Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › SAYRE › ROBERT PACKER HOSPITAL

ROBERT PACKER HOSPITAL

NPI: 1083614382 · SAYRE, PA 18840 · General Acute Care Hospital · NPI assigned 07/28/2005

$13.81M
Total Medicaid Paid
310,234
Total Claims
259,561
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACAFEE, FRANCIS (VP, CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/28/2005

Related Entities

Other providers sharing the same authorized official: MACAFEE, FRANCIS

ProviderCityStateTotal Paid
CORNING HOSPITAL CORNING NY $17.73M
ROBERT PACKER HOSPITAL TOWANDA PA $1.93M
TROY COMMUNITY HOSPITAL INCORPORATED TROY PA $1.10M
ROBERT PACKER HOSPITAL TOWANDA PA $816K
GUTHRIE TOWANDA MEMORIAL HOSPITAL TOWANDA PA $192K
ROBERT PACKER HOSPITAL SAYRE PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,890 $154K
2019 11,081 $447K
2020 39,139 $1.81M
2021 81,711 $3.45M
2022 62,539 $3.01M
2023 70,263 $3.18M
2024 42,611 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 27,817 24,951 $2.39M
99284 Emergency department visit for the evaluation and management, high severity 17,259 15,625 $1.97M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,568 8,070 $1.17M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,950 2,875 $951K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,450 7,845 $648K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,155 1,133 $585K
96361 Intravenous infusion, hydration; each additional hour 3,181 2,880 $540K
80053 Comprehensive metabolic panel 16,341 13,629 $407K
G0378 Hospital observation service, per hour 1,297 1,078 $381K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,367 1,717 $313K
70450 Computed tomography, head or brain; without contrast material 1,461 1,428 $311K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 849 832 $176K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 289 284 $174K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,039 936 $165K
36415 Collection of venous blood by venipuncture 21,790 12,217 $149K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 609 606 $141K
45380 Colonoscopy, flexible; with biopsy, single or multiple 224 224 $136K
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 943 943 $120K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,071 653 $119K
77067 Screening mammography, bilateral, including computer-aided detection 1,130 1,124 $102K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,786 2,539 $98K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,705 1,168 $92K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,054 13,522 $92K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,051 4,555 $83K
71046 Radiologic examination, chest; 2 views 3,393 3,278 $81K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,174 6,172 $81K
93975 228 225 $80K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,738 1,646 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited 915 892 $79K
99281 Emergency department visit for the evaluation and management, self-limited or minor 648 644 $75K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 380 87 $73K
80048 Basic metabolic panel (calcium, ionized) 2,611 2,018 $72K
76830 Ultrasound, transvaginal 705 691 $71K
86850 2,178 2,051 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 999 976 $65K
96375 Therapeutic injection; each additional sequential IV push 3,983 3,181 $59K
73564 1,082 1,063 $57K
73610 1,346 1,218 $56K
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 1,717 1,578 $55K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,523 1,494 $55K
97597 819 443 $55K
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 1,612 1,520 $52K
71260 Computed tomography, thorax, diagnostic; with contrast material 513 512 $50K
T1015 Clinic visit/encounter, all-inclusive 1,260 409 $43K
73630 1,366 1,295 $42K
86900 2,193 2,065 $42K
71275 Computed tomographic angiography, chest, with contrast material 134 133 $41K
97161 430 424 $39K
73110 1,053 916 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,818 1,738 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 402 393 $36K
83880 1,160 1,103 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 81 81 $34K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 24 24 $33K
73130 911 859 $30K
71045 Radiologic examination, chest; single view 1,973 1,887 $26K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 172 133 $26K
77063 Screening digital breast tomosynthesis, bilateral 1,088 1,083 $26K
84484 4,735 3,269 $25K
73030 729 694 $25K
90832 Psychotherapy, 30 minutes with patient 527 149 $24K
76642 331 330 $23K
97530 Therapeutic activities, direct patient contact, each 15 minutes 351 147 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 122 118 $21K
84443 Thyroid stimulating hormone (TSH) 1,794 1,670 $20K
80050 General health panel 374 348 $20K
87631 191 188 $20K
83605 2,014 1,739 $20K
84703 2,855 2,704 $20K
76536 174 173 $17K
94060 88 88 $16K
72125 Computed tomography, cervical spine; without contrast material 150 149 $16K
83690 4,066 3,796 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 363 350 $15K
90792 Psychiatric diagnostic evaluation with medical services 111 110 $14K
43235 24 24 $14K
87040 1,471 961 $14K
83735 3,518 2,836 $13K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,097 1,078 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 65 64 $13K
81025 2,187 2,129 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 41 41 $12K
85027 1,789 1,514 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $11K
76801 103 95 $11K
97162 110 110 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 164 143 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,916 1,813 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 104 85 $9K
73502 286 270 $9K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 336 186 $8K
C1769 Guide wire 306 294 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,763 5,449 $8K
90863 346 94 $7K
86901 404 389 $7K
82962 3,789 1,865 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 38 24 $6K
81001 4,273 4,011 $6K
96376 602 356 $6K
95886 155 151 $6K
96367 86 67 $6K
99239 Hospital discharge day management, more than 30 minutes 81 79 $6K
85730 1,233 1,160 $5K
86140 1,136 1,031 $5K
74018 74 67 $5K
85610 1,880 1,747 $5K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $4K
12001 14 13 $4K
95816 24 24 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 441 422 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 642 583 $4K
V2632 Posterior chamber intraocular lens 112 14 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 176 169 $4K
76819 Fetal biophysical profile; without non-stress testing 64 36 $4K
81003 2,672 2,564 $3K
84702 215 204 $3K
71250 42 42 $3K
76770 12 12 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 76 76 $3K
73590 116 105 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 27 27 $3K
85378 292 288 $3K
88304 140 140 $3K
59025 Fetal non-stress test 64 52 $3K
73080 87 77 $2K
88342 41 40 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 76 76 $2K
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) 217 215 $2K
72110 43 41 $2K
77065 Tomosynthesis, mammo 15 13 $2K
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 1,120 1,071 $2K
J2704 Injection, propofol, 10 mg 8,876 5,399 $2K
87186 267 242 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 30 29 $1K
A9585 Injection, gadobutrol, 0.1 ml 822 761 $1K
94729 53 53 $1K
87641 58 58 $1K
87205 316 282 $1K
80143 561 507 $1K
90715 36 36 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 543 530 $1K
80179 542 490 $994.54
95806 21 21 $987.33
85651 348 307 $884.43
97165 12 12 $881.29
J2270 Injection, morphine sulfate, up to 10 mg 1,440 1,129 $805.01
88307 13 12 $757.62
83036 Hemoglobin; glycosylated (A1C) 122 121 $729.10
J1885 Injection, ketorolac tromethamine, per 15 mg 4,847 4,316 $711.23
J2250 Injection, midazolam hydrochloride, per 1 mg 6,285 5,297 $668.52
73140 14 12 $658.75
73560 16 16 $631.80
87468 18 18 $626.44
J3010 Injection, fentanyl citrate, 0.1 mg 5,468 5,226 $563.66
87075 86 82 $484.02
93971 12 12 $462.50
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,350 7,105 $415.89
J1170 Injection, hydromorphone, up to 4 mg 1,397 1,148 $402.28
96523 29 27 $389.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,580 3,798 $386.93
J7050 Infusion, normal saline solution, 250 cc 1,150 636 $386.02
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $379.80
87640 12 12 $349.96
85014 76 44 $349.06
J0171 Injection, adrenalin, epinephrine, 0.1 mg 368 256 $348.57
87469 18 18 $313.32
87484 18 18 $313.32
87478 18 18 $313.32
73562 25 25 $276.67
J0690 Injection, cefazolin sodium, 500 mg 2,146 1,874 $244.91
87176 55 51 $231.65
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $220.75
84100 48 42 $195.15
J2370 Injection, phenylephrine hcl, up to 1 ml 403 397 $185.70
82805 15 12 $161.73
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,012 435 $132.00
J3490 Unclassified drugs 244 215 $126.90
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 711 540 $112.69
J0780 Injection, prochlorperazine, up to 10 mg 184 165 $111.58
99153 Mod sedat endo service >5yrs 12 12 $110.90
J1650 Injection, enoxaparin sodium, 10 mg 124 64 $107.49
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 625 316 $102.13
J7060 5% dextrose/water (500 ml = 1 unit) 412 287 $99.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 15 $89.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 561 509 $87.51
94618 12 12 $83.63
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 27 24 $68.74
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 64 63 $47.18
87077 42 39 $37.98
J1644 Injection, heparin sodium, per 1000 units 307 177 $33.94
J0696 Injection, ceftriaxone sodium, per 250 mg 307 220 $33.75
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 842 783 $30.43
85007 14 13 $23.43
85018 19 12 $22.32
J3475 Injection, magnesium sulfate, per 500 mg 117 87 $17.80
85652 16 16 $15.06
J7030 Infusion, normal saline solution , 1000 cc 342 210 $2.69
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 516 445 $0.09
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 315 196 $0.04
J1596 Injection, glycopyrrolate, 0.1 mg 335 317 $0.00
86618 20 19 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 41 36 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 19 18 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 13 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 62 61 $0.00
J2060 Injection, lorazepam, 2 mg 16 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 108 106 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 32 32 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 18 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 41 32 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 15 12 $0.00