
95819 <1% 964 $193K
87631 <1% 4,148 $188K
70498 <1% 1,615 $181K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 12,898 $180K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,878 $178K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,946 $176K
29105 <1% 864 $173K
90670 <1% 11,987 $164K
72141 <1% 1,376 $162K
10060 <1% 766 $159K
47563 <1% 77 $159K
92526 <1% 3,277 $158K
97535 Self-care/home management training, each 15 minutes <1% 6,467 $157K
71046 Radiologic examination, chest; 2 views <1% 27,943 $156K
93970 <1% 1,789 $148K
29125 <1% 836 $147K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,243 $146K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session <1% 937 $146K
76870 <1% 1,618 $144K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,385 $144K
70496 <1% 1,667 $142K
70491 <1% 1,198 $139K
74183 <1% 643 $137K
92567 <1% 10,577 $136K
11045 <1% 510 $135K
J1602 Injection, golimumab, 1 mg, for intravenous use <1% 289 $134K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 648 $133K
12002 <1% 659 $130K
J1453 Injection, fosaprepitant, 1 mg <1% 1,519 $123K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,338 $121K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,106 $118K
84484 <1% 27,684 $112K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13,403 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 10,251 $106K
95886 <1% 1,705 $106K
99205 Prolong outpt/office vis <1% 946 $105K
71250 <1% 2,209 $105K
90834 Psychotherapy session, about 45 minutes <1% 1,708 $102K
90680 <1% 7,259 $100K
94726 <1% 3,181 $99K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 857 $98K
90961 <1% 1,340 $95K
94060 <1% 3,941 $95K
97162 <1% 2,356 $95K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,943 $92K
11102 <1% 598 $92K
20553 <1% 969 $92K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 304 $90K
97165 <1% 1,950 $87K
70486 <1% 1,661 $85K
90698 <1% 5,848 $84K
36430 <1% 895 $83K
20610 <1% 1,029 $80K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 72 $80K
99222 Initial hospital care, per day, moderate complexity <1% 1,517 $78K
76882 <1% 1,067 $78K
92579 <1% 1,744 $77K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 5,064 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,299 $72K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 701 $72K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,260 $71K
95816 <1% 429 $71K
90633 <1% 4,822 $66K
99243 <1% 942 $65K
87040 <1% 8,500 $65K
76937 <1% 2,329 $65K
77066 Tomosynthesis, mammo <1% 2,585 $65K
77014 <1% 2,014 $64K
73630 <1% 10,238 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,468 $63K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 46,316 $63K
74018 <1% 5,458 $62K
97802 <1% 1,170 $62K
80048 Basic metabolic panel (calcium, ionized) <1% 14,775 $61K
94729 <1% 3,390 $60K
J3490 Unclassified drugs <1% 3,731 $60K
47562 <1% 44 $60K
76825 <1% 393 $59K
97803 <1% 1,692 $57K
10061 <1% 287 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 28,332 $55K
69210 <1% 2,414 $54K
P9016 Red blood cells, leukocytes reduced, each unit <1% 163 $54K
J0185 Injection, aprepitant, 1 mg <1% 768 $53K
72125 Computed tomography, cervical spine; without contrast material <1% 3,265 $51K
76821 <1% 1,003 $50K
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% 5,592 $50K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,769 $50K
58300 <1% 156 $50K
77065 Tomosynthesis, mammo <1% 1,897 $49K
31231 <1% 330 $49K
90715 <1% 2,816 $49K
11100 <1% 240 $47K
83605 <1% 9,362 $46K
90832 Psychotherapy session, about 30 minutes <1% 1,208 $46K
72100 <1% 4,529 $45K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,835 $45K
76820 <1% 1,790 $44K
36561 <1% 40 $43K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 47,177 $42K
82553 <1% 6,004 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 103,589 $41K
93975 <1% 552 $40K
58662 <1% 14 $40K
29515 <1% 213 $40K
92585 <1% 165 $40K
95911 <1% 364 $39K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 157 $39K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 12,300 $38K
99381 <1% 558 $38K
73030 <1% 4,843 $38K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 47 $37K
90744 <1% 2,457 $37K
96375 Therapeutic injection; each additional sequential IV push <1% 40,071 $36K
93880 <1% 965 $36K
76813 <1% 548 $35K
73562 <1% 4,975 $35K
72110 <1% 1,597 $35K
97116 <1% 2,246 $34K
73610 <1% 6,691 $33K
85379 <1% 6,479 $33K
36415 Collection of venous blood by venipuncture <1% 36,983 $33K
11750 <1% 122 $33K
71045 Radiologic examination, chest; single view <1% 22,465 $33K
73110 <1% 4,395 $32K
74230 <1% 391 $32K
92610 <1% 823 $31K
96040 <1% 765 $30K
77427 <1% 457 $29K
74174 <1% 148 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 750 $27K
99462 <1% 801 $27K
97129 <1% 141 $26K
72040 <1% 2,324 $26K
97166 <1% 500 $25K
73130 <1% 4,102 $24K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 879 $24K
90677 <1% 1,566 $24K
90723 <1% 2,135 $23K
93922 <1% 706 $23K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 13 $23K
90472 Immunization administration, each additional vaccine (list separately) <1% 976 $23K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 180 $23K
90648 <1% 1,807 $22K
96127 <1% 9,255 $22K
73221 <1% 222 $22K
83880 <1% 5,298 $22K
17000 <1% 172 $22K
84145 <1% 2,446 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,665 $21K
93320 <1% 767 $21K
92587 <1% 130 $21K
87632 <1% 438 $20K
90966 <1% 260 $20K
11900 <1% 83 $19K
87641 <1% 2,160 $19K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 3,000 $19K
93798 <1% 3,215 $18K
99254 <1% 171 $17K
76827 <1% 420 $17K
20550 <1% 156 $16K
88307 <1% 923 $16K
73502 <1% 2,173 $16K
95909 <1% 247 $15K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 986 $15K
J9190 Injection, fluorouracil, 500 mg <1% 1,209 $14K
72131 <1% 272 $14K
19083 <1% 27 $14K
77336 <1% 492 $14K
J2505 Injection, pegfilgrastim, 6 mg <1% 18 $14K
99152 <1% 7,388 $14K
80050 General health panel <1% 2,680 $14K
81001 <1% 56,693 $14K
58558 <1% 13 $13K
72197 <1% 76 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,450 $13K
90647 <1% 1,258 $13K
74178 <1% 89 $13K
87420 <1% 1,445 $12K
71271 <1% 170 $12K
90716 <1% 1,064 $12K
72158 <1% 107 $12K
99220 <1% 187 $12K
72146 <1% 57 $12K
93296 <1% 1,411 $12K
81025 <1% 15,743 $12K
90707 <1% 996 $12K
84112 <1% 1,570 $12K
87486 <1% 1,080 $11K
90962 <1% 266 $11K
83735 <1% 14,832 $11K
93000 <1% 1,311 $11K
72072 <1% 1,145 $11K
59820 <1% 12 $11K
99383 <1% 126 $11K
82247 <1% 1,929 $11K
77080 <1% 233 $11K
92551 <1% 1,395 $11K
90651 <1% 763 $10K
73140 <1% 2,726 $10K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 1,309 $10K
76770 <1% 125 $10K
64493 <1% 46 $10K
73560 <1% 997 $10K
86850 <1% 6,926 $9K
96111 <1% 52 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,142 $9K
92611 <1% 365 $9K
90697 <1% 475 $9K
76857 <1% 203 $9K
87581 <1% 1,080 $9K
93976 <1% 257 $9K
29075 <1% 174 $9K
0071A <1% 233 $8K
99443 <1% 179 $8K
85027 <1% 6,979 $8K
73080 <1% 1,809 $8K
64483 <1% 24 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,538 $8K
58301 <1% 72 $8K
J0897 Injection, denosumab, 1 mg <1% 65 $7K
93325 <1% 1,308 $7K
72050 <1% 394 $7K
73590 <1% 1,850 $7K
93270 <1% 203 $7K
90710 <1% 509 $7K
90935 Hemodialysis procedure with single evaluation by a physician <1% 387 $7K
92550 <1% 71 $7K
0072A <1% 184 $7K
86900 <1% 9,333 $7K
96376 <1% 10,050 $6K
93926 <1% 218 $6K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 570 $6K
99242 <1% 112 $6K
93016 <1% 610 $6K
92522 <1% 97 $6K
86140 <1% 15,512 $6K
62321 <1% 58 $5K
84703 <1% 17,369 $5K
86901 <1% 9,339 $5K
90685 <1% 663 $5K
85055 <1% 1,867 $5K
93925 <1% 122 $5K
99221 <1% 123 $5K
78227 <1% 26 $5K
73120 <1% 380 $5K
83690 <1% 31,945 $5K
85018 <1% 2,432 $5K
90791 Psychiatric diagnostic evaluation <1% 52 $5K
36589 <1% 12 $5K
74019 <1% 833 $5K
95910 <1% 68 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 26 $5K
81003 <1% 10,363 $4K
73620 <1% 532 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,844 $4K
99310 Prolong nursin fac eval 15m <1% 342 $4K
80061 Lipid panel <1% 1,376 $4K
76942 <1% 67 $4K
57454 <1% 12 $4K
85610 <1% 30,653 $4K
90619 <1% 231 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 3,689 $4K
J3489 Injection, zoledronic acid, 1 mg <1% 189 $4K
0001A <1% 109 $4K
99442 <1% 136 $4K
76999 <1% 49 $4K
0002A <1% 109 $4K
84443 Thyroid stimulating hormone (TSH) <1% 7,580 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,091 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 50 $3K
90696 <1% 244 $3K
93458 <1% 13 $3K
90688 <1% 328 $3K
62270 <1% 13 $3K
74022 <1% 1,585 $3K
90656 <1% 933 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 129 $3K
99177 <1% 1,073 $3K
90734 <1% 266 $3K
73564 <1% 278 $3K
0054A <1% 124 $3K
93990 <1% 81 $3K
80179 <1% 1,854 $3K
71101 <1% 1,077 $3K
72170 <1% 816 $3K
84702 <1% 7,090 $3K
64400 <1% 14 $3K
96402 <1% 416 $3K
99173 <1% 1,838 $3K
J9070 Cyclophosphamide, 100 mg <1% 43 $3K
90700 <1% 250 $3K
73090 <1% 1,449 $3K
76886 <1% 26 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,435 $3K
64721 <1% 13 $3K
70360 <1% 324 $3K
82962 <1% 10,547 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 24,264 $3K
0004A <1% 130 $3K
72082 <1% 70 $3K
93246 <1% 74 $3K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 274 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 292 $3K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 12 $2K
99218 <1% 44 $2K
73660 <1% 595 $2K
92250 <1% 68 $2K
95800 <1% 26 $2K
84100 <1% 4,888 $2K
82565 <1% 1,961 $2K
73521 <1% 167 $2K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 26 $2K
73700 <1% 27 $2K
82550 <1% 8,479 $2K
90461 <1% 196 $2K
51702 <1% 213 $2K
99495 <1% 125 $2K
82077 <1% 3,574 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 833 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,934 $2K
93018 <1% 348 $2K
73100 <1% 154 $2K
85730 <1% 10,749 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 35,268 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 29,635 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 1,252 $2K
93299 <1% 245 $2K
85014 <1% 2,056 $2K
90837 Psychotherapy session, about an hour <1% 21 $2K
96161 <1% 884 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,839 $2K
72157 <1% 14 $1K
90672 <1% 98 $1K
93242 <1% 37 $1K
99493 <1% 16 $1K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 15 $1K
95885 <1% 38 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 36,022 $1K
99292 <1% 31 $1K
90474 <1% 112 $1K
73552 <1% 169 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $1K
96523 <1% 21 $1K
85652 <1% 4,570 $1K
G0379 Direct admission of patient for hospital observation care <1% 25 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 2,975 $1K
20526 <1% 36 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 3,058 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 982 $1K
A9585 Injection, gadobutrol, 0.1 ml <1% 6,017 $1K
58571 <1% 13 $1K
59514 <1% 14 $1K
88304 <1% 2,337 $1K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 25 $1K
74240 <1% 12 $1K
92555 <1% 13 $1K
86923 <1% 249 $1K
0051A <1% 30 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 22,740 $998.51
99308 Subsequent nursing facility care, per day, straightforward <1% 197 $985.99
84439 <1% 2,408 $981.39
93295 <1% 100 $977.62
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 13,555 $969.54
87186 <1% 5,430 $955.46
90480 <1% 27 $947.20
85007 <1% 241 $939.17
0111A <1% 24 $916.83
99241 <1% 32 $900.05
87070 <1% 3,790 $878.63
0052A <1% 32 $876.80
J1756 Injection, iron sucrose, 1 mg <1% 107 $846.19
88300 <1% 50 $826.96
J3010 Injection, fentanyl citrate, 0.1 mg <1% 24,112 $826.79
99382 <1% 12 $825.08
81002 <1% 4,042 $782.65
93923 <1% 26 $782.47
96411 <1% 1,302 $773.91
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,450 $761.29
77263 <1% 14 $740.63
82248 <1% 321 $732.30
99306 Prolong nursin fac eval 15m <1% 29 $724.34
77300 <1% 16 $721.52
93225 <1% 27 $715.31
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass <1% 38 $704.48
99305 <1% 74 $697.18
29065 <1% 13 $690.45
97163 <1% 15 $683.98
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 90 $678.82
77334 <1% 19 $678.12
83615 <1% 909 $648.93
J1170 Injection, hydromorphone, up to 4 mg <1% 14,002 $623.44
99354 <1% 12 $612.75
87205 <1% 2,672 $610.44
87077 <1% 4,180 $608.83
20611 <1% 13 $598.87
73070 <1% 173 $595.83
73000 <1% 63 $585.85
J2704 Injection, propofol, 10 mg <1% 11,432 $564.78
94010 <1% 15 $533.41
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 12,289 $520.88
87210 <1% 2,401 $520.75
30901 <1% 33 $509.88
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 770 $507.94
88342 <1% 915 $502.76
90687 <1% 65 $499.86
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,864 $485.77
96417 <1% 3,124 $483.62
87088 <1% 2,491 $476.38
76828 <1% 30 $466.81
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,135 $464.44
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 6,895 $425.46
82570 <1% 513 $420.53
86920 <1% 490 $402.14
99217 <1% 12 $393.45
V5275 Ear impression, each <1% 15 $393.13
96409 <1% 41 $380.76
90732 <1% 171 $379.83
93321 <1% 30 $377.48
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 11,661 $373.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 14 $346.61
73565 <1% 15 $318.14
74220 <1% 12 $305.80
82150 <1% 790 $302.52
82803 <1% 1,534 $302.37
96380 <1% 31 $297.57
93288 <1% 70 $292.07
72220 <1% 48 $287.73
99153 Mod sedat endo service >5yrs <1% 1,124 $277.93
69209 <1% 73 $271.00
99451 <1% 12 $257.52
82009 <1% 1,282 $252.80
64494 <1% 29 $247.27
96401 <1% 79 $246.79
93280 <1% 57 $245.43
73600 <1% 33 $244.37
82728 <1% 87 $243.59
73060 <1% 117 $242.09
J3480 Injection, potassium chloride, per 2 meq <1% 2,888 $242.07
80305 <1% 1,172 $240.57
84132 <1% 586 $232.66
J1644 Injection, heparin sodium, per 1000 units <1% 5,682 $216.42
92504 <1% 48 $208.21
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,554 $200.45
84156 <1% 380 $200.22
84550 <1% 391 $197.12
93289 <1% 54 $189.99
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,426 $181.59
36591 <1% 109 $178.92
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 8,302 $178.08
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 2,913 $176.78
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,196 $176.18
97022 <1% 27 $167.52
76000 <1% 30 $148.46
99401 <1% 47 $147.03
J2060 Injection, lorazepam, 2 mg <1% 4,920 $144.12
J8540 Dexamethasone, oral, 0.25 mg <1% 4,253 $140.06
97016 <1% 26 $137.99
87075 <1% 1,129 $124.28
77001 <1% 13 $112.45
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,561 $111.80
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 4,930 $111.65
80069 <1% 67 $109.67
92582 <1% 12 $106.96
88312 <1% 46 $93.83
17003 <1% 13 $90.31
J0690 Injection, cefazolin sodium, 500 mg <1% 6,322 $88.30
G0009 Administration of pneumococcal vaccine <1% 375 $86.05
87045 <1% 198 $85.92
87324 <1% 125 $83.77
99406 <1% 448 $82.37
93297 <1% 24 $82.35
84450 <1% 60 $80.44
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 30,316 $79.80
J1815 Injection, insulin, per 5 units <1% 4,364 $79.46
84520 <1% 78 $76.17
80076 <1% 41 $74.83
84460 <1% 77 $71.90
82140 <1% 181 $70.46
86308 <1% 805 $69.67
0240U <1% 1,495 $66.00
J0694 Injection, cefoxitin sodium, 1 gm <1% 966 $62.22
83540 <1% 68 $62.04
87807 <1% 385 $56.15
J0780 Injection, prochlorperazine, up to 10 mg <1% 507 $55.20
83550 <1% 51 $54.48
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 <1% 5,623 $53.30
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 3,539 $52.40
94760 <1% 164 $50.70
36416 <1% 5,619 $48.00
87899 <1% 206 $46.04
36600 <1% 52 $44.80
96160 <1% 13 $43.26
87046 <1% 198 $43.01
87449 <1% 126 $41.97
J3360 Injection, diazepam, up to 5 mg <1% 657 $40.66
J3370 Injection, vancomycin hcl, 500 mg <1% 1,086 $39.30
73650 <1% 15 $38.90
C9113 Injection, pantoprazole sodium, per vial <1% 1,258 $38.52
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 334 $38.52
J1940 Injection, furosemide, up to 20 mg <1% 896 $38.52
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,187 $38.52
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 2,066 $38.52
82330 <1% 55 $37.40
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,312 $36.58
93294 <1% 12 $36.21
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,027 $35.48
J1790 Injection, droperidol, up to 5 mg <1% 552 $34.20
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% 7,900 $32.50
J7050 Infusion, normal saline solution, 250 cc <1% 8,596 $29.16
G0008 Administration of influenza virus vaccine <1% 1,443 $28.03
81000 <1% 277 $25.75
82947 <1% 77 $20.86
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,202 $20.69
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 1,666 $16.93
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,592 $16.65
80143 <1% 729 $14.91
83037 <1% 374 $14.73
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 4,302 $13.56
85046 <1% 13 $10.83
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 978 $8.98
84295 <1% 49 $7.24
82010 <1% 221 $5.40
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 155 $5.10
85384 <1% 17 $5.02
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 2,233 $2.18
99072 <1% 3,584 $0.98
J1920 Injection, labetalol hydrochloride, 5 mg <1% 85 $0.07
3078F 0% 14,002 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 41 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 14 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 41 $0.00
90662 0% 248 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 1,683 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 0% 915 $0.00
C1776 Joint device (implantable) 0% 162 $0.00
91311 0% 49 $0.00
J7510 Prednisolone oral, per 5 mg 0% 163 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 3,165 $0.00
91300 0% 255 $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) 0% 257 $0.00
C1729 Catheter, drainage 0% 419 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 155 $0.00
3077F 0% 127 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 553 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 385 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 266 $0.00
0353U 0% 372 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 0% 1,288 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 26 $0.00
C1788 Port, indwelling (implantable) 0% 40 $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 0% 421 $0.00
82272 0% 26 $0.00
4004F 0% 13 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 395 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 95 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 55 $0.00
88112 0% 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 214 $0.00
J9000 Injection, doxorubicin hydrochloride, 10 mg 0% 21 $0.00
89051 0% 25 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 26 $0.00
Q4133 Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) 0% 44 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 29 $0.00
90653 0% 54 $0.00
S0028 Injection, famotidine, 20 mg 0% 130 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 0% 14 $0.00
C1758 Catheter, ureteral 0% 12 $0.00
77012 0% 13 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 0% 23 $0.00
3074F 0% 15,863 $0.00
J1836 Injection, metronidazole, 10 mg 0% 215 $0.00
3079F 0% 492 $0.00
A9270 Non-covered item or service 0% 24,566 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,170 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 1,209 $0.00
H0049 Alcohol and/or drug screening 0% 260 $0.00
C1769 Guide wire 0% 4,040 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 376 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 390 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 32 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 694 $0.00
C1781 Mesh (implantable) 0% 158 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 270 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 164 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 897 $0.00
J7999 Compounded drug, not otherwise classified 0% 589 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 554 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 110 $0.00
A4648 Tissue marker, implantable, any type, each 0% 341 $0.00
J9045 Injection, carboplatin, 50 mg 0% 502 $0.00
96368 0% 548 $0.00
J9267 Injection, paclitaxel, 1 mg 0% 348 $0.00
91307 0% 461 $0.00
0352U 0% 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 632 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 78 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 54 $0.00
3075F 0% 77 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 93 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 16 $0.00
97130 0% 102 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 20 $0.00
87081 0% 29 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 24 $0.00
91305 0% 137 $0.00
90694 0% 32 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 26 $0.00
81015 0% 22 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 14 $0.00
Q4131 Epifix or epicord, per square centimeter 0% 25 $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 officialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
Same official

Other billing entities under ANDERSON, DONALD

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