Medicaid Provider Spending

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

MISSION HOSPITAL REGIONAL MEDICAL CENTER

NPI: 1992752315 · MISSION VIEJO, CA 92691 · General Acute Care Hospital · NPI assigned 05/30/2006

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

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

$690K
Total Medicaid Paid
267,395
Total Claims
192,526
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date05/30/2006

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 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 78,290 $82K
2019 73,300 $388K
2020 66,806 $104K
2021 20,552 $47K
2022 15,223 $24K
2023 11,485 $40K
2024 1,739 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 5,944 3,312 $335K
G0378 Hospital observation service, per hour 258 176 $81K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,883 3,088 $44K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,647 2,440 $17K
96376 2,691 1,592 $17K
70450 Computed tomography, head or brain; without contrast material 3,549 3,189 $16K
99284 Emergency department visit for the evaluation and management, high severity 1,284 1,048 $15K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,159 5,037 $11K
71045 Radiologic examination, chest; single view 6,832 5,829 $10K
99283 Emergency department visit for the evaluation and management, moderate severity 714 661 $9K
0450 Emergency room services 11,449 9,668 $9K
72125 Computed tomography, cervical spine; without contrast material 1,356 1,245 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,110 7,501 $7K
96375 Therapeutic injection; each additional sequential IV push 5,218 3,758 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 747 699 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,247 11,461 $4K
80053 Comprehensive metabolic panel 8,331 6,883 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,904 2,441 $4K
36415 Collection of venous blood by venipuncture 2,265 1,180 $4K
J3490 Unclassified drugs 17,670 5,231 $3K
96361 Intravenous infusion, hydration; each additional hour 2,324 1,655 $3K
71275 Computed tomographic angiography, chest, with contrast material 441 393 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,325 1,115 $3K
71046 Radiologic examination, chest; 2 views 1,600 1,540 $3K
71250 219 204 $3K
A9585 Injection, gadobutrol, 0.1 ml 672 637 $3K
84484 6,682 4,982 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 100 100 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,057 864 $2K
83880 3,411 2,839 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,204 444 $2K
80048 Basic metabolic panel (calcium, ionized) 6,713 4,976 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 511 496 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,695 2,450 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,614 1,704 $2K
0250 3,880 1,560 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,942 907 $2K
76641 997 985 $2K
82553 4,028 3,205 $2K
72141 287 273 $1K
77066 Tomosynthesis, mammo 407 407 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 103 100 $1K
70551 Magnetic resonance imaging, brain; without contrast material 178 166 $1K
77065 Tomosynthesis, mammo 388 379 $1K
82550 4,522 3,544 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 791 742 $994.61
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,809 661 $965.88
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 107 86 $907.88
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 279 154 $902.40
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,490 1,427 $855.76
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,613 1,968 $795.13
76830 Ultrasound, transvaginal 1,376 1,323 $792.10
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 181 162 $789.98
88305 Level IV - Surgical pathology, gross and microscopic examination 689 556 $784.42
97162 59 54 $718.78
83690 5,021 4,298 $716.66
84443 Thyroid stimulating hormone (TSH) 1,906 1,645 $701.07
J1170 Injection, hydromorphone, up to 4 mg 1,309 838 $696.75
C9399 Unclassified drugs or biologicals 17 17 $672.09
76770 180 170 $589.29
83735 3,242 2,315 $588.77
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 169 80 $568.30
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 44 25 $539.76
0270 6,374 2,502 $526.46
81001 4,499 3,982 $520.93
71260 Computed tomography, thorax, diagnostic; with contrast material 63 58 $498.51
93971 216 202 $494.90
82947 2,017 1,139 $477.18
82077 19 12 $476.57
85610 4,331 3,574 $449.67
72131 60 52 $441.59
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,535 841 $429.15
87086 Culture, bacterial; quantitative colony count, urine 2,517 2,237 $414.57
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 701 194 $395.46
99153 Mod sedat endo service >5yrs 17 13 $381.24
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 225 225 $372.55
J2785 Injection, regadenoson, 0.1 mg 37 24 $364.86
84145 824 627 $360.93
80047 1,457 1,269 $352.98
86900 1,674 1,414 $345.21
94760 1,475 738 $326.57
81003 4,902 4,307 $320.96
76700 Ultrasound, abdominal, real time with image documentation; complete 471 467 $315.03
87040 1,021 718 $310.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 45 26 $301.90
85730 2,646 2,252 $300.01
77067 Screening mammography, bilateral, including computer-aided detection 1,682 1,681 $293.96
72100 574 554 $293.77
0360 187 135 $292.34
86901 1,677 1,415 $292.27
83605 1,388 1,094 $290.87
86850 1,188 1,032 $285.80
J0131 Injection, acetaminophen, not otherwise specified,10 mg 42 38 $276.31
80076 1,462 1,238 $264.50
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 746 430 $264.35
59025 Fetal non-stress test 797 241 $261.60
72146 15 13 $252.65
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,023 847 $233.57
82150 1,346 1,225 $232.62
73030 393 366 $231.16
73630 361 342 $228.66
84703 2,721 2,492 $225.58
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 143 139 $224.12
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 196 182 $221.03
73562 306 291 $210.69
85379 818 743 $207.87
85027 935 727 $195.96
J1885 Injection, ketorolac tromethamine, per 15 mg 667 608 $190.15
90715 196 188 $184.95
73610 280 260 $178.74
84702 1,155 1,044 $176.88
84100 575 349 $170.29
J3010 Injection, fentanyl citrate, 0.1 mg 536 404 $155.80
J7030 Infusion, normal saline solution , 1000 cc 302 246 $141.01
93970 35 29 $127.53
J2704 Injection, propofol, 10 mg 590 443 $122.36
93017 63 42 $118.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 126 111 $111.38
77063 Screening digital breast tomosynthesis, bilateral 1,765 1,765 $105.30
87081 689 555 $103.74
0258 1,820 989 $96.61
73130 135 127 $94.27
J2270 Injection, morphine sulfate, up to 10 mg 362 267 $90.49
J2250 Injection, midazolam hydrochloride, per 1 mg 380 353 $78.62
87186 485 419 $76.45
J0696 Injection, ceftriaxone sodium, per 250 mg 377 302 $70.03
73110 40 40 $59.86
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 216 200 $57.86
70486 52 51 $56.66
84439 150 133 $55.31
0710 305 260 $52.26
J7050 Infusion, normal saline solution, 250 cc 91 57 $48.13
77080 254 254 $44.58
87077 273 213 $41.73
86141 144 122 $40.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 190 181 $37.89
73221 13 12 $33.82
J2060 Injection, lorazepam, 2 mg 419 300 $32.29
94664 49 46 $28.80
81025 464 427 $28.73
96367 21 12 $27.10
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 501 389 $26.35
83036 Hemoglobin; glycosylated (A1C) 184 128 $26.13
85007 510 408 $19.16
74018 128 118 $17.80
80061 Lipid panel 42 26 $17.16
86140 502 369 $16.97
J1644 Injection, heparin sodium, per 1000 units 87 50 $16.44
97116 47 12 $16.31
J0690 Injection, cefazolin sodium, 500 mg 73 60 $15.03
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 92 89 $14.21
87430 25 24 $13.58
85652 456 373 $13.37
82728 31 26 $12.74
0637 1,947 1,006 $12.25
73590 12 12 $11.73
J1200 Injection, diphenhydramine hcl, up to 50 mg 98 81 $10.86
J7120 Ringers lactate infusion, up to 1000 cc 30 25 $10.57
73502 16 16 $8.21
A9270 Non-covered item or service 4,152 948 $7.96
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 108 51 $7.82
87205 107 95 $6.84
73564 28 27 $6.42
87070 43 37 $6.01
A4217 Sterile water/saline, 500 ml 24 24 $6.00
72040 13 13 $5.92
85014 75 68 $5.54
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 45 40 $4.15
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 40 37 $3.98
87147 14 14 $3.13
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 13 $2.45
82248 40 37 $1.46
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,517 1,702 $0.09
80050 General health panel 68 50 $0.00
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 71 71 $0.00
0324 173 152 $0.00
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 90 90 $0.00
76801 76 72 $0.00
0761 284 237 $0.00
0420 188 31 $0.00
0301 1,269 281 $0.00
97010 618 102 $0.00
0610 36 32 $0.00
97139 189 27 $0.00
0307 117 98 $0.00
0305 211 110 $0.00
J3535 Drug administered through a metered dose inhaler 16 13 $0.00
0352 147 108 $0.00
0636 225 105 $0.00
0310 35 14 $0.00
0306 312 130 $0.00
76536 14 14 $0.00
0949 85 33 $0.00
0612 Calcium glucon (wg critical) 46 32 $0.00
0350 33 25 $0.00
0401 68 35 $0.00
71020 52 52 $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) 63 57 $0.00
0762 580 540 $0.00
77062 346 345 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 16 12 $0.00
0300 720 264 $0.00
0160 128 123 $0.00
77061 114 111 $0.00
0351 85 65 $0.00
0302 70 36 $0.00
0760 101 84 $0.00
0272 569 286 $0.00
0361 26 15 $0.00
76813 46 45 $0.00
0403 92 46 $0.00
71010 93 91 $0.00
0278 38 16 $0.00
99199 Unlisted special service, procedure or report 53 42 $0.00
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral 13 13 $0.00
0320 174 122 $0.00
0402 249 147 $0.00
0460 29 16 $0.00
97799 182 26 $0.00