Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GROVE CITY MEDICAL CENTER

NPI: 1023000296 · GROVE CITY, PA 16127 · General Acute Care Hospital · NPI assigned 08/16/2005

$2.17M
Total Medicaid Paid
74,768
Total Claims
68,475
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, RICK (VP, FINANCE)
NPI Enumeration Date08/16/2005

Related Entities

Other providers sharing the same authorized official: FRIES, RICK

ProviderCityStateTotal Paid
JEFFERSON REGIONAL MEDICAL CENTER CLAIRTON PA $12.73M
WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH PA $12.69M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. PITTSBURGH PA $10.81M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. MONROEVILLE PA $8.24M
ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS PA $6.09M
CANONSBURG GENERAL HOSPITAL CANONSBURG PA $2.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $5K
2019 199 $1K
2020 5,964 $106K
2021 36,013 $742K
2022 11,592 $444K
2023 13,033 $498K
2024 7,857 $376K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,345 4,210 $595K
99284 Emergency department visit for the evaluation and management, high severity 5,247 5,125 $522K
99283 Emergency department visit for the evaluation and management, moderate severity 6,707 6,546 $467K
T1015 Clinic visit/encounter, all-inclusive 2,074 964 $79K
80053 Comprehensive metabolic panel 5,673 5,361 $54K
74177 Computed tomography, abdomen and pelvis; with contrast material 322 312 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,177 8,451 $44K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 437 414 $35K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 315 312 $34K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,794 2,632 $23K
80050 General health panel 435 421 $19K
80061 Lipid panel 1,372 1,345 $17K
70450 Computed tomography, head or brain; without contrast material 299 289 $16K
G0378 Hospital observation service, per hour 33 28 $15K
0002A 354 354 $13K
80048 Basic metabolic panel (calcium, ionized) 1,967 1,816 $13K
99282 Emergency department visit for the evaluation and management, low to moderate severity 365 353 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 151 149 $12K
0001A 363 361 $11K
84443 Thyroid stimulating hormone (TSH) 481 471 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 284 278 $8K
71046 Radiologic examination, chest; 2 views 524 505 $7K
77067 Screening mammography, bilateral, including computer-aided detection 87 85 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 616 608 $6K
71045 Radiologic examination, chest; single view 965 934 $6K
96375 Therapeutic injection; each additional sequential IV push 1,001 927 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,710 1,629 $5K
83036 Hemoglobin; glycosylated (A1C) 802 793 $5K
84484 689 619 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 83 81 $3K
76830 Ultrasound, transvaginal 79 77 $3K
82728 301 291 $3K
81001 1,208 1,161 $3K
84439 339 335 $3K
73630 212 202 $2K
73610 125 124 $2K
83540 317 309 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 40 40 $2K
83690 530 511 $2K
87086 Culture, bacterial; quantitative colony count, urine 308 288 $2K
85610 745 592 $2K
93976 40 40 $2K
96361 Intravenous infusion, hydration; each additional hour 451 421 $2K
36415 Collection of venous blood by venipuncture 5,404 4,837 $2K
73130 152 139 $2K
77063 Screening digital breast tomosynthesis, bilateral 86 84 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 532 396 $2K
83735 288 195 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 118 104 $2K
85379 161 156 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 77 77 $1K
85730 275 259 $1K
83605 221 197 $1K
82607 115 110 $1K
84703 119 113 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $1K
82570 179 175 $1K
83550 276 268 $1K
74018 81 77 $1K
87806 41 41 $1K
81003 395 379 $1K
85027 194 177 $1K
81025 291 280 $958.40
86803 53 53 $953.15
82043 138 134 $919.89
84702 57 46 $877.44
80076 119 114 $869.68
86140 321 301 $843.67
87081 186 182 $836.68
72125 Computed tomography, cervical spine; without contrast material 13 13 $801.92
99281 Emergency department visit for the evaluation and management, self-limited or minor 39 38 $793.55
87186 121 112 $772.04
85652 270 256 $712.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 110 107 $693.13
81002 295 276 $657.92
86618 29 28 $622.55
76536 15 13 $501.17
76705 Ultrasound, abdominal, real time with image documentation; limited 15 15 $488.25
84145 27 25 $357.57
85378 42 42 $333.36
84146 13 13 $312.00
88305 Level IV - Surgical pathology, gross and microscopic examination 27 26 $306.90
87040 27 25 $305.20
87077 40 38 $260.75
83880 17 15 $255.26
J7030 Infusion, normal saline solution , 1000 cc 1,251 1,051 $214.26
93971 13 12 $209.73
84100 51 43 $180.20
80305 27 26 $166.41
87075 28 26 $163.63
73030 12 12 $160.88
85651 57 55 $150.90
83615 28 26 $143.22
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 62 60 $130.50
J1885 Injection, ketorolac tromethamine, per 15 mg 952 847 $125.20
87070 29 27 $104.63
J2704 Injection, propofol, 10 mg 300 266 $95.27
J1170 Injection, hydromorphone, up to 4 mg 136 111 $94.76
82962 75 56 $80.40
G0463 Hospital outpatient clinic visit for assessment and management of a patient 36 28 $79.67
87205 26 26 $76.97
86850 12 12 $62.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg 386 313 $55.81
87147 14 14 $45.30
86592 13 13 $43.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 43 30 $42.56
J2405 Injection, ondansetron hydrochloride, per 1 mg 956 831 $35.38
86901 12 12 $31.08
86900 12 12 $30.69
94761 52 48 $28.96
96376 20 13 $28.26
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 13 13 $27.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 27 25 $26.52
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 154 129 $20.91
J0696 Injection, ceftriaxone sodium, per 250 mg 30 26 $19.04
J3475 Injection, magnesium sulfate, per 500 mg 51 42 $14.55
87899 32 29 $12.96
J1200 Injection, diphenhydramine hcl, up to 50 mg 57 54 $12.93
J3010 Injection, fentanyl citrate, 0.1 mg 72 59 $12.51
J7120 Ringers lactate infusion, up to 1000 cc 301 254 $7.26
J0690 Injection, cefazolin sodium, 500 mg 13 13 $3.20
J3490 Unclassified drugs 59 51 $2.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 161 138 $0.30
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 852 792 $0.02
A9270 Non-covered item or service 2,984 2,167 $0.00