Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILA › THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS

THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS

NPI: 1063489342 · PHILA, PA 19107 · General Acute Care Hospital · NPI assigned 03/04/2006

$25.68M
Total Medicaid Paid
413,275
Total Claims
355,309
Beneficiaries
297
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCORMICK, THOMAS (AVP FINANCE)
NPI Enumeration Date03/04/2006

Related Entities

Other providers sharing the same authorized official: MCCORMICK, THOMAS

ProviderCityStateTotal Paid
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA PA $84.02M
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $23.27M
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP PHILADELPHIA PA $14.08M
HALL-MERCER CMH-MRC OF PA HOSP PHILA PA $6.82M
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA PHILA PA $2.61M
PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB PHILA PA $1.60M
PENN PRESYBYTERIAN MEDICAL CENTER PHILA PA $1.48M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS PHILADELPHIA PA $69K
THOMAS E MCCORMICK, MD, PC RUTLAND VT $22K
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $95.70
2019 1,946 $29K
2020 54,808 $2.65M
2021 151,312 $9.16M
2022 59,687 $5.04M
2023 62,550 $4.36M
2024 82,876 $4.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 6,367 5,287 $6.95M
99284 Emergency department visit for the evaluation and management, high severity 24,621 22,863 $4.96M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,396 17,254 $3.66M
99283 Emergency department visit for the evaluation and management, moderate severity 17,360 16,214 $3.48M
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 7,533 7,095 $597K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,123 3,076 $403K
64483 278 272 $341K
99235 248 196 $251K
57420 178 168 $198K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,334 3,135 $183K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,365 1,297 $179K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,066 726 $154K
64493 158 145 $148K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,184 2,019 $141K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,599 3,266 $141K
77067 Screening mammography, bilateral, including computer-aided detection 1,252 1,235 $128K
95810 Polysomnography; sleep staging with 4 or more additional parameters 316 310 $125K
59025 Fetal non-stress test 5,431 2,904 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,129 25,504 $105K
99281 Emergency department visit for the evaluation and management, self-limited or minor 659 570 $103K
70450 Computed tomography, head or brain; without contrast material 1,394 1,312 $102K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,382 1,926 $102K
80048 Basic metabolic panel (calcium, ionized) 20,241 17,655 $100K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,732 6,885 $99K
20610 299 270 $95K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,222 8,140 $92K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,085 1,011 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity 529 477 $89K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 884 674 $85K
36415 Collection of venous blood by venipuncture 34,625 29,217 $71K
73562 3,457 2,409 $69K
76801 1,348 1,252 $68K
76830 Ultrasound, transvaginal 1,111 1,077 $65K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,216 1,154 $65K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 332 317 $64K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 197 189 $63K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 246 243 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 719 682 $62K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,019 891 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,177 1,142 $58K
J1756 Injection, iron sucrose, 1 mg 2,404 1,696 $56K
80053 Comprehensive metabolic panel 7,957 6,710 $54K
76818 560 379 $49K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,097 1,023 $49K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,068 1,992 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete 614 592 $42K
72110 1,361 1,335 $41K
96375 Therapeutic injection; each additional sequential IV push 3,913 3,144 $39K
76642 665 537 $37K
77066 Tomosynthesis, mammo 322 315 $35K
76820 936 515 $35K
78815 Positron emission tomography (PET) for limited area imaging 34 31 $34K
77063 Screening digital breast tomosynthesis, bilateral 1,248 1,231 $33K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,233 2,846 $31K
71046 Radiologic examination, chest; 2 views 2,481 2,311 $30K
73221 101 99 $30K
73564 1,138 857 $29K
74176 Computed tomography, abdomen and pelvis; without contrast material 306 292 $28K
96361 Intravenous infusion, hydration; each additional hour 4,421 3,777 $26K
72141 107 103 $25K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,058 1,031 $25K
82728 2,634 2,493 $25K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 82 74 $25K
T1015 Clinic visit/encounter, all-inclusive 991 934 $24K
73030 1,340 1,140 $24K
74183 60 56 $24K
76819 Fetal biophysical profile; without non-stress testing 300 251 $24K
71250 326 315 $23K
80076 5,778 5,267 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $21K
96376 693 466 $21K
96417 239 162 $20K
76536 316 304 $19K
72125 Computed tomography, cervical spine; without contrast material 225 222 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination 998 941 $18K
73502 722 685 $16K
77065 Tomosynthesis, mammo 211 196 $16K
72197 24 24 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,589 1,296 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 310 281 $14K
73130 846 683 $14K
84443 Thyroid stimulating hormone (TSH) 1,023 962 $14K
96415 245 184 $14K
76770 281 264 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 872 838 $14K
85027 3,071 2,471 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 685 650 $12K
70486 139 138 $12K
73560 592 541 $12K
84484 2,540 2,174 $12K
70551 Magnetic resonance imaging, brain; without contrast material 59 57 $11K
72100 495 474 $11K
93971 297 270 $11K
84466 1,139 1,089 $10K
73110 623 533 $10K
84702 1,642 1,406 $10K
93975 139 126 $10K
81025 5,208 4,679 $10K
95886 221 187 $9K
73630 610 500 $9K
73521 284 274 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 747 659 $9K
71045 Radiologic examination, chest; single view 1,727 1,551 $8K
77062 302 300 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 494 437 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 463 451 $8K
73610 380 328 $8K
80061 Lipid panel 795 767 $7K
77336 173 71 $7K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 44 42 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 283 226 $7K
83735 3,029 2,488 $7K
97803 63 61 $7K
83540 1,225 1,173 $7K
80354 296 271 $7K
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 1,781 1,326 $7K
86900 1,480 1,360 $7K
83880 560 512 $6K
36591 150 120 $6K
19083 13 13 $6K
94726 149 147 $6K
94729 151 149 $6K
83690 2,922 2,638 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 229 224 $6K
86850 1,263 1,151 $6K
85730 1,836 1,681 $5K
87086 Culture, bacterial; quantitative colony count, urine 1,467 1,359 $5K
87631 79 74 $5K
OP250 1,507 840 $5K
72040 237 222 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,017 2,859 $5K
85610 2,297 2,089 $5K
72050 140 135 $5K
82803 554 498 $5K
70491 41 41 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 106 103 $4K
73080 241 216 $4K
72070 146 143 $4K
Q3014 Telehealth originating site facility fee 881 796 $4K
X0621 22 15 $4K
83605 1,181 1,047 $3K
82607 513 497 $3K
81003 2,738 2,573 $3K
88342 72 69 $3K
83036 Hemoglobin; glycosylated (A1C) 820 799 $3K
52000 14 13 $3K
86803 185 182 $3K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 43 43 $3K
86901 1,264 1,152 $3K
74246 37 37 $3K
77061 118 111 $3K
80320 478 438 $3K
93798 71 13 $3K
81002 1,592 1,389 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 31 29 $3K
73140 158 140 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 66 64 $2K
85007 1,191 908 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 703 673 $2K
73700 31 30 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 61 57 $2K
82962 2,834 2,206 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 502 489 $2K
81001 1,567 1,467 $2K
J8540 Dexamethasone, oral, 0.25 mg 3,117 1,498 $2K
J2270 Injection, morphine sulfate, up to 10 mg 2,533 1,728 $2K
96367 99 71 $2K
85379 351 336 $2K
72052 38 38 $2K
88360 45 40 $2K
82746 263 256 $2K
93970 26 26 $2K
82247 247 171 $2K
95806 233 230 $1K
C1769 Guide wire 108 92 $1K
J1170 Injection, hydromorphone, up to 4 mg 3,960 2,153 $1K
86592 570 561 $1K
84100 808 694 $1K
82330 502 447 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 18 15 $1K
82570 331 308 $1K
87186 335 316 $1K
86480 26 25 $1K
96411 14 13 $860.93
85045 407 267 $813.59
82784 30 30 $805.88
83615 189 161 $782.08
85652 427 406 $773.03
85384 176 164 $764.50
93922 25 25 $760.71
87340 69 67 $760.62
J3490 Unclassified drugs 3,580 2,843 $652.52
87077 194 182 $627.51
94010 40 39 $599.16
82550 183 168 $541.17
J1453 Injection, fosaprepitant, 1 mg 42 25 $536.50
80050 General health panel 18 14 $515.03
76000 173 158 $510.61
87070 167 151 $497.04
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,261 715 $493.34
94761 195 176 $490.08
95909 12 12 $488.40
59899 17 16 $451.44
77300 14 13 $443.68
84153 30 29 $435.62
73590 33 30 $420.53
J1885 Injection, ketorolac tromethamine, per 15 mg 7,658 6,012 $376.50
81015 216 207 $364.62
87205 185 166 $361.03
80179 46 43 $360.11
86140 160 157 $351.26
J2704 Injection, propofol, 10 mg 4,216 3,274 $337.95
84550 100 92 $328.61
84156 161 146 $324.11
84134 28 28 $307.63
87040 97 89 $306.32
84132 526 471 $304.14
88112 14 12 $299.39
72114 12 12 $295.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 578 522 $290.15
84295 436 392 $273.73
82043 51 50 $271.13
J2469 Injection, palonosetron hcl, 25 mcg 23 13 $269.71
82378 31 26 $251.11
80143 34 32 $250.44
86141 87 81 $243.64
J3010 Injection, fentanyl citrate, 0.1 mg 4,517 3,439 $241.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 690 623 $222.36
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,658 6,188 $215.93
51798 66 54 $213.68
82565 43 43 $170.73
85018 440 400 $168.93
80329 28 27 $167.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 40 $160.68
93017 13 12 $152.83
73552 13 12 $146.07
82947 278 261 $135.72
87088 20 19 $133.75
90715 42 39 $131.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,463 1,853 $125.77
36000 557 528 $124.58
J0690 Injection, cefazolin sodium, 500 mg 793 642 $123.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg 632 550 $97.03
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 27 24 $87.08
J7120 Ringers lactate infusion, up to 1000 cc 1,393 1,228 $86.17
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 102 95 $85.20
86706 12 12 $83.35
89051 15 13 $80.71
J1030 Injection, methylprednisolone acetate, 40 mg 204 196 $77.00
J2060 Injection, lorazepam, 2 mg 689 568 $76.55
J1644 Injection, heparin sodium, per 1000 units 1,833 1,123 $75.79
J2765 Injection, metoclopramide hcl, up to 10 mg 1,656 1,411 $74.97
87081 38 38 $72.91
84439 13 13 $72.23
85008 115 93 $67.04
J0696 Injection, ceftriaxone sodium, per 250 mg 588 492 $66.84
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 99 87 $50.90
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 81 75 $42.64
82010 26 25 $28.67
J0360 Injection, hydralazine hcl, up to 20 mg 17 15 $26.41
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 943 731 $22.48
J2250 Injection, midazolam hydrochloride, per 1 mg 1,895 1,714 $19.41
88341 32 29 $16.50
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 16 12 $16.20
J2370 Injection, phenylephrine hcl, up to 1 ml 350 316 $13.92
J3475 Injection, magnesium sulfate, per 500 mg 740 601 $10.73
J0780 Injection, prochlorperazine, up to 10 mg 278 221 $9.44
C2627 Catheter, suprapubic/cystoscopic 12 12 $7.62
99201 51 47 $5.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 981 692 $3.97
J1815 Injection, insulin, per 5 units 520 294 $3.85
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,426 2,923 $3.12
S0028 Injection, famotidine, 20 mg 1,268 1,077 $0.68
J1650 Injection, enoxaparin sodium, 10 mg 805 382 $0.00
J1171 Injection, hydromorphone, 0.1 mg 208 127 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 64 59 $0.00
J9271 Injection, pembrolizumab, 1 mg 25 24 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 134 118 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 747 726 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 426 403 $0.00
87210 27 26 $0.00
J3370 Injection, vancomycin hcl, 500 mg 59 39 $0.00
J1750 Injection, iron dextran, 50 mg 18 13 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 12 $0.00
S5000 Prescription drug, generic 28 24 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 14 14 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 470 461 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 281 199 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 78 76 $0.00
J1790 Injection, droperidol, up to 5 mg 15 13 $0.00
J3480 Injection, potassium chloride, per 2 meq 41 32 $0.00
64494 13 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 169 158 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 40 39 $0.00
88304 12 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 31 27 $0.00
J1630 Injection, haloperidol, up to 5 mg 17 15 $0.00