Medicaid Provider Spending

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

GEISINGER MEDICAL CENTER

NPI: 1033491741 · COAL TOWNSHIP, PA 17866 · Clinic/Center · NPI assigned 09/20/2011

$4.65M
Total Medicaid Paid
115,346
Total Claims
109,070
Beneficiaries
165
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCERMINARO, DANIELLE (VP AND CFO)
NPI Enumeration Date09/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 150 $2K
2020 8,326 $231K
2021 45,427 $1.43M
2022 19,388 $1.02M
2023 17,749 $974K
2024 24,306 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,308 8,918 $1.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,438 5,199 $864K
99283 Emergency department visit for the evaluation and management, moderate severity 10,648 10,252 $856K
0202U Oncology (prostate), multianalyte, gene expression profiling 3,405 3,289 $764K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,263 2,217 $86K
80053 Comprehensive metabolic panel 8,128 7,739 $81K
77067 Screening mammography, bilateral, including computer-aided detection 721 717 $69K
74177 Computed tomography, abdomen and pelvis; with contrast material 356 350 $68K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 690 684 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,267 10,670 $56K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,850 1,782 $52K
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 398 394 $30K
84443 Thyroid stimulating hormone (TSH) 1,310 1,285 $27K
87631 250 242 $26K
T1015 Clinic visit/encounter, all-inclusive 537 371 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,432 2,346 $26K
0100U 57 55 $25K
71046 Radiologic examination, chest; 2 views 1,359 1,292 $22K
84702 1,481 1,350 $21K
76830 Ultrasound, transvaginal 315 309 $21K
80061 Lipid panel 1,357 1,351 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,017 1,927 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited 319 315 $16K
70450 Computed tomography, head or brain; without contrast material 205 197 $15K
80048 Basic metabolic panel (calcium, ionized) 2,127 1,967 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 304 295 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 395 393 $14K
84484 1,605 1,388 $13K
96361 Intravenous infusion, hydration; each additional hour 1,104 1,066 $13K
90670 190 189 $12K
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 831 818 $10K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 208 198 $10K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 92 92 $9K
36415 Collection of venous blood by venipuncture 5,841 5,258 $8K
76770 118 118 $8K
96375 Therapeutic injection; each additional sequential IV push 456 441 $7K
83690 1,702 1,624 $7K
83036 Hemoglobin; glycosylated (A1C) 954 949 $6K
76536 85 85 $6K
83605 843 784 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 150 98 $5K
71045 Radiologic examination, chest; single view 496 474 $5K
90723 98 98 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 256 252 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 254 250 $5K
87086 Culture, bacterial; quantitative colony count, urine 675 654 $4K
85027 782 741 $4K
76642 95 84 $4K
83880 174 165 $4K
82805 160 142 $4K
81001 1,531 1,481 $4K
87481 54 53 $4K
Q3014 Telehealth originating site facility fee 318 294 $3K
90715 507 498 $3K
G0009 Administration of pneumococcal vaccine 208 208 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 25 25 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 305 292 $3K
90680 81 81 $3K
90686 215 215 $3K
90472 Immunization administration, each additional vaccine (list separately) 201 201 $3K
73564 214 200 $3K
72100 141 138 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,950 1,878 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 25 $2K
73630 369 342 $2K
73030 222 207 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 65 63 $2K
73610 231 222 $2K
82607 188 187 $2K
85610 692 530 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 111 111 $2K
82728 185 176 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 17 17 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $2K
90647 108 108 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 50 25 $2K
G0008 Administration of influenza virus vaccine 165 165 $2K
83540 208 199 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 70 70 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $2K
85379 206 204 $2K
83735 316 280 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 54 53 $1K
77065 Tomosynthesis, mammo 14 14 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 57 54 $1K
81003 592 573 $1K
86803 99 99 $1K
87430 217 215 $1K
73110 176 169 $1K
84439 137 133 $1K
73130 204 184 $1K
86140 467 449 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 40 40 $1K
87511 52 51 $946.73
88305 Level IV - Surgical pathology, gross and microscopic examination 106 71 $923.82
81025 349 342 $886.80
86900 216 198 $836.37
20610 62 56 $827.86
90633 13 13 $810.55
83655 77 77 $788.60
83550 169 164 $780.44
86850 197 194 $744.96
82375 162 144 $714.64
87186 117 111 $653.83
82570 97 95 $617.01
82248 108 105 $604.80
71250 13 13 $601.18
72125 Computed tomography, cervical spine; without contrast material 14 12 $562.44
86901 216 198 $546.07
82962 425 318 $535.59
87150 12 12 $460.55
90473 45 45 $460.20
83050 160 142 $445.80
J1885 Injection, ketorolac tromethamine, per 15 mg 4,719 4,415 $419.34
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 12 $404.91
85652 133 130 $321.09
86618 14 14 $303.68
74018 30 30 $301.37
72040 15 14 $299.56
80076 49 48 $289.41
84100 68 54 $274.66
73080 44 42 $274.51
87340 39 39 $228.77
73502 12 12 $226.61
86780 13 13 $208.78
A9585 Injection, gadobutrol, 0.1 ml 276 258 $206.14
82565 44 42 $199.95
J2704 Injection, propofol, 10 mg 1,384 1,112 $181.24
85007 42 42 $154.42
90474 13 13 $131.50
83525 14 14 $131.23
87077 30 29 $125.28
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,505 2,338 $108.40
J2270 Injection, morphine sulfate, up to 10 mg 47 40 $108.08
82043 13 13 $101.76
J3010 Injection, fentanyl citrate, 0.1 mg 1,124 1,024 $97.12
86762 12 12 $90.36
73090 13 13 $89.95
J1790 Injection, droperidol, up to 5 mg 98 76 $85.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,418 1,376 $84.69
94664 13 13 $67.95
J0690 Injection, cefazolin sodium, 500 mg 260 224 $59.10
84460 13 12 $50.66
86592 12 12 $50.40
84450 13 12 $50.13
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,082 975 $50.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $47.71
J1170 Injection, hydromorphone, up to 4 mg 73 59 $45.86
J2250 Injection, midazolam hydrochloride, per 1 mg 933 909 $10.96
J3475 Injection, magnesium sulfate, per 500 mg 25 25 $10.37
C9290 Injection, bupivacaine liposome, 1 mg 13 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 12 12 $0.00
J7050 Infusion, normal saline solution, 250 cc 209 156 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 51 46 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 73 67 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 27 26 $0.00
90656 13 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 148 134 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 152 144 $0.00
J1171 Injection, hydromorphone, 0.1 mg 41 36 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 91 88 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 38 38 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 58 55 $0.00