Antelope Valley Health Care District
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 143 procedure codes: 99284 at 7.2× median, 99283 at 9.4× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $500.05 per claim for 99284 (Emergency dept visit, high complexity) — 7.2× the national median of $69.51.
Bills $397.33 per claim for 99283 (Emergency dept visit, moderate complexity) — 9.3× the national median of $42.48.
Bills $782.52 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 9.1× the national median of $85.65.
Billing in the top 1% nationally for 6 procedure codes: 99284, 99283, 99285.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $222.3M is at the 50th percentile among 156 General Acute Care Hospital providers.
Total Paid
$222.3M
$222,293,142
Total Claims
2.4M
Beneficiaries
2.2M
1.1 claims/patient
Avg Cost/Claim
$92
#383 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Antelope Valley Health Care District is a General Acute Care Hospital provider based in Lancaster, CA. From the 2018–2024 period, this provider received $222.3M in Medicaid payments across 2.4M claims.
Why This Matters
This provider received $222.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,786 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 25% of total spending.
$55.2M
110K claims
$500.05
$69.51
Emergency dept visit, high complexity
$55.2M
110K claims · 24.8%
$37.0M
93K claims
$397.33
$42.48
Emergency dept visit, moderate complexity
$37.0M
93K claims · 16.6%
$24.7M
32K claims
$782.52
$85.65
Emergency dept visit, high/urgent complexity
$24.7M
32K claims · 11.1%
Emergency dept visit, low complexity
$8.6M
29K claims · 3.9%
Emergency room visit
$6.6M
108K claims · 3.0%
Basic metabolic panel
$5.2M
111K claims · 2.4%
$3.9M
38K claims
$103.61
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$3.9M
38K claims · 1.8%
$3.7M
60K claims
$61.48
$9.56
Therapeutic injection, subcutaneous/intramuscular
$3.7M
60K claims · 1.7%
CT abdomen and pelvis with contrast
$2.9M
13K claims · 1.3%
$2.8M
33K claims
$83.80
$1.53
Normal saline solution infusion, 1000 cc
$2.8M
33K claims · 1.2%
$2.7M
16K claims
$166.04
$3.42
Low osmolar contrast material, 300-399 mg iodine/ml, per ml
$2.7M
16K claims · 1.2%
$2.3M
19K claims
$121.00
$35.43
Drug test, presumptive, by chemistry analyzers
$2.3M
19K claims · 1.0%
$2.2M
62K claims
$35.60
$7.50
Electrocardiogram, tracing only, without interpretation
$2.2M
62K claims · 1.0%
$2.2M
31K claims · 1.0%
$2.1M
28K claims
$77.08
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$2.1M
28K claims · 1.0%
Troponin, quantitative
$1.9M
36K claims · 0.8%
Chest X-ray, single view
$1.9M
41K claims · 0.8%
CT head/brain without contrast
$1.8M
16K claims · 0.8%
$1.7M
48K claims · 0.8%
$1.6M
17K claims
$96.34
$10.88
Pressurized or nonpressurized inhalation treatment
$1.6M
17K claims · 0.7%
$1.6M
32K claims
$50.70
$38.92
IV infusion, hydration, each additional hour
$1.6M
32K claims · 0.7%
$1.6M
11K claims
$142.59
$52.03
Emergency dept visit, minimal complexity
$1.6M
11K claims · 0.7%
$1.5M
3K claims
$462.53
$99.39
Hospital observation service, per hour
$1.5M
3K claims · 0.7%
$1.5M
68K claims
$22.48
$1.48
Urinalysis, automated without microscopy
$1.5M
68K claims · 0.7%
Urine pregnancy test
$1.4M
59K claims · 0.7%
Chest X-ray, 2 views
$1.4M
22K claims · 0.6%
$1.4M
7K claims
$184.70
$60.19
CT abdomen and pelvis without contrast
$1.4M
7K claims · 0.6%
$1.3M
21K claims · 0.6%
$1.3M
30K claims
$43.02
$14.92
Therapeutic/prophylactic/diagnostic IV push, each additional substance
$1.3M
30K claims · 0.6%
$1.3M
8K claims · 0.6%
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