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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaiser Foundation Hospitals
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    Kaiser Foundation Hospitals — Billing Profile & Reimbursement Data

    NPI 1538214556 · Los Angeles, CA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Kaiser Foundation Hospitals is a end-stage renal disease (esrd) treatment clinic/center provider located in Los Angeles, California. This profile covers 0 Medicare and 52 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKaiser Foundation Hospitals
    Address4700 W Sunset Blvd
    CityLos Angeles
    StateCA
    ZIP90027
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJanuary 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$27.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    52 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.65,790$370$24.6M
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units7,620$160$1.2M
    J1756Injection, iron sucrose, 1 mg6,630$30$212.1K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.4,440$40$159.9K
    P9047Infusion, albumin (human), 25%, 50 ml2,180$60$139.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…180$590$107.5K
    0637N/A51,950$1$103.9K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…220$460$101.4K
    J1644Injection, heparin sodium, per 1000 units33,470$1$100.4K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)8,680$10$78.1K

    Showing 1–10 of 52

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    52 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.6573025,970$150$4.5M
    90966The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…5860230$130$109.6K
    0250N/A5098202,180$10$97.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…133240240$100$97.5K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)1894605,680$10$90.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…7842,1001,130$1$83.5K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…40110140$120$80K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…8221,360590$10$74.1K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…2731,110300$10$70.2K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units140210$110$67.3K

    Showing 1–10 of 52

    Nearby Providers

    Other providers in the same ZIP code as Kaiser Foundation Hospitals, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altamed Health Services Corp.CAFederally Qualified Health Center (FQHC)$0$305.5M
    Childrens Hospital Of Los AngelesCAChildren's Hospital$0$137M
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$66.4M
    Asian Pacific Health Care Venture, Inc.CACommunity Health Clinic/Center$0$54M
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$48.2M
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$45.3M
    Children's Hospital Los Angeles Medical Group, Inc.CAMulti-Specialty Clinic/Center$0$24.6M
    Ovik AvetisyanCADurable Medical Equipment & Medical Supplies$0$23.8M
    Lance ChapmanCAMOHS-Micrographic Surgery Physician$1.4M$0
    Vincent BennettCAEmergency Medicine Physician$1.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Kaiser Foundation Hospitals — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California