Hospital
Grove City Medical Center
Grove City Medical Center was paid $2.17M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is 99285, emergency room visit (most serious) — 27% of everything it billed.
33Billing provider infoGROVE CITY MEDICAL CENTER
GROVE CITY, PA 16127
GROVE CITY, PA 16127
33aNPI1023000296assigned 08/16/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.17M
24GClaims74,768
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#87 of 154
Median peer was paid$2.82M
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 110 | $5K | |
| 2019 | 199 | $1K | |
| 2020 | 5,964 | $106K | |
| 2021 | 36,013 | $742K | |
| 2022 | 11,592 | $444K | |
| 2023 | 13,033 | $498K | |
| 2024incomplete | 7,857 | $376K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 4,345 | 4,210 | $595K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 5,247 | 5,125 | $522K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 6,707 | 6,546 | $467K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.6% | 2,074 | 964 | $79K |
| 80053 | Comprehensive metabolic panel | 2.5% | 5,673 | 5,361 | $54K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.2% | 322 | 312 | $49K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 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 | 1.6% | 437 | 414 | $35K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.6% | 315 | 312 | $34K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.0% | 2,794 | 2,632 | $23K |
| 80050 | General health panel | <1% | 435 | 421 | $19K |
| 80061 | Lipid panel | <1% | 1,372 | 1,345 | $17K |
113 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 299 | $16K |
| G0378 | Hospital observation service, per hour | <1% | 33 | $15K |
| 0002A | <1% | 354 | $13K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,967 | $13K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 365 | $12K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 151 | $12K |
| 0001A | <1% | 363 | $11K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 481 | $9K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 284 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 524 | $7K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 87 | $7K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 616 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 965 | $6K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,001 | $6K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,710 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 802 | $5K |
| 84484 | <1% | 689 | $5K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 83 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 79 | $3K |
| 82728 | <1% | 301 | $3K | |
| 81001 | <1% | 1,208 | $3K | |
| 84439 | <1% | 339 | $3K | |
| 73630 | <1% | 212 | $2K | |
| 73610 | <1% | 125 | $2K | |
| 83540 | <1% | 317 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 40 | $2K |
| 83690 | <1% | 530 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 308 | $2K |
| 85610 | <1% | 745 | $2K | |
| 93976 | <1% | 40 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 451 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,404 | $2K |
| 73130 | <1% | 152 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 86 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 532 | $2K |
| 83735 | <1% | 288 | $2K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 118 | $2K |
| 85379 | <1% | 161 | $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 | <1% | 77 | $1K |
| 85730 | <1% | 275 | $1K | |
| 83605 | <1% | 221 | $1K | |
| 82607 | <1% | 115 | $1K | |
| 84703 | <1% | 119 | $1K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 13 | $1K |
| 82570 | <1% | 179 | $1K | |
| 83550 | <1% | 276 | $1K | |
| 74018 | <1% | 81 | $1K | |
| 87806 | <1% | 41 | $1K | |
| 81003 | <1% | 395 | $1K | |
| 85027 | <1% | 194 | $1K | |
| 81025 | <1% | 291 | $958.40 | |
| 86803 | <1% | 53 | $953.15 | |
| 82043 | <1% | 138 | $919.89 | |
| 84702 | <1% | 57 | $877.44 | |
| 80076 | <1% | 119 | $869.68 | |
| 86140 | <1% | 321 | $843.67 | |
| 87081 | <1% | 186 | $836.68 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 13 | $801.92 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 39 | $793.55 |
| 87186 | <1% | 121 | $772.04 | |
| 85652 | <1% | 270 | $712.88 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 110 | $693.13 |
| 81002 | <1% | 295 | $657.92 | |
| 86618 | <1% | 29 | $622.55 | |
| 76536 | <1% | 15 | $501.17 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 15 | $488.25 |
| 84145 | <1% | 27 | $357.57 | |
| 85378 | <1% | 42 | $333.36 | |
| 84146 | <1% | 13 | $312.00 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 27 | $306.90 |
| 87040 | <1% | 27 | $305.20 | |
| 87077 | <1% | 40 | $260.75 | |
| 83880 | <1% | 17 | $255.26 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,251 | $214.26 |
| 93971 | <1% | 13 | $209.73 | |
| 84100 | <1% | 51 | $180.20 | |
| 80305 | <1% | 27 | $166.41 | |
| 87075 | <1% | 28 | $163.63 | |
| 73030 | <1% | 12 | $160.88 | |
| 85651 | <1% | 57 | $150.90 | |
| 83615 | <1% | 28 | $143.22 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 62 | $130.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 952 | $125.20 |
| 87070 | <1% | 29 | $104.63 | |
| J2704 | Injection, propofol, 10 mg | <1% | 300 | $95.27 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 136 | $94.76 |
| 82962 | <1% | 75 | $80.40 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 36 | $79.67 |
| 87205 | <1% | 26 | $76.97 | |
| 86850 | <1% | 12 | $62.97 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 386 | $55.81 |
| 87147 | <1% | 14 | $45.30 | |
| 86592 | <1% | 13 | $43.20 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $42.56 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 956 | $35.38 |
| 86901 | <1% | 12 | $31.08 | |
| 86900 | <1% | 12 | $30.69 | |
| 94761 | <1% | 52 | $28.96 | |
| 96376 | <1% | 20 | $28.26 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 13 | $27.54 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 27 | $26.52 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 154 | $20.91 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 30 | $19.04 |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 51 | $14.55 |
| 87899 | <1% | 32 | $12.96 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 57 | $12.93 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 72 | $12.51 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 301 | $7.26 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 13 | $3.20 |
| J3490 | Unclassified drugs | <1% | 59 | $2.35 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 161 | $0.30 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 852 | $0.02 |
| A9270 | Non-covered item or service | 0% | 2,984 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFRIES, RICK (VP, FINANCE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.