Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PITTSBURGH › ST CLAIR MEMORIAL HOSPITAL

ST CLAIR MEMORIAL HOSPITAL

NPI: 1073587119 · PITTSBURGH, PA 15243 · General Acute Care Hospital · NPI assigned 02/15/2006

$2.76M
Total Medicaid Paid
128,262
Total Claims
116,821
Beneficiaries
170
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUTTRINGER, ERIC (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date02/15/2006

Related Entities

Other providers sharing the same authorized official: LUTTRINGER, ERIC

ProviderCityStateTotal Paid
ST CLAIR MEDICAL SERVICES INC PITTSBURGH PA $41K
ST CLAIR MEDICAL SERVICES INC PITTSBURGH PA $27K
ST. CLAIR MEDICAL SERVICES, INC. BETHEL PARK PA $15K
ST CLAIR MEDICAL SERVICES, INC. BETHEL PARK PA $1K
ST CLAIR MEDICAL SERVICES, INC. PITTSBURGH PA $1K
ST. CLAIR MEDICAL SERVICES, INC. BETHEL PARK PA $108.00
ST. CLAIR MEDICAL SERVICES INC. PITTSBURGH PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 204 $16K
2019 52 $2K
2020 14,940 $326K
2021 70,187 $1.57M
2022 15,192 $307K
2023 16,353 $309K
2024 11,334 $231K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 7,461 7,236 $772K
99283 Emergency department visit for the evaluation and management, moderate severity 6,210 6,067 $435K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,598 1,515 $214K
G0378 Hospital observation service, per hour 224 212 $199K
74177 Computed tomography, abdomen and pelvis; with contrast material 489 476 $80K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,282 10,965 $56K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 241 240 $51K
74176 Computed tomography, abdomen and pelvis; without contrast material 561 548 $49K
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 498 488 $40K
80051 7,596 7,314 $38K
82565 7,910 7,459 $36K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,573 3,328 $34K
70450 Computed tomography, head or brain; without contrast material 617 601 $31K
T1015 Clinic visit/encounter, all-inclusive 858 244 $29K
84520 7,417 7,165 $29K
45380 Colonoscopy, flexible; with biopsy, single or multiple 132 130 $27K
71275 Computed tomographic angiography, chest, with contrast material 164 161 $25K
77067 Screening mammography, bilateral, including computer-aided detection 315 315 $25K
84443 Thyroid stimulating hormone (TSH) 1,596 1,535 $24K
80076 2,961 2,765 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 527 455 $19K
82947 7,213 6,836 $18K
80053 Comprehensive metabolic panel 1,883 1,686 $16K
0002A 396 393 $16K
0001A 411 410 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 425 409 $15K
80050 General health panel 316 308 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 603 589 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 438 425 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 93 93 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 208 204 $14K
71250 202 201 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 374 163 $11K
80061 Lipid panel 919 897 $11K
80048 Basic metabolic panel (calcium, ionized) 1,614 1,293 $11K
71045 Radiologic examination, chest; single view 1,784 1,693 $11K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 41 41 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 36 36 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,747 2,581 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 238 238 $10K
76830 Ultrasound, transvaginal 234 234 $10K
96375 Therapeutic injection; each additional sequential IV push 1,547 1,365 $10K
72125 Computed tomography, cervical spine; without contrast material 165 159 $9K
71046 Radiologic examination, chest; 2 views 664 652 $9K
84484 1,241 1,092 $8K
83880 325 313 $8K
87086 Culture, bacterial; quantitative colony count, urine 1,110 1,051 $7K
93975 125 123 $7K
83690 1,730 1,606 $7K
81001 2,777 2,633 $7K
76801 169 151 $7K
77066 Tomosynthesis, mammo 78 78 $7K
77063 Screening digital breast tomosynthesis, bilateral 314 314 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 141 137 $6K
83735 1,064 901 $6K
93971 123 116 $5K
85730 964 918 $5K
70551 Magnetic resonance imaging, brain; without contrast material 26 26 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,050 866 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 143 129 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 148 147 $4K
82607 396 383 $4K
85610 1,442 1,320 $4K
83036 Hemoglobin; glycosylated (A1C) 696 687 $4K
73610 200 193 $4K
84439 528 514 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 34 18 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $4K
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 87 86 $3K
84702 229 206 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 182 182 $3K
85379 342 337 $3K
81025 844 813 $3K
73562 187 172 $3K
77065 Tomosynthesis, mammo 42 40 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 56 55 $3K
82803 135 127 $3K
83605 471 412 $3K
76642 63 63 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 377 371 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 30 29 $2K
73630 210 189 $2K
85027 432 369 $2K
72141 12 12 $2K
82728 216 208 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 30 29 $2K
86850 333 321 $2K
76536 41 38 $2K
70496 13 13 $2K
88342 245 243 $2K
87186 297 282 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 598 417 $2K
70498 12 12 $2K
83721 198 192 $1K
72100 65 65 $1K
84481 61 60 $1K
73030 90 85 $1K
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 148 146 $1K
86803 86 82 $1K
86901 360 334 $1K
86900 362 335 $1K
36415 Collection of venous blood by venipuncture 4,728 3,647 $1K
96361 Intravenous infusion, hydration; each additional hour 334 220 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 31 31 $1K
82550 222 210 $1K
87088 196 181 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $1K
87040 109 66 $1K
82746 125 121 $1K
82043 140 134 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 144 101 $991.10
96367 41 13 $983.03
93970 14 13 $982.12
59025 Fetal non-stress test 110 73 $825.33
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21 15 $815.93
83550 182 176 $768.46
93017 31 31 $762.63
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $761.90
84132 187 173 $760.74
73620 87 85 $756.23
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 32 12 $754.41
0004A 16 16 $710.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 28 26 $672.69
82330 163 153 $662.73
86140 265 239 $633.94
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 28 26 $629.63
84295 156 144 $626.29
82310 378 367 $541.71
82948 768 455 $516.70
85014 291 262 $501.40
73110 41 40 $464.08
85652 176 160 $461.58
87806 15 14 $432.60
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13 13 $424.08
82435 115 109 $381.38
J1200 Injection, diphenhydramine hcl, up to 50 mg 650 392 $373.67
36591 75 47 $358.50
73130 29 29 $349.07
86038 26 25 $347.25
84153 14 14 $335.84
G0463 Hospital outpatient clinic visit for assessment and management of a patient 49 44 $328.81
85007 99 85 $314.00
C9290 Injection, bupivacaine liposome, 1 mg 226 175 $300.19
94060 26 26 $290.27
J1885 Injection, ketorolac tromethamine, per 15 mg 1,659 1,446 $260.70
86618 12 12 $260.09
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $243.56
87070 51 43 $225.65
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,432 2,007 $162.71
87205 55 43 $161.79
84100 27 17 $159.56
87077 29 28 $144.17
83615 29 26 $133.03
J1170 Injection, hydromorphone, up to 4 mg 68 48 $112.64
96376 299 160 $99.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 904 624 $86.38
J3010 Injection, fentanyl citrate, 0.1 mg 890 691 $77.42
87147 25 16 $69.45
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 64 62 $69.06
J0690 Injection, cefazolin sodium, 500 mg 99 67 $43.72
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 17 16 $29.53
97162 12 12 $29.13
J2250 Injection, midazolam hydrochloride, per 1 mg 995 820 $23.15
85018 14 12 $17.92
J2704 Injection, propofol, 10 mg 2,512 2,143 $16.56
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 89 80 $13.89
88304 17 13 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 19 16 $0.00
76000 12 12 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 41 27 $0.00