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Alameda Health System

General Acute Care Hospital·Oakland, CA·NPI: 1700087590Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $172.0M is at the 50th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$172.0M

$172,033,330

Total Claims

4.1M

Beneficiaries

3.5M

1.2 claims/patient

Avg Cost/Claim

$42

#570 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Alameda Health System is a General Acute Care Hospital provider based in Oakland, CA. From the 2018–2024 period, this provider received $172.0M in Medicaid payments across 4.1M claims.

Why This Matters

This provider received $172.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,504 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 229% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.0M
-6%
2019
$12.2M
+25%
2020
$15.3M
+39%
2021
$21.2M
+41%
2022
$29.9M
+25%
2023
$37.5M
+14%
2024
$42.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0681) accounts for 13% of total spending.

0681Top 1%

$21.6M

1K claims · 12.6%

Your Cost: $16,114.12/claim|Median: $626.33
25.7× median
99284Normal range

Emergency dept visit, high complexity

$12.9M

200K claims · 7.5%

Your Cost: $64.73/claim|Median: $69.51
0.9× median
J9271Top 5%

Injection, pembrolizumab, 1 mg

$11.0M

821 claims · 6.4%

Your Cost: $13,405.97/claim|Median: $5,391.55
2.5× median
99070Top 25%

$5.3M

169K claims · 3.1%

Your Cost: $31.53/claim|Median: $8.08
3.9× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$5.2M

126K claims · 3.0%

Your Cost: $41.07/claim|Median: $16.77
2.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$4.6M

21K claims · 2.7%

Your Cost: $217.91/claim|Median: $65.76
3.3× median
70450Top 10%

CT head/brain without contrast

$3.6M

19K claims · 2.1%

Your Cost: $186.17/claim|Median: $45.53
4.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.3M

34K claims · 1.9%

Your Cost: $95.64/claim|Median: $85.65
1.1× median
71260Top 5%

CT chest with contrast

$2.6M

7K claims · 1.5%

Your Cost: $347.70/claim|Median: $48.36
7.2× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.3M

23K claims · 1.4%

Your Cost: $102.91/claim|Median: $21.76
4.7× median
99199Top 10%

Unlisted special service, procedure, or report

$2.3M

28K claims · 1.3%

Your Cost: $82.10/claim|Median: $5.39
15.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2.2M

16K claims · 1.3%

Your Cost: $135.87/claim|Median: $54.68
2.5× median
J3490Top 25%

Unclassified drugs

$2.2M

79K claims · 1.3%

Your Cost: $27.35/claim|Median: $5.70
4.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$2.1M

50K claims · 1.2%

Your Cost: $42.65/claim|Median: $7.50
5.7× median
99283Normal range

Emergency dept visit, moderate complexity

$2.0M

51K claims · 1.2%

Your Cost: $39.53/claim|Median: $42.48
0.9× median
72125Top 5%

CT cervical spine without contrast

$2.0M

5K claims · 1.2%

Your Cost: $404.53/claim|Median: $32.30
12.5× median
80053Top 25%

Comprehensive metabolic panel

$2.0M

176K claims · 1.1%

Your Cost: $11.19/claim|Median: $7.24
1.6× median
70553Top 5%

MRI brain without contrast, then with contrast

$1.8M

2K claims · 1.1%

Your Cost: $781.54/claim|Median: $133.68
5.8× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$1.7M

21K claims · 1.0%

Your Cost: $78.38/claim|Median: $23.99
3.3× median
Z7502Normal range

$1.5M

41K claims · 0.9%

Your Cost: $37.13/claim|Median: $37.17
1.0× median
J1459Top 5%

$1.4M

354 claims · 0.8%

Your Cost: $3,935.96/claim|Median: $949.14
4.2× median
77067Top 25%

Screening mammography, bilateral, including CAD

$1.4M

18K claims · 0.8%

Your Cost: $77.08/claim|Median: $39.33
2.0× median
0450Top 25%

Emergency room visit

$1.4M

20K claims · 0.8%

Your Cost: $67.86/claim|Median: $44.95
1.5× median
96365Top 25%

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

$1.4M

10K claims · 0.8%

Your Cost: $130.98/claim|Median: $54.77
2.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.3M

21K claims · 0.8%

Your Cost: $62.41/claim|Median: $35.30
1.8× median
72148Top 1%

MRI lumbar spine without contrast

$1.2M

2K claims · 0.7%

Your Cost: $660.22/claim|Median: $101.03
6.5× median
93308Top 25%

$1.2M

8K claims · 0.7%

Your Cost: $153.33/claim|Median: $20.08
7.6× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.2M

18K claims · 0.7%

Your Cost: $66.86/claim|Median: $14.92
4.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.1M

153K claims · 0.7%

Your Cost: $7.51/claim|Median: $4.71
1.6× median
99221Top 1%

Initial hospital care, straightforward/low

$1.1M

1K claims · 0.7%

Your Cost: $896.25/claim|Median: $39.96
22.4× median

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