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

⚖️ Compare🖨️ Print Report

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

General Acute Care Hospital·SAN PEDRO, CA·NPI: 1942247291Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$24.3M

$24,259,214

Total Claims

509K

Beneficiaries

456K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+17%
2019
$2.8M
-26%
2020
$2.1M
+36%
2021
$2.9M
+36%
2022
$3.9M
+27%
2023
$4.9M
+6%
2024
$5.2M

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 39% of total spending.

0450Top 25%

Emergency room visit

$9.6M

75K claims · 39.5%

Your Cost: $127.39/claim|Median: $44.95
2.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.2M

2,415 claims · 4.9%

Your Cost: $492.96/claim|Median: $65.76
7.5× median
70450Top 5%

CT head/brain without contrast

$1.0M

3,668 claims · 4.2%

Your Cost: $276.58/claim|Median: $45.53
6.1× median
74176Top 5%

CT abdomen and pelvis without contrast

$664K

1,750 claims · 2.7%

Your Cost: $379.43/claim|Median: $60.19
6.3× median
80053Top 5%

Comprehensive metabolic panel

$654K

15K claims · 2.7%

Your Cost: $43.57/claim|Median: $7.24
6.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$639K

16K claims · 2.6%

Your Cost: $39.44/claim|Median: $21.76
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$599K

15K claims · 2.5%

Your Cost: $40.02/claim|Median: $7.50
5.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$530K

13K claims · 2.2%

Your Cost: $40.91/claim|Median: $14.92
2.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$518K

28K claims · 2.1%

Your Cost: $18.28/claim|Median: $4.71
3.9× median
71045Top 5%

Chest X-ray, single view

$478K

9,106 claims · 2.0%

Your Cost: $52.48/claim|Median: $4.93
10.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$464K

13K claims · 1.9%

Your Cost: $35.81/claim|Median: $39.70
0.9× median
80048Top 5%

Basic metabolic panel

$453K

13K claims · 1.9%

Your Cost: $34.95/claim|Median: $5.78
6.0× median
99281Normal range

Emergency dept visit, minimal complexity

$413K

4,538 claims · 1.7%

Your Cost: $90.91/claim|Median: $52.03
1.7× median
71046Top 10%

Chest X-ray, 2 views

$381K

7,847 claims · 1.6%

Your Cost: $48.59/claim|Median: $8.92
5.4× median
99199Top 10%

Unlisted special service, procedure, or report

$349K

6,104 claims · 1.4%

Your Cost: $57.16/claim|Median: $5.39
10.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$329K

1,698 claims · 1.4%

Your Cost: $193.79/claim|Median: $85.65
2.3× median
Z7502Normal range

$320K

8,874 claims · 1.3%

Your Cost: $36.06/claim|Median: $37.17
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$309K

7,878 claims · 1.3%

Your Cost: $39.18/claim|Median: $35.43
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$259K

9,095 claims · 1.1%

Your Cost: $28.47/claim|Median: $38.92
0.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$242K

8,458 claims · 1.0%

Your Cost: $28.59/claim|Median: $9.56
3.0× median
81001Top 10%

Urinalysis, automated, with microscopy

$242K

23K claims · 1.0%

Your Cost: $10.30/claim|Median: $2.03
5.1× median
99284Normal range

Emergency dept visit, high complexity

$235K

2,907 claims · 1.0%

Your Cost: $80.85/claim|Median: $69.51
1.2× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$233K

4,062 claims · 1.0%

Your Cost: $57.34/claim|Median: $10.88
5.3× median
83690Top 10%

$201K

12K claims · 0.8%

Your Cost: $16.67/claim|Median: $3.35
5.0× median
76705Top 25%

Ultrasound, abdominal, limited

$191K

2,124 claims · 0.8%

Your Cost: $89.91/claim|Median: $23.81
3.8× median
96365Normal range

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

$165K

3,344 claims · 0.7%

Your Cost: $49.24/claim|Median: $54.77
0.9× median
84484Top 10%

Troponin, quantitative

$152K

9,194 claims · 0.6%

Your Cost: $16.53/claim|Median: $4.84
3.4× median
87086Top 5%

Urine culture, colony count, with identification

$136K

4,932 claims · 0.6%

Your Cost: $27.57/claim|Median: $5.31
5.2× median
99283Normal range

Emergency dept visit, moderate complexity

$132K

2,649 claims · 0.5%

Your Cost: $49.99/claim|Median: $42.48
1.2× median
80076Top 5%

Hepatic function panel

$132K

5,536 claims · 0.5%

Your Cost: $23.88/claim|Median: $4.59
5.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$126K

2,912 claims · 0.5%

Your Cost: $43.37/claim|Median: $63.08
0.7× median
87040Top 5%

$123K

3,282 claims · 0.5%

Your Cost: $37.50/claim|Median: $5.54
6.8× median
76830Normal range

Ultrasound, transvaginal

$119K

1,508 claims · 0.5%

Your Cost: $78.96/claim|Median: $57.47
1.4× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$114K

9,191 claims · 0.5%

Your Cost: $12.42/claim|Median: $1.53
8.1× median
0250Normal range

$107K

17K claims · 0.4%

Your Cost: $6.48/claim|Median: $3.70
1.8× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$88K

650 claims · 0.4%

Your Cost: $135.23/claim|Median: $79.28
1.7× median
96376Top 25%

$86K

2,424 claims · 0.4%

Your Cost: $35.28/claim|Median: $3.19
11.1× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$85K

2,342 claims · 0.3%

Your Cost: $36.12/claim|Median: $61.57
0.6× median
83880Normal range

$78K

4,644 claims · 0.3%

Your Cost: $16.90/claim|Median: $11.81
1.4× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$78K

943 claims · 0.3%

Your Cost: $82.23/claim|Median: $47.65
1.7× median
83605Top 5%

$77K

2,495 claims · 0.3%

Your Cost: $30.94/claim|Median: $4.66
6.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$77K

1,044 claims · 0.3%

Your Cost: $73.30/claim|Median: $58.16
1.3× median
J3490Normal range

Unclassified drugs

$76K

12K claims · 0.3%

Your Cost: $6.35/claim|Median: $5.70
1.1× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$73K

10K claims · 0.3%

Your Cost: $7.08/claim|Median: $0.58
12.2× median
76856Top 25%

Ultrasound, pelvic, complete

$72K

721 claims · 0.3%

Your Cost: $99.25/claim|Median: $47.58
2.1× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$68K

9,976 claims · 0.3%

Your Cost: $6.86/claim|Median: $0.91
7.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$67K

708 claims · 0.3%

Your Cost: $94.24/claim|Median: $25.43
3.7× median
J2270Top 10%

Injection, morphine sulfate, up to ten milligrams

$67K

6,417 claims · 0.3%

Your Cost: $10.38/claim|Median: $1.00
10.4× median
73562Top 10%

$66K

1,505 claims · 0.3%

Your Cost: $43.81/claim|Median: $12.28
3.6× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$59K

4,912 claims · 0.2%

Your Cost: $12.04/claim|Median: $2.14
5.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in California →How we detect fraud →