Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

General Acute Care Hospital·MISSION HILLS, CA·NPI: 1477587632Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $54.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$54.1M

$54,071,157

Total Claims

1.6M

Beneficiaries

1.5M

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$7.6M
+42%
2019
$10.8M
-56%
2020
$4.8M
+15%
2021
$5.5M
+43%
2022
$7.8M
+21%
2023
$9.5M
-14%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 28% of total spending.

0450Top 25%

Emergency room visit

$15.0M

218K claims · 27.8%

Your Cost: $68.89/claim|Median: $44.95
1.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$3.6M

28K claims · 6.6%

Your Cost: $125.92/claim|Median: $52.03
2.4× median
80053Top 5%

Comprehensive metabolic panel

$3.1M

78K claims · 5.7%

Your Cost: $39.25/claim|Median: $7.24
5.4× median
70450Top 25%

CT head/brain without contrast

$2.7M

17K claims · 5.1%

Your Cost: $162.98/claim|Median: $45.53
3.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$2.2M

13K claims · 4.2%

Your Cost: $171.95/claim|Median: $60.19
2.9× median
99199Top 10%

Unlisted special service, procedure, or report

$1.6M

23K claims · 2.9%

Your Cost: $69.22/claim|Median: $5.39
12.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.3M

5,486 claims · 2.5%

Your Cost: $241.54/claim|Median: $65.76
3.7× median
Z7502Normal range

$1.0M

29K claims · 1.9%

Your Cost: $36.41/claim|Median: $37.17
1.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.0M

41K claims · 1.9%

Your Cost: $25.13/claim|Median: $7.50
3.4× median
71045Top 25%

Chest X-ray, single view

$972K

51K claims · 1.8%

Your Cost: $18.99/claim|Median: $4.93
3.9× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$951K

88K claims · 1.8%

Your Cost: $10.82/claim|Median: $4.71
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$886K

26K claims · 1.6%

Your Cost: $34.61/claim|Median: $21.76
1.6× median
80048Top 10%

Basic metabolic panel

$612K

23K claims · 1.1%

Your Cost: $26.63/claim|Median: $5.78
4.6× median
72125Top 10%

CT cervical spine without contrast

$592K

2,679 claims · 1.1%

Your Cost: $221.14/claim|Median: $32.30
6.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$590K

5,272 claims · 1.1%

Your Cost: $111.89/claim|Median: $85.65
1.3× median
76700Normal range

Ultrasound, abdominal, complete

$536K

6,867 claims · 1.0%

Your Cost: $78.12/claim|Median: $50.69
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$535K

21K claims · 1.0%

Your Cost: $25.11/claim|Median: $14.92
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$507K

7,718 claims · 0.9%

Your Cost: $65.74/claim|Median: $42.48
1.5× median
81001Top 10%

Urinalysis, automated, with microscopy

$488K

52K claims · 0.9%

Your Cost: $9.44/claim|Median: $2.03
4.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$486K

26K claims · 0.9%

Your Cost: $18.72/claim|Median: $9.56
2.0× median
99284Normal range

Emergency dept visit, high complexity

$395K

7,704 claims · 0.7%

Your Cost: $51.33/claim|Median: $69.51
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$391K

9,044 claims · 0.7%

Your Cost: $43.22/claim|Median: $35.43
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$382K

16K claims · 0.7%

Your Cost: $23.98/claim|Median: $38.92
0.6× median
83690Top 10%

$368K

40K claims · 0.7%

Your Cost: $9.27/claim|Median: $3.35
2.8× median
0762Normal range

$360K

2,495 claims · 0.7%

Your Cost: $144.11/claim|Median: $102.28
1.4× median
84484Top 25%

Troponin, quantitative

$358K

29K claims · 0.7%

Your Cost: $12.14/claim|Median: $4.84
2.5× median
76856Normal range

Ultrasound, pelvic, complete

$343K

4,987 claims · 0.6%

Your Cost: $68.79/claim|Median: $47.58
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$327K

5,209 claims · 0.6%

Your Cost: $62.82/claim|Median: $58.16
1.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$321K

6,661 claims · 0.6%

Your Cost: $48.17/claim|Median: $54.77
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$306K

7,752 claims · 0.6%

Your Cost: $39.53/claim|Median: $63.08
0.6× median
81025Normal range

Urine pregnancy test

$305K

48K claims · 0.6%

Your Cost: $6.38/claim|Median: $4.81
1.3× median
76705Normal range

Ultrasound, abdominal, limited

$302K

5,739 claims · 0.6%

Your Cost: $52.65/claim|Median: $23.81
2.2× median
0250Normal range

$300K

35K claims · 0.6%

Your Cost: $8.54/claim|Median: $3.70
2.3× median
87086Top 25%

Urine culture, colony count, with identification

$275K

23K claims · 0.5%

Your Cost: $11.73/claim|Median: $5.31
2.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$252K

1,276 claims · 0.5%

Your Cost: $197.31/claim|Median: $54.68
3.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$251K

9,162 claims · 0.5%

Your Cost: $27.35/claim|Median: $39.70
0.7× median
76815Normal range

Ultrasound, pregnant uterus, limited

$249K

6,904 claims · 0.5%

Your Cost: $36.00/claim|Median: $36.79
1.0× median
81003Top 5%

Urinalysis, automated without microscopy

$244K

35K claims · 0.5%

Your Cost: $6.90/claim|Median: $1.48
4.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$229K

4,365 claims · 0.4%

Your Cost: $52.46/claim|Median: $47.65
1.1× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$228K

1,459 claims · 0.4%

Your Cost: $156.36/claim|Median: $79.28
2.0× median
71275Top 25%

CT angiography, chest, with contrast

$228K

1,251 claims · 0.4%

Your Cost: $182.17/claim|Median: $92.96
2.0× median
76830Normal range

Ultrasound, transvaginal

$223K

3,492 claims · 0.4%

Your Cost: $63.88/claim|Median: $57.47
1.1× median
0214Normal range

$221K

172 claims · 0.4%

Your Cost: $1,282.92/claim|Median: $1,282.92
1.0× median
Z9725Normal range

$213K

4,947 claims · 0.4%

Your Cost: $42.98/claim|Median: $42.99
1.0× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$210K

9,027 claims · 0.4%

Your Cost: $23.29/claim|Median: $3.42
6.8× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$205K

2,378 claims · 0.4%

Your Cost: $86.02/claim|Median: $25.43
3.4× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$204K

1,455 claims · 0.4%

Your Cost: $140.22/claim|Median: $43.07
3.3× median
36415Top 25%

Collection of venous blood by venipuncture

$193K

54K claims · 0.4%

Your Cost: $3.58/claim|Median: $1.57
2.3× median
83880Top 25%

$186K

7,973 claims · 0.3%

Your Cost: $23.29/claim|Median: $11.81
2.0× median
70486Top 10%

$185K

1,105 claims · 0.3%

Your Cost: $167.77/claim|Median: $44.28
3.8× median