Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

University Hospitals Cleveland Medical Center

University Hospitals Cleveland Medical Center was paid $156.83M by Medicaid between Jan 2018 and Dec 2024, across 805 billing codes. Its largest line is J9271, Injection, pembrolizumab, 1 mg — 9.3% of everything it billed.

33Billing provider infoUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
CLEVELAND, OH 44106
33aNPI1043397292assigned 11/01/2006
28Total paid$156.83M
24GClaims2,733,531
24DCodes billed805
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#7 of 101
Median peer was paid$22.32M
This provider vs. median7.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SCHILLERO, ANTHONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
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
YearClaimsPaid
2018231,001$11.60M
2019212,717$11.47M
2020165,849$12.33M
2021192,447$12.38M
2022182,630$11.71M
2023990,500$57.28M
2024incomplete758,387$40.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J9271 Injection, pembrolizumab, 1 mg 9.3% 1,896 1,185 $14.60M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.3% 89,345 80,982 $13.03M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8.2% 98,130 85,631 $12.78M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.6% 67,712 60,780 $10.43M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.9% 71,776 62,589 $9.24M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.2% 55,703 47,270 $8.09M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.9% 32,383 29,657 $4.54M
96361 Intravenous infusion, hydration; each additional hour 2.7% 14,788 10,797 $4.27M
70450 Computed tomography, head or brain; without contrast material 2.4% 13,277 10,826 $3.81M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.0% 26,191 20,822 $3.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 33,063 13,736 $2.81M
76819 Fetal biophysical profile; without non-stress testing 1.6% 27,360 21,445 $2.51M
793 more codes
77386 1.4% 5,947 $2.18M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.3% 12,603 $2.04M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.1% 2,540 $1.78M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 12,464 $1.75M
59025 Fetal non-stress test 1.1% 9,830 $1.74M
D2930 Prefabricated stainless steel crown - primary tooth 1.1% 3,239 $1.70M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.0% 10,081 $1.58M
41899 Unlisted procedure, dentoalveolar structures <1% 1,468 $1.45M
76801 <1% 9,322 $1.41M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 5,031 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 8,130 $1.31M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12,028 $1.29M
J9299 Injection, nivolumab, 1 mg <1% 227 $1.11M
G0378 Hospital observation service, per hour <1% 17,310 $1.05M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,722 $853K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 9,430 $815K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,080 $808K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,267 $759K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 37,643 $753K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 5,598 $749K
92557 <1% 9,574 $718K
80053 Comprehensive metabolic panel <1% 106,546 $696K
76813 <1% 5,605 $663K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 1,193 $656K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,261 $639K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,953 $596K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,822 $580K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,078 $576K
36512 <1% 397 $574K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 6,990 $551K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 323 $538K
95886 <1% 1,894 $519K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 512 $509K
J0897 Injection, denosumab, 1 mg <1% 449 $505K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,883 $503K
92587 <1% 7,711 $493K
78815 Positron emission tomography (PET) for limited area imaging <1% 815 $492K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,316 $488K
76820 <1% 6,144 $481K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg <1% 896 $473K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,999 $472K
95811 <1% 698 $463K
77300 <1% 917 $460K
77295 <1% 523 $428K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 912 $425K
92550 <1% 5,168 $414K
77334 <1% 1,156 $409K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj <1% 82 $401K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 676 $400K
95806 <1% 627 $394K
77412 <1% 2,731 $392K
82805 <1% 12,290 $388K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,495 $370K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,019 $367K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 572 $339K
J9022 Injection, atezolizumab, 10 mg <1% 55 $338K
92567 <1% 8,564 $336K
96367 <1% 3,457 $334K
71046 Radiologic examination, chest; 2 views <1% 23,875 $320K
76770 <1% 1,655 $309K
D7140 Extraction, erupted tooth or exposed root <1% 1,247 $307K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,582 $306K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 521 $300K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,659 $298K
96416 <1% 1,133 $298K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,449 $296K
96415 <1% 1,943 $287K
97161 <1% 5,383 $278K
95782 <1% 355 $262K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 101 $260K
77336 <1% 2,378 $258K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,173 $257K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 13,859 $257K
86850 <1% 12,850 $255K
77290 <1% 457 $241K
80048 Basic metabolic panel (calcium, ionized) <1% 18,583 $238K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,434 $233K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,070 $221K
70491 <1% 782 $215K
88185 <1% 5,281 $215K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 487 $214K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 8,619 $213K
76642 <1% 2,387 $212K
36430 <1% 1,671 $203K
77301 <1% 244 $199K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 206 $195K
J9173 Injection, durvalumab, 10 mg <1% 58 $194K
76830 Ultrasound, transvaginal <1% 3,601 $192K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,035 $189K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,013 $178K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 9,138 $177K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 135,133 $171K
70496 <1% 610 $167K
93308 <1% 709 $163K
36556 <1% 420 $162K
95816 <1% 898 $158K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 641 $155K
73610 <1% 4,273 $151K
71250 <1% 1,648 $149K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 41,590 $148K
93970 <1% 982 $147K
84484 <1% 31,028 $146K
J2997 Injection, alteplase recombinant, 1 mg <1% 875 $145K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 51,459 $145K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,124 $144K
73630 <1% 4,056 $140K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,229 $140K
86900 <1% 12,985 $140K
19083 <1% 156 $137K
76536 <1% 1,179 $135K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,108 $135K
97165 <1% 1,849 $132K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13,871 $132K
31575 <1% 689 $127K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 833 $122K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14,380 $122K
70498 <1% 876 $117K
74183 <1% 531 $114K
93971 <1% 1,436 $114K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 410 $111K
90937 <1% 273 $108K
88184 <1% 2,719 $107K
93975 <1% 745 $107K
0002A <1% 3,126 $106K
77387 <1% 2,171 $106K
0001A <1% 3,255 $105K
92579 <1% 3,406 $103K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12,477 $101K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 747 $100K
D1351 Sealant - per tooth <1% 234 $99K
J9306 Injection, pertuzumab, 1 mg <1% 23 $99K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 257 $98K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg <1% 415 $94K
01922 <1% 413 $94K
72141 <1% 532 $92K
80069 <1% 9,282 $91K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 189 $90K
95924 <1% 246 $89K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 220 $89K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 174 $88K
71045 Radiologic examination, chest; single view <1% 13,576 $87K
73030 <1% 3,457 $85K
92585 <1% 364 $85K
73560 <1% 1,911 $83K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 44,766 $83K
90651 <1% 442 $82K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 414 $82K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,532 $81K
88341 <1% 1,523 $80K
73130 <1% 3,544 $80K
71271 <1% 517 $80K
97016 <1% 2,029 $78K
72197 <1% 300 $75K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,194 $75K
J1756 Injection, iron sucrose, 1 mg <1% 3,090 $73K
85027 <1% 21,435 $73K
97113 <1% 856 $72K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 572 $71K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 98 $71K
70486 <1% 2,081 $71K
10060 <1% 412 $70K
74018 <1% 1,410 $69K
82947 <1% 35,420 $69K
73562 <1% 1,676 $69K
73502 <1% 2,139 $68K
97116 <1% 1,761 $68K
72110 <1% 1,207 $68K
73110 <1% 2,412 $64K
93017 <1% 807 $64K
36415 Collection of venous blood by venipuncture <1% 67,941 $64K
73590 <1% 2,661 $64K
97162 <1% 1,184 $63K
77280 <1% 552 $63K
76982 <1% 1,520 $62K
97535 Self-care/home management training, each 15 minutes <1% 1,687 $62K
77338 <1% 248 $61K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 202 $60K
90715 <1% 4,547 $59K
94060 <1% 591 $59K
88307 <1% 814 $59K
12001 <1% 373 $59K
90870 <1% 123 $58K
73564 <1% 2,906 $57K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg <1% 206 $57K
72125 Computed tomography, cervical spine; without contrast material <1% 5,165 $56K
94618 <1% 673 $56K
11982 <1% 264 $56K
83605 <1% 21,691 $54K
80320 <1% 2,715 $51K
75574 <1% 191 $51K
75561 <1% 181 $50K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 398 $49K
58558 <1% 46 $49K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 842 $49K
99152 <1% 3,567 $49K
20610 <1% 384 $47K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,951 $47K
74230 <1% 253 $47K
96523 <1% 1,369 $46K
74174 <1% 667 $46K
76000 <1% 427 $46K
86901 <1% 12,993 $46K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 3,379 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,505 $45K
96376 <1% 9,550 $45K
93296 <1% 2,043 $45K
36591 <1% 3,806 $45K
97802 <1% 475 $45K
29581 <1% 439 $44K
96375 Therapeutic injection; each additional sequential IV push <1% 34,440 $44K
73552 <1% 1,799 $44K
77062 <1% 1,023 $43K
92626 <1% 577 $43K
93880 <1% 444 $43K
82728 <1% 7,014 $42K
58300 <1% 430 $42K
81025 <1% 51,376 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14,367 $41K
72050 <1% 692 $40K
83735 <1% 21,600 $40K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 31 $39K
73140 <1% 633 $38K
12002 <1% 263 $38K
83021 <1% 4,434 $37K
86920 <1% 1,871 $37K
77080 <1% 588 $37K
92526 <1% 604 $35K
72100 <1% 875 $35K
73090 <1% 1,501 $34K
70544 <1% 232 $34K
90791 Psychiatric diagnostic evaluation <1% 181 $34K
93242 <1% 290 $33K
72170 <1% 1,811 $33K
83615 <1% 12,345 $33K
T1002 Rn services, up to 15 minutes <1% 331 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,323 $33K
93325 <1% 415 $33K
92523 <1% 379 $32K
72082 <1% 529 $32K
77061 <1% 751 $32K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 821 $32K
85610 <1% 26,517 $32K
70487 <1% 119 $32K
94726 <1% 612 $32K
J3490 Unclassified drugs <1% 10,063 $31K
93922 <1% 451 $31K
58301 <1% 282 $31K
77072 <1% 311 $31K
87536 <1% 1,886 $31K
92551 <1% 283 $31K
72131 <1% 1,010 $31K
92604 <1% 836 $30K
94729 <1% 755 $30K
76818 <1% 321 $30K
57454 <1% 91 $30K
73700 <1% 254 $30K
86780 <1% 5,653 $30K
76981 <1% 455 $30K
95885 <1% 91 $30K
73221 <1% 139 $29K
59430 <1% 252 $29K
87081 <1% 2,890 $29K
95923 <1% 233 $28K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,031 $28K
84443 Thyroid stimulating hormone (TSH) <1% 7,753 $28K
62323 <1% 99 $28K
12011 <1% 185 $28K
82330 <1% 17,582 $27K
73080 <1% 1,147 $26K
86141 <1% 2,581 $26K
J3535 Drug administered through a metered dose inhaler <1% 1,046 $26K
38222 <1% 58 $26K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg <1% 15 $26K
91200 <1% 209 $25K
99153 Mod sedat endo service >5yrs <1% 2,133 $25K
11045 <1% 73 $25K
31579 <1% 87 $24K
D2934 <1% 41 $24K
58661 <1% 18 $24K
77470 <1% 46 $23K
D2330 <1% 49 $23K
87800 <1% 5,137 $23K
72128 <1% 815 $23K
77065 Tomosynthesis, mammo <1% 1,129 $22K
81001 <1% 31,568 $22K
73070 <1% 520 $22K
86922 <1% 929 $22K
J9070 Cyclophosphamide, 100 mg <1% 201 $21K
76882 <1% 194 $21K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 14 $21K
99406 <1% 1,082 $21K
73060 <1% 1,104 $20K
85007 <1% 2,907 $20K
78816 <1% 27 $20K
86808 <1% 1,036 $20K
90686 <1% 1,542 $20K
J1453 Injection, fosaprepitant, 1 mg <1% 1,641 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 165 $19K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 344 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,319 $19K
93798 <1% 231 $19K
76870 <1% 361 $18K
83036 Hemoglobin; glycosylated (A1C) <1% 3,983 $18K
43235 <1% 65 $18K
81003 <1% 24,641 $18K
97166 <1% 288 $17K
93350 <1% 75 $17K
94010 <1% 535 $17K
83880 <1% 6,374 $17K
86902 <1% 1,487 $17K
J1815 Injection, insulin, per 5 units <1% 1,136 $17K
J1750 Injection, iron dextran, 50 mg <1% 120 $16K
97010 <1% 469 $16K
90837 Psychotherapy session, about an hour <1% 130 $16K
85045 <1% 9,046 $16K
84702 <1% 5,288 $16K
72040 <1% 316 $16K
72190 <1% 239 $16K
82607 <1% 2,082 $15K
93356 <1% 129 $15K
92611 <1% 192 $15K
96116 <1% 79 $15K
73100 <1% 342 $15K
80061 Lipid panel <1% 2,695 $15K
J2469 Injection, palonosetron hcl, 25 mcg <1% 3,861 $15K
J9395 Injection, fulvestrant, 25 mg <1% 157 $15K
77066 Tomosynthesis, mammo <1% 1,183 $14K
96401 <1% 1,308 $14K
88360 <1% 214 $14K
95911 <1% 143 $14K
0004A <1% 373 $13K
00170 Anesthesia for intraoral procedures, including biopsy <1% 2,654 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,975 $13K
93246 <1% 210 $13K
96368 <1% 747 $12K
36561 <1% 20 $12K
83540 <1% 3,526 $12K
87205 <1% 3,760 $11K
J1170 Injection, hydromorphone, up to 4 mg <1% 12,238 $11K
86832 <1% 287 $11K
0072A <1% 283 $11K
87631 <1% 58 $11K
86140 <1% 2,047 $11K
92652 <1% 214 $11K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 5,841 $11K
74240 <1% 57 $10K
87210 <1% 10,323 $10K
99385 <1% 265 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 155 $10K
94660 <1% 89 $10K
93321 <1% 222 $10K
0012A <1% 502 $10K
0071A <1% 259 $10K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 56 $10K
J9045 Injection, carboplatin, 50 mg <1% 1,311 $10K
85730 <1% 6,492 $10K
C1760 Closure device, vascular (implantable/insertable) <1% 332 $10K
71101 <1% 411 $10K
88342 <1% 1,331 $10K
83550 <1% 3,561 $10K
31500 <1% 38 $10K
95910 <1% 61 $9K
85097 <1% 109 $9K
70360 <1% 123 $9K
82435 <1% 13,950 $9K
77073 <1% 230 $9K
84439 <1% 1,879 $9K
82077 <1% 5,584 $9K
29075 <1% 78 $8K
80143 <1% 5,260 $8K
0011A <1% 697 $8K
72072 <1% 195 $8K
86870 <1% 300 $8K
0003A <1% 224 $8K
97803 <1% 112 $8K
82570 <1% 2,723 $8K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 396 $8K
86923 <1% 241 $8K
85018 <1% 10,527 $8K
80346 <1% 516 $8K
95913 <1% 58 $8K
87070 <1% 1,655 $8K
80361 <1% 741 $8K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 15 $8K
72081 <1% 108 $7K
82533 <1% 1,389 $7K
86833 <1% 280 $7K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 322 $7K
72156 <1% 43 $7K
86803 <1% 2,555 $7K
73000 <1% 212 $7K
82784 <1% 3,285 $7K
84132 <1% 15,208 $7K
97035 <1% 67 $7K
99386 <1% 103 $7K
82024 <1% 1,012 $6K
83690 <1% 11,229 $6K
J9263 Injection, oxaliplatin, 0.5 mg <1% 1,282 $6K
80076 <1% 1,060 $6K
C1776 Joint device (implantable) <1% 60 $6K
58100 <1% 43 $6K
73521 <1% 182 $6K
80185 <1% 290 $6K
86334 <1% 794 $6K
90999 Dialysis (unlisted procedure) <1% 85 $6K
92610 <1% 88 $6K
73620 <1% 154 $6K
83970 <1% 449 $6K
82378 <1% 1,211 $6K
82248 <1% 1,758 $5K
87186 <1% 2,542 $5K
84295 <1% 14,127 $5K
94762 <1% 98 $5K
J2800 Injection, methocarbamol, up to 10 ml <1% 1,645 $5K
96402 <1% 1,046 $5K
87075 <1% 2,573 $5K
88237 <1% 77 $5K
86706 <1% 1,069 $5K
81379 <1% 14 $5K
80197 <1% 906 $5K
11981 <1% 26 $5K
77293 <1% 49 $5K
87340 <1% 1,342 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 25,583 $5K
76937 <1% 766 $5K
87497 <1% 656 $5K
82746 <1% 1,257 $5K
72120 <1% 138 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,038 $5K
82550 <1% 2,196 $5K
92524 <1% 69 $5K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 38 $5K
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,302 $5K
95819 <1% 27 $5K
84153 <1% 783 $4K
87077 <1% 1,555 $4K
99195 <1% 300 $4K
74178 <1% 14 $4K
87040 <1% 2,334 $4K
99407 <1% 126 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 392 $4K
84100 <1% 4,100 $4K
29065 <1% 40 $4K
80349 <1% 530 $4K
80179 <1% 5,214 $4K
76885 <1% 33 $4K
81382 <1% 30 $4K
82962 <1% 3,583 $4K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) <1% 338 $4K
92950 <1% 48 $4K
86318 <1% 447 $4K
96158 <1% 44 $4K
95909 <1% 44 $4K
J8501 Aprepitant, oral, 5 mg <1% 214 $4K
84403 <1% 509 $4K
84550 <1% 2,245 $4K
87799 <1% 830 $3K
87535 <1% 103 $3K
88350 <1% 53 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 1,037 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 6,620 $3K
90677 <1% 95 $3K
77370 <1% 20 $3K
J9206 Injection, irinotecan, 20 mg <1% 291 $3K
80198 <1% 287 $3K
0064A <1% 95 $3K
73120 <1% 83 $3K
86704 <1% 602 $3K
J3260 Injection, tobramycin sulfate, up to 80 mg <1% 171 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 30,365 $3K
86317 <1% 258 $3K
88304 <1% 419 $3K
J2704 Injection, propofol, 10 mg <1% 9,712 $3K
00300 <1% 312 $3K
97014 <1% 68 $3K
83883 <1% 502 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 21 $3K
82565 <1% 429 $3K
76983 <1% 69 $3K
90656 <1% 275 $3K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg <1% 233 $3K
84165 <1% 1,196 $2K
88112 <1% 309 $2K
76942 <1% 457 $2K
77001 <1% 365 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 389 $2K
96409 <1% 450 $2K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 42 $2K
00731 <1% 714 $2K
84156 <1% 1,761 $2K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 18 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 974 $2K
80365 <1% 536 $2K
A9270 Non-covered item or service <1% 35,494 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 17,825 $2K
J1953 Injection, levetiracetam, 10 mg <1% 442 $2K
83521 <1% 969 $2K
85384 <1% 1,565 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 110 $2K
76825 <1% 35 $2K
J1644 Injection, heparin sodium, per 1000 units <1% 5,693 $2K
83010 <1% 695 $2K
J0640 Injection, leucovorin calcium, per 50 mg <1% 81 $2K
86880 <1% 145 $2K
70547 <1% 13 $2K
87529 <1% 326 $2K
85652 <1% 1,886 $2K
88313 <1% 460 $2K
73200 <1% 13 $2K
87632 <1% 18 $2K
81002 <1% 3,156 $2K
72158 <1% 15 $2K
88346 <1% 42 $2K
82948 <1% 1,118 $2K
73660 <1% 30 $2K
85014 <1% 2,792 $2K
90662 <1% 371 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 11,001 $2K
87522 Neg quan hep c or qual rna <1% 183 $2K
80358 <1% 291 $2K
76604 <1% 14 $2K
85660 <1% 997 $2K
73600 <1% 58 $2K
84155 <1% 1,207 $2K
85379 <1% 1,640 $2K
82803 <1% 2,812 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 456 $2K
12013 <1% 18 $2K
51798 <1% 288 $2K
86038 <1% 222 $2K
80354 <1% 294 $2K
82043 <1% 529 $2K
90688 <1% 119 $2K
76827 <1% 34 $1K
87101 <1% 72 $1K
86481 <1% 75 $1K
80373 <1% 263 $1K
J3411 Injection, thiamine hcl, 100 mg <1% 911 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,972 $1K
80177 <1% 644 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
90678 <1% 104 $1K
99401 <1% 15 $1K
82247 <1% 370 $1K
86762 <1% 133 $1K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 299 $1K
C1769 Guide wire <1% 1,352 $1K
96417 <1% 2,702 $1K
83516 <1% 41 $1K
72146 <1% 16 $1K
J7999 Compounded drug, not otherwise classified <1% 1,556 $1K
88312 <1% 62 $1K
76821 <1% 30 $1K
96132 <1% 26 $1K
89240 <1% 148 $978.34
82977 <1% 276 $972.79
87102 <1% 315 $957.76
00840 <1% 584 $952.94
97022 <1% 32 $947.29
G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination <1% 249 $928.92
80368 <1% 263 $923.71
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 71 $899.85
82375 <1% 622 $893.19
86825 <1% 35 $881.19
80329 <1% 705 $871.58
91300 <1% 6,866 $861.80
90670 <1% 92 $858.43
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 1,851 $825.48
J3370 Injection, vancomycin hcl, 500 mg <1% 1,750 $824.80
87467 <1% 158 $823.09
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 80 $809.67
J2359 Injection, olanzapine, 0.5 mg <1% 268 $795.56
83050 <1% 599 $790.71
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 5,470 $787.45
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 24,337 $783.44
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 930 $774.95
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,072 $760.59
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 483 $741.39
84460 <1% 378 $732.60
84450 <1% 375 $715.78
80074 <1% 154 $713.52
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 4,025 $711.53
84075 <1% 371 $692.14
29125 <1% 253 $687.41
86592 <1% 115 $659.91
86301 <1% 139 $653.96
73523 <1% 22 $652.94
86364 <1% 26 $652.89
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,033 $648.76
86225 <1% 82 $628.54
J0360 Injection, hydralazine hcl, up to 20 mg <1% 827 $622.26
76776 <1% 20 $621.96
00142 <1% 595 $615.65
87506 <1% 12 $611.68
J8540 Dexamethasone, oral, 0.25 mg <1% 1,412 $608.24
0013A <1% 18 $585.08
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 519 $583.31
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,063 $578.54
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 14 $577.62
86235 <1% 84 $570.56
84445 <1% 19 $570.23
88311 <1% 176 $567.33
74220 <1% 13 $566.50
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,131 $559.83
J0690 Injection, cefazolin sodium, 500 mg <1% 4,046 $557.43
00120 <1% 37 $553.71
72157 <1% 12 $547.17
86787 <1% 46 $540.53
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,024 $539.78
72070 <1% 13 $536.71
88142 <1% 39 $528.60
82150 <1% 206 $519.23
97032 <1% 18 $512.57
95012 <1% 12 $501.65
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12,355 $500.37
J2785 Injection, regadenoson, 0.1 mg <1% 194 $494.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,112 $488.64
86580 <1% 14 $488.01
84145 <1% 59 $475.90
G0008 Administration of influenza virus vaccine <1% 391 $475.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 970 $473.61
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 16,490 $463.39
86431 <1% 70 $460.65
85347 <1% 234 $455.81
86735 <1% 35 $453.25
86765 <1% 37 $453.25
80164 <1% 82 $442.27
87634 <1% 130 $435.32
J3489 Injection, zoledronic acid, 1 mg <1% 79 $433.29
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,783 $425.20
J7060 5% dextrose/water (500 ml = 1 unit) <1% 8,706 $419.81
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 755 $414.83
82010 <1% 364 $401.40
99417 Prolong home eval add 15m <1% 686 $398.23
87015 <1% 193 $369.16
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 24 $355.33
82232 <1% 51 $348.74
89051 <1% 167 $338.82
83002 <1% 32 $337.16
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 1,057 $335.72
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 361 $334.66
88173 <1% 103 $330.57
82465 <1% 51 $328.07
87206 <1% 207 $326.61
86703 <1% 143 $323.36
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 720 $321.52
J1630 Injection, haloperidol, up to 5 mg <1% 1,459 $316.68
90633 <1% 31 $307.55
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 <1% 290 $296.09
83001 <1% 18 $290.22
92555 <1% 25 $286.78
90732 <1% 20 $285.97
86308 <1% 35 $268.44
90698 <1% 53 $267.43
51702 <1% 33 $265.05
84146 <1% 15 $263.59
87185 <1% 114 $250.75
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,164 $247.93
86300 <1% 136 $243.69
86304 <1% 21 $240.91
84540 <1% 79 $237.91
J9190 Injection, fluorouracil, 500 mg <1% 1,786 $233.66
87449 <1% 48 $230.18
J3590 Unclassified biologics <1% 24 $228.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,928 $226.90
82668 <1% 74 $215.81
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 560 $211.92
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 88 $208.48
82810 <1% 381 $208.10
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 285 $196.38
84300 <1% 91 $193.21
82670 <1% 13 $189.47
93290 <1% 33 $188.29
J3480 Injection, potassium chloride, per 2 meq <1% 1,704 $187.24
80202 <1% 21 $186.27
84133 <1% 76 $186.19
J1940 Injection, furosemide, up to 20 mg <1% 1,132 $174.28
82436 <1% 47 $162.13
A4217 Sterile water/saline, 500 ml <1% 2,637 $161.59
C1780 Lens, intraocular (new technology) <1% 327 $158.66
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 143 $155.59
36600 <1% 30 $154.84
76376 <1% 640 $148.88
J7050 Infusion, normal saline solution, 250 cc <1% 10,107 $145.05
90696 <1% 14 $132.90
36410 <1% 19 $123.80
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 1,463 $121.40
J1171 Injection, hydromorphone, 0.1 mg <1% 680 $116.73
J1805 Injection, esmolol hydrochloride, 10 mg <1% 314 $114.36
93299 <1% 14 $114.02
83935 <1% 35 $111.58
0753T <1% 368 $109.12
J9267 Injection, paclitaxel, 1 mg <1% 1,157 $109.10
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion <1% 44 $95.68
J2060 Injection, lorazepam, 2 mg <1% 499 $95.25
J1790 Injection, droperidol, up to 5 mg <1% 638 $94.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 852 $92.28
90710 <1% 16 $91.86
90460 Immunization administration through 18 years of age via any route, first or only component <1% 79 $90.17
76377 <1% 1,034 $89.94
86147 <1% 26 $86.20
94761 <1% 548 $85.98
82945 <1% 30 $81.72
J1920 Injection, labetalol hydrochloride, 5 mg <1% 309 $79.25
96411 <1% 1,144 $73.87
87116 <1% 41 $73.24
86593 <1% 18 $71.85
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 94 $66.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 278 $63.81
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 184 $63.65
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood <1% 13 $59.15
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 607 $58.45
J2470 Injection, pantoprazole sodium, 40 mg <1% 89 $56.25
83718 <1% 45 $55.67
J2550 Injection, promethazine hcl, up to 50 mg <1% 285 $55.58
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 624 $53.05
86146 <1% 14 $47.67
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,651 $47.08
84436 <1% 16 $46.29
82140 <1% 54 $45.01
J1030 Injection, methylprednisolone acetate, 40 mg <1% 31 $44.46
84157 <1% 49 $40.85
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 298 $39.30
46600 <1% 160 $38.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 821 $37.49
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 448 $32.80
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg <1% 72 $32.80
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 129 $30.44
A4648 Tissue marker, implantable, any type, each <1% 372 $30.09
86705 <1% 13 $29.62
29515 <1% 12 $27.03
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 726 $26.03
90648 <1% 14 $21.03
82950 <1% 15 $17.64
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 779 $16.63
J1596 Injection, glycopyrrolate, 0.1 mg <1% 276 $14.97
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg <1% 289 $14.33
J0461 Injection, atropine sulfate, 0.01 mg <1% 207 $12.50
00400 <1% 177 $12.40
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 149 $12.28
J0456 Injection, azithromycin, 500 mg <1% 42 $10.37
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 443 $10.17
91301 <1% 1,240 $6.65
91307 <1% 624 $5.94
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 470 $4.96
96377 <1% 297 $3.90
36416 <1% 343 $3.32
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 22 $3.25
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 141 $2.83
91305 <1% 132 $1.22
91306 <1% 86 $0.77
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 24 $0.07
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 1,079 $0.00
C1788 Port, indwelling (implantable) 0% 20 $0.00
D1120 Dental cleaning, child 0% 623 $0.00
C1752 Catheter, hemodialysis/peritoneal, short-term 0% 112 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 494 $0.00
00520 0% 221 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 20 $0.00
15853 0% 43 $0.00
00811 0% 91 $0.00
Q0508 Miscellaneous supply or accessory for use with an implanted ventricular assist device 0% 17 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 432 $0.00
A4649 Surgical supply; miscellaneous 0% 144 $0.00
01810 0% 24 $0.00
00145 0% 20 $0.00
00140 0% 23 $0.00
00940 0% 18 $0.00
96159 0% 19 $0.00
C1729 Catheter, drainage 0% 28 $0.00
77003 0% 19 $0.00
96138 0% 13 $0.00
96133 0% 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 63 $0.00
00126 0% 218 $0.00
80050 General health panel 0% 74 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 12 $0.00
D0272 Bitewings - two radiographic images 0% 267 $0.00
00790 0% 66 $0.00
00160 0% 96 $0.00
00952 0% 79 $0.00
00320 0% 111 $0.00
94760 0% 379 $0.00
01480 0% 80 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 0% 20 $0.00
C1819 Surgical tissue localization and excision device (implantable) 0% 45 $0.00
J2305 Injection, nitroglycerin, 5 mg 0% 13 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 0% 45 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 14 $0.00
C1727 Catheter, balloon tissue dissector, non-vascular (insertable) 0% 20 $0.00
96139 0% 13 $0.00
L8699 Prosthetic implant, not otherwise specified 0% 13 $0.00
00813 0% 23 $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.

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Authorized officialSCHILLERO, ANTHONY (DIRECTOR, FP&A)
Same official

Other billing entities under SCHILLERO, ANTHONY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.