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Palomar Health

General Acute Care Hospital·Escondido, CA·NPI: 1457321317Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $144.1M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$144.1M

$144,138,018

Total Claims

1.5M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$99

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

🔍 Analysis

Provider Overview

Palomar Health is a General Acute Care Hospital provider based in Escondido, CA. From the 2018–2024 period, this provider received $144.1M in Medicaid payments across 1.5M claims.

Why This Matters

This provider received $144.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,017 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 22% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.5M
-23%
2019
$20.3M
-10%
2020
$18.3M
-8%
2021
$16.8M
+20%
2022
$20.2M
+5%
2023
$21.3M
-3%
2024
$20.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 14% of total spending.

0450Top 5%

Emergency room visit

$19.8M

57K claims · 13.8%

Your Cost: $347.77/claim|Median: $44.95
7.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$19.7M

67K claims · 13.7%

Your Cost: $296.29/claim|Median: $42.48
7.0× median
J3490Top 5%

Unclassified drugs

$18.7M

104K claims · 13.0%

Your Cost: $179.12/claim|Median: $5.70
31.4× median
80048Top 1%

Basic metabolic panel

$9.0M

72K claims · 6.3%

Your Cost: $125.57/claim|Median: $5.78
21.7× median
80053Top 1%

Comprehensive metabolic panel

$9.0M

36K claims · 6.2%

Your Cost: $247.59/claim|Median: $7.24
34.2× median
99284Top 5%

Emergency dept visit, high complexity

$4.9M

18K claims · 3.4%

Your Cost: $265.25/claim|Median: $69.51
3.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.9M

13K claims · 2.7%

Your Cost: $298.34/claim|Median: $85.65
3.5× median
Q9967Top 1%

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

$3.5M

12K claims · 2.4%

Your Cost: $297.97/claim|Median: $3.42
87.1× median
0250Top 10%

$2.7M

48K claims · 1.9%

Your Cost: $56.99/claim|Median: $3.70
15.4× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$2.6M

14K claims · 1.8%

Your Cost: $186.22/claim|Median: $1.53
121.7× median
70450Top 25%

CT head/brain without contrast

$2.5M

16K claims · 1.7%

Your Cost: $154.14/claim|Median: $45.53
3.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.4M

11K claims · 1.7%

Your Cost: $226.80/claim|Median: $65.76
3.5× median
99499Top 10%

Unlisted evaluation and management service

$2.0M

19K claims · 1.4%

Your Cost: $108.04/claim|Median: $30.88
3.5× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.9M

11K claims · 1.3%

Your Cost: $174.61/claim|Median: $97.61
1.8× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.4M

6K claims · 1.0%

Your Cost: $248.63/claim|Median: $9.56
26.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.4M

53K claims · 0.9%

Your Cost: $25.88/claim|Median: $7.50
3.5× median
71045Top 10%

Chest X-ray, single view

$1.3M

37K claims · 0.9%

Your Cost: $34.88/claim|Median: $4.93
7.1× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$1.2M

16K claims · 0.8%

Your Cost: $74.60/claim|Median: $35.43
2.1× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$1.1M

10K claims · 0.8%

Your Cost: $108.60/claim|Median: $36.79
3.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.0M

8K claims · 0.7%

Your Cost: $128.78/claim|Median: $60.19
2.1× median
72125Top 25%

CT cervical spine without contrast

$1.0M

7K claims · 0.7%

Your Cost: $141.89/claim|Median: $32.30
4.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$999K

80K claims · 0.7%

Your Cost: $12.48/claim|Median: $4.71
2.6× median
71046Top 5%

Chest X-ray, 2 views

$928K

9K claims · 0.6%

Your Cost: $98.85/claim|Median: $8.92
11.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$904K

16K claims · 0.6%

Your Cost: $55.21/claim|Median: $37.56
1.5× median
99282Top 5%

Emergency dept visit, low complexity

$903K

3K claims · 0.6%

Your Cost: $266.81/claim|Median: $37.72
7.1× median
97139Normal range

$870K

18K claims · 0.6%

Your Cost: $47.18/claim|Median: $28.71
1.6× median
81001Top 5%

Urinalysis, automated, with microscopy

$712K

42K claims · 0.5%

Your Cost: $17.03/claim|Median: $2.03
8.4× median
80076Top 5%

Hepatic function panel

$657K

32K claims · 0.5%

Your Cost: $20.63/claim|Median: $4.59
4.5× median
0206Normal range

$629K

413 claims · 0.4%

Your Cost: $1,523.73/claim|Median: $2,282.75
0.7× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$609K

25K claims · 0.4%

Your Cost: $24.06/claim|Median: $4.20
5.7× median

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