WHITE MEMORIAL MEDICAL CENTER
NPI 1942281936, organization, Los Angeles, CA, Special Hospital
- Part of provider network D1-00071, ranked 71 nationally.
- Medicaid dollars per patient on code 99281 ($388 per patient-month) sit in the top 5% of every provider billing that code.
Provider networks
D1-00071 ranked 71National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WHITE MEMORIAL MEDICAL CENTER (also ADVENTIST HEALTH WHITE MEMORIAL) |
| Type | Organization |
| Status | Active |
| NPI issued | November 8, 2005, last updated May 1, 2018 |
| Practice location | 1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033-2414, 323-268-5000 |
| Authorized official | John Raffoul (Cfo) |
| Specialties | Special Hospital (284300000X, primary, license 930000195 CA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99281 | Emergency department visit for problem that may not require health care professional | $401K | 46% | $388 | $62 (top 5% from $219) | 100th percentile | |
| 99199 | Medicaid service code | $196K | 23% | $224 | $12 (top 5% from $351) | 92nd percentile | |
| 0450 | Medicaid service code | $85K | 10% | $50 | $70 (top 5% from $393) | 29th percentile | |
| 80053 | Blood test, comprehensive group of blood chemicals | $49K | 6% | $52 | $8.38 (top 5% from $44) | 96th percentile | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $26K | 3% | $24 | $5.69 (top 5% from $25) | 95th percentile | |
| 0250 | Medicaid service code | $21K | 2% | $253 | $7.76 (top 5% from $170) | 99th percentile | |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | $18K | 2% | $99 | $9.18 (top 5% from $90) | 97th percentile | |
| 71045 | X-ray of chest, 1 view | $12K | 1% | $63 | $5.95 (top 5% from $56) | 96th percentile |
In this area
399 providers in Los Angeles County, CA carry an indicator in the public record, with $129.6M at stake between them. The most common is part of a provider network, on 346 of them, followed by paid after a public list action on 37. 53 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC Burbank, CA, ranked 17 | $67K |
|
| 1 | GOLDEN STAR LABS LLC Los Angeles, CA, ranked 32 | $41.0M |
|
| 1 | MATIAS CLINICAL LABORATORY INC Baldwin Park, CA, ranked 43 | $3.8M |
|
| 1 | HEALTHSMART PACIFIC INC Long Beach, CA, ranked 52 | $1.6M |
|
| 1 | LINDA WARREN-WATSON Lancaster, CA, ranked 71 | $828K |
|
| 1 | SOHRAB MOSHIRI Woodland Hills, CA, ranked 82 | $483K |
|
| 1 | QUALITY FAMILY HOSPICE CARE INC Tarzana, CA, ranked 92 | $375K |
|
| 1 | MARATHON HOSPICE CARE INC. North Hollywood, CA, ranked 95 | $368K |
|
Recent enforcement in CA
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.