Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › YORK › UPMC MEMORIAL

UPMC MEMORIAL

NPI: 1063945707 · YORK, PA 17408 · General Acute Care Hospital · NPI assigned 04/10/2017

$6.74M
Total Medicaid Paid
220,094
Total Claims
206,783
Beneficiaries
174
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMITSTIFER, GREGORY (CFO)
NPI Enumeration Date04/10/2017

Related Entities

Other providers sharing the same authorized official: MITSTIFER, GREGORY

ProviderCityStateTotal Paid
UPMC PINNACLE HOSPITALS HARRISBURG PA $26.92M
UPMC CARLISLE CARLISLE PA $3.56M
UPMC HANOVER HANOVER PA $2.92M
UPMC LITITZ LITITZ PA $2.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $4K
2019 338 $9K
2020 18,648 $568K
2021 77,896 $2.34M
2022 36,119 $1.10M
2023 51,176 $1.48M
2024 35,889 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 19,883 19,250 $2.02M
99283 Emergency department visit for the evaluation and management, moderate severity 10,250 9,992 $750K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,347 5,184 $723K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,011 1,959 $373K
G0378 Hospital observation service, per hour 499 476 $258K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,458 8,062 $249K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 193 148 $189K
80053 Comprehensive metabolic panel 16,393 15,715 $183K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,211 9,591 $120K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,189 19,259 $116K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,728 1,694 $105K
96375 Therapeutic injection; each additional sequential IV push 5,179 4,670 $100K
71046 Radiologic examination, chest; 2 views 5,955 5,820 $89K
70450 Computed tomography, head or brain; without contrast material 1,286 1,254 $86K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,132 962 $63K
84484 5,611 5,156 $60K
71275 Computed tomographic angiography, chest, with contrast material 318 310 $58K
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 614 611 $54K
74176 Computed tomography, abdomen and pelvis; without contrast material 504 498 $46K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,448 1,397 $44K
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 689 637 $43K
96361 Intravenous infusion, hydration; each additional hour 3,591 3,197 $40K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,023 1,005 $39K
83605 4,347 4,087 $34K
80061 Lipid panel 2,064 2,020 $29K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,092 1,063 $27K
81001 9,094 8,781 $26K
80048 Basic metabolic panel (calcium, ionized) 2,952 2,769 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,091 1,062 $25K
87480 1,018 993 $25K
87660 1,002 977 $24K
X0621 113 52 $24K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 768 752 $24K
83690 4,886 4,704 $23K
80050 General health panel 535 518 $23K
77067 Screening mammography, bilateral, including computer-aided detection 265 261 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,814 1,515 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination 974 916 $21K
76830 Ultrasound, transvaginal 459 449 $21K
71045 Radiologic examination, chest; single view 2,738 2,630 $21K
84703 1,987 1,941 $20K
93971 307 299 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 319 315 $19K
84443 Thyroid stimulating hormone (TSH) 799 774 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 295 268 $17K
87086 Culture, bacterial; quantitative colony count, urine 2,258 2,166 $17K
72125 Computed tomography, cervical spine; without contrast material 233 226 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 345 277 $16K
83735 2,663 2,382 $16K
93976 237 230 $16K
80081 169 165 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 428 411 $14K
76801 315 303 $14K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 323 317 $13K
83880 506 476 $13K
87510 815 794 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 511 472 $12K
84702 619 519 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,272 3,822 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 72 67 $10K
88342 149 144 $8K
76857 428 419 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor 358 346 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 188 185 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 783 762 $7K
83036 Hemoglobin; glycosylated (A1C) 945 929 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 38 38 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 305 286 $6K
86803 304 297 $6K
77063 Screening digital breast tomosynthesis, bilateral 261 257 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 223 213 $6K
T1015 Clinic visit/encounter, all-inclusive 108 89 $6K
93970 65 65 $5K
85027 733 685 $4K
87040 260 246 $4K
80076 458 443 $4K
85610 1,207 1,063 $4K
81025 859 822 $4K
93017 107 104 $4K
86850 418 396 $3K
87186 422 412 $3K
74018 257 250 $3K
73610 180 177 $3K
96376 354 285 $3K
87077 416 406 $3K
88312 72 71 $3K
82570 393 368 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 13 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 102 99 $3K
86140 991 938 $3K
85379 263 262 $3K
87081 438 425 $2K
84439 285 271 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 13 $2K
76536 51 49 $2K
80143 156 148 $2K
81003 644 636 $2K
82728 169 165 $2K
85730 375 359 $2K
82043 237 230 $2K
76642 42 41 $2K
86901 440 408 $2K
86900 443 411 $2K
80179 126 120 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 44 40 $2K
73130 148 139 $2K
73630 166 160 $2K
83540 193 188 $2K
81329 13 12 $2K
J3490 Unclassified drugs 1,952 1,633 $1K
72100 75 73 $1K
77066 Tomosynthesis, mammo 12 12 $1K
86592 250 245 $1K
82607 93 90 $1K
90715 133 126 $1K
A9585 Injection, gadobutrol, 0.1 ml 128 119 $1K
85652 367 333 $1K
73030 75 71 $1K
73564 50 49 $938.37
J1885 Injection, ketorolac tromethamine, per 15 mg 5,941 5,293 $930.75
J2270 Injection, morphine sulfate, up to 10 mg 1,579 1,281 $885.18
77065 Tomosynthesis, mammo 12 12 $863.69
84550 146 124 $848.29
82550 121 113 $784.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 116 114 $740.67
70486 13 13 $728.51
82565 103 95 $689.44
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 12 $672.32
99000 109 108 $654.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 32 32 $612.61
83615 83 64 $589.74
J2704 Injection, propofol, 10 mg 1,038 778 $544.72
83550 107 104 $513.26
87340 33 31 $510.79
82803 30 27 $459.01
84156 104 95 $419.78
82950 54 54 $365.34
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,868 4,155 $353.59
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 12 12 $352.00
J0696 Injection, ceftriaxone sodium, per 250 mg 993 818 $331.03
59025 Fetal non-stress test 34 16 $288.54
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,716 1,517 $278.89
J3010 Injection, fentanyl citrate, 0.1 mg 1,219 878 $214.64
87205 56 51 $212.01
86038 14 12 $195.75
J2765 Injection, metoclopramide hcl, up to 10 mg 1,019 931 $194.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,526 1,392 $187.84
87070 27 26 $163.57
73110 14 13 $160.45
85014 50 49 $132.06
94060 14 14 $125.58
84100 45 40 $124.27
J2060 Injection, lorazepam, 2 mg 473 376 $112.81
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 13 12 $86.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 579 517 $81.46
J3475 Injection, magnesium sulfate, per 500 mg 404 352 $65.61
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 199 180 $52.39
84132 15 14 $39.62
82010 14 13 $35.25
J0690 Injection, cefazolin sodium, 500 mg 128 99 $34.87
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 1,683 1,620 $30.58
V2632 Posterior chamber intraocular lens 91 73 $26.13
J2250 Injection, midazolam hydrochloride, per 1 mg 743 596 $25.54
J1170 Injection, hydromorphone, up to 4 mg 140 93 $25.20
36415 Collection of venous blood by venipuncture 57 47 $6.71
J1650 Injection, enoxaparin sodium, 10 mg 92 51 $3.30
Q9957 Injection, perflutren lipid microspheres, per ml 13 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 98 86 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 36 31 $0.00
J7510 Prednisolone oral, per 5 mg 13 12 $0.00
C1769 Guide wire 15 15 $0.00
A9573 Injection, gadopiclenol, 1 ml 25 25 $0.00
J1836 Injection, metronidazole, 10 mg 23 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 22 16 $0.00