Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Phila › NPI 1063489342
Hospital

The Pennsylvania Hospital of the University of Pennsylvania Health Sys

The Pennsylvania Hospital of the University of Pennsylvania Health Sys was paid $25.68M by Medicaid between Aug 2018 and Dec 2024, across 297 billing codes. Its largest line is G0378, Hospital observation service, per hour — 27% of everything it billed.

33Billing provider infoTHE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
PHILA, PA 19107
33aNPI1063489342assigned 03/04/2006
28Total paid$25.68M
24GClaims413,275
24DCodes billed297
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#11 of 154
Median peer was paid$2.82M
This provider vs. median9.1×

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

$0$500K$1.0M2018201920202021202220232024
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
201896$95.70
20191,946$29K
202054,808$2.65M
2021151,312$9.16M
202259,687$5.04M
202362,550$4.36M
2024incomplete82,876$4.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0378 Hospital observation service, per hour 27% 6,367 5,287 $6.95M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 24,621 22,863 $4.96M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 18,396 17,254 $3.66M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 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 2.3% 7,533 7,095 $597K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.6% 3,123 3,076 $403K
64483 1.3% 278 272 $341K
99235 <1% 248 196 $251K
57420 <1% 178 168 $198K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,334 3,135 $183K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,365 1,297 $179K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,066 726 $154K
285 more codes
64493 <1% 158 $148K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,184 $141K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,599 $141K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,252 $128K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 316 $125K
59025 Fetal non-stress test <1% 5,431 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,129 $105K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 659 $103K
70450 Computed tomography, head or brain; without contrast material <1% 1,394 $102K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,382 $102K
80048 Basic metabolic panel (calcium, ionized) <1% 20,241 $100K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,732 $99K
20610 <1% 299 $95K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,222 $92K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,085 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 529 $89K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 884 $85K
36415 Collection of venous blood by venipuncture <1% 34,625 $71K
73562 <1% 3,457 $69K
76801 <1% 1,348 $68K
76830 Ultrasound, transvaginal <1% 1,111 $65K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,216 $65K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 332 $64K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 197 $63K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 246 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 719 $62K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,019 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,177 $58K
J1756 Injection, iron sucrose, 1 mg <1% 2,404 $56K
80053 Comprehensive metabolic panel <1% 7,957 $54K
76818 <1% 560 $49K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,097 $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 <1% 2,068 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 614 $42K
72110 <1% 1,361 $41K
96375 Therapeutic injection; each additional sequential IV push <1% 3,913 $39K
76642 <1% 665 $37K
77066 Tomosynthesis, mammo <1% 322 $35K
76820 <1% 936 $35K
78815 Positron emission tomography (PET) for limited area imaging <1% 34 $34K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,248 $33K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,233 $31K
71046 Radiologic examination, chest; 2 views <1% 2,481 $30K
73221 <1% 101 $30K
73564 <1% 1,138 $29K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 306 $28K
96361 Intravenous infusion, hydration; each additional hour <1% 4,421 $26K
72141 <1% 107 $25K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,058 $25K
82728 <1% 2,634 $25K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 82 $25K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 991 $24K
73030 <1% 1,340 $24K
74183 <1% 60 $24K
76819 Fetal biophysical profile; without non-stress testing <1% 300 $24K
71250 <1% 326 $23K
80076 <1% 5,778 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $21K
96376 <1% 693 $21K
96417 <1% 239 $20K
76536 <1% 316 $19K
72125 Computed tomography, cervical spine; without contrast material <1% 225 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 998 $18K
73502 <1% 722 $16K
77065 Tomosynthesis, mammo <1% 211 $16K
72197 <1% 24 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,589 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 310 $14K
73130 <1% 846 $14K
84443 Thyroid stimulating hormone (TSH) <1% 1,023 $14K
96415 <1% 245 $14K
76770 <1% 281 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 872 $14K
85027 <1% 3,071 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 685 $12K
70486 <1% 139 $12K
73560 <1% 592 $12K
84484 <1% 2,540 $12K
70551 Magnetic resonance imaging, brain; without contrast material <1% 59 $11K
72100 <1% 495 $11K
93971 <1% 297 $11K
84466 <1% 1,139 $10K
73110 <1% 623 $10K
84702 <1% 1,642 $10K
93975 <1% 139 $10K
81025 <1% 5,208 $10K
95886 <1% 221 $9K
73630 <1% 610 $9K
73521 <1% 284 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 747 $9K
71045 Radiologic examination, chest; single view <1% 1,727 $8K
77062 <1% 302 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 494 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 463 $8K
73610 <1% 380 $8K
80061 Lipid panel <1% 795 $7K
77336 <1% 173 $7K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 44 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 283 $7K
83735 <1% 3,029 $7K
97803 <1% 63 $7K
83540 <1% 1,225 $7K
80354 <1% 296 $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% 1,781 $7K
86900 <1% 1,480 $7K
83880 <1% 560 $6K
36591 <1% 150 $6K
19083 <1% 13 $6K
94726 <1% 149 $6K
94729 <1% 151 $6K
83690 <1% 2,922 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 229 $6K
86850 <1% 1,263 $6K
85730 <1% 1,836 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,467 $5K
87631 <1% 79 $5K
OP250 <1% 1,507 $5K
72040 <1% 237 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,017 $5K
85610 <1% 2,297 $5K
72050 <1% 140 $5K
82803 <1% 554 $5K
70491 <1% 41 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 106 $4K
73080 <1% 241 $4K
72070 <1% 146 $4K
Q3014 Telehealth originating site facility fee <1% 881 $4K
X0621 <1% 22 $4K
83605 <1% 1,181 $3K
82607 <1% 513 $3K
81003 <1% 2,738 $3K
88342 <1% 72 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 820 $3K
52000 <1% 14 $3K
86803 <1% 185 $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 <1% 43 $3K
86901 <1% 1,264 $3K
74246 <1% 37 $3K
77061 <1% 118 $3K
80320 <1% 478 $3K
93798 <1% 71 $3K
81002 <1% 1,592 $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 <1% 31 $3K
73140 <1% 158 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 66 $2K
85007 <1% 1,191 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 703 $2K
73700 <1% 31 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 61 $2K
82962 <1% 2,834 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 502 $2K
81001 <1% 1,567 $2K
J8540 Dexamethasone, oral, 0.25 mg <1% 3,117 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,533 $2K
96367 <1% 99 $2K
85379 <1% 351 $2K
72052 <1% 38 $2K
88360 <1% 45 $2K
82746 <1% 263 $2K
93970 <1% 26 $2K
82247 <1% 247 $2K
95806 <1% 233 $1K
C1769 Guide wire <1% 108 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,960 $1K
86592 <1% 570 $1K
84100 <1% 808 $1K
82330 <1% 502 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 18 $1K
82570 <1% 331 $1K
87186 <1% 335 $1K
86480 <1% 26 $1K
96411 <1% 14 $860.93
85045 <1% 407 $813.59
82784 <1% 30 $805.88
83615 <1% 189 $782.08
85652 <1% 427 $773.03
85384 <1% 176 $764.50
93922 <1% 25 $760.71
87340 <1% 69 $760.62
J3490 Unclassified drugs <1% 3,580 $652.52
87077 <1% 194 $627.51
94010 <1% 40 $599.16
82550 <1% 183 $541.17
J1453 Injection, fosaprepitant, 1 mg <1% 42 $536.50
80050 General health panel <1% 18 $515.03
76000 <1% 173 $510.61
87070 <1% 167 $497.04
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,261 $493.34
94761 <1% 195 $490.08
95909 <1% 12 $488.40
59899 <1% 17 $451.44
77300 <1% 14 $443.68
84153 <1% 30 $435.62
73590 <1% 33 $420.53
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,658 $376.50
81015 <1% 216 $364.62
87205 <1% 185 $361.03
80179 <1% 46 $360.11
86140 <1% 160 $351.26
J2704 Injection, propofol, 10 mg <1% 4,216 $337.95
84550 <1% 100 $328.61
84156 <1% 161 $324.11
84134 <1% 28 $307.63
87040 <1% 97 $306.32
84132 <1% 526 $304.14
88112 <1% 14 $299.39
72114 <1% 12 $295.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 578 $290.15
84295 <1% 436 $273.73
82043 <1% 51 $271.13
J2469 Injection, palonosetron hcl, 25 mcg <1% 23 $269.71
82378 <1% 31 $251.11
80143 <1% 34 $250.44
86141 <1% 87 $243.64
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,517 $241.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 690 $222.36
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,658 $215.93
51798 <1% 66 $213.68
82565 <1% 43 $170.73
85018 <1% 440 $168.93
80329 <1% 28 $167.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 45 $160.68
93017 <1% 13 $152.83
73552 <1% 13 $146.07
82947 <1% 278 $135.72
87088 <1% 20 $133.75
90715 <1% 42 $131.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,463 $125.77
36000 <1% 557 $124.58
J0690 Injection, cefazolin sodium, 500 mg <1% 793 $123.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 632 $97.03
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 27 $87.08
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,393 $86.17
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 102 $85.20
86706 <1% 12 $83.35
89051 <1% 15 $80.71
J1030 Injection, methylprednisolone acetate, 40 mg <1% 204 $77.00
J2060 Injection, lorazepam, 2 mg <1% 689 $76.55
J1644 Injection, heparin sodium, per 1000 units <1% 1,833 $75.79
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,656 $74.97
87081 <1% 38 $72.91
84439 <1% 13 $72.23
85008 <1% 115 $67.04
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 588 $66.84
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 99 $50.90
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 81 $42.64
82010 <1% 26 $28.67
J0360 Injection, hydralazine hcl, up to 20 mg <1% 17 $26.41
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 943 $22.48
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,895 $19.41
88341 <1% 32 $16.50
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 16 $16.20
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 350 $13.92
J3475 Injection, magnesium sulfate, per 500 mg <1% 740 $10.73
J0780 Injection, prochlorperazine, up to 10 mg <1% 278 $9.44
C2627 Catheter, suprapubic/cystoscopic <1% 12 $7.62
99201 <1% 51 $5.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 981 $3.97
J1815 Injection, insulin, per 5 units <1% 520 $3.85
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 3,426 $3.12
S0028 Injection, famotidine, 20 mg <1% 1,268 $0.68
J1650 Injection, enoxaparin sodium, 10 mg 0% 805 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 208 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 64 $0.00
J9271 Injection, pembrolizumab, 1 mg 0% 25 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 134 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 747 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 426 $0.00
87210 0% 27 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 59 $0.00
J1750 Injection, iron dextran, 50 mg 0% 18 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 13 $0.00
S5000 Prescription drug, generic 0% 28 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 14 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 470 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 281 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 78 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 15 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 41 $0.00
64494 0% 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 169 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 40 $0.00
88304 0% 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 31 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 17 $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 officialMCCORMICK, THOMAS (AVP FINANCE)
Same official

Other billing entities under MCCORMICK, THOMAS

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