Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Robert Packer Hospital

Robert Packer Hospital was paid $13.81M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is 99283, emergency room visit (moderate) — 17% of everything it billed.

33Billing provider infoROBERT PACKER HOSPITAL
SAYRE, PA 18840
33aNPI1083614382assigned 07/28/2005
28Total paid$13.81M
24GClaims310,234
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#23 of 154
Median peer was paid$2.82M
This provider vs. median4.9×

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$200K$400K2018201920202021202220232024
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
20182,890$154K
201911,081$447K
202039,139$1.81M
202181,711$3.45M
202262,539$3.01M
202370,263$3.18M
2024incomplete42,611$1.76M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 27,817 24,951 $2.39M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 17,259 15,625 $1.97M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.5% 8,568 8,070 $1.17M
74177 Computed tomography, abdomen and pelvis; with contrast material 6.9% 2,950 2,875 $951K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.7% 8,450 7,845 $648K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4.2% 1,155 1,133 $585K
96361 Intravenous infusion, hydration; each additional hour 3.9% 3,181 2,880 $540K
80053 Comprehensive metabolic panel 2.9% 16,341 13,629 $407K
G0378 Hospital observation service, per hour 2.8% 1,297 1,078 $381K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.3% 2,367 1,717 $313K
70450 Computed tomography, head or brain; without contrast material 2.2% 1,461 1,428 $311K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.3% 849 832 $176K
200 more codes
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.3% 289 $174K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.2% 1,039 $165K
36415 Collection of venous blood by venipuncture 1.1% 21,790 $149K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.0% 609 $141K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 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 <1% 943 $120K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,071 $119K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,130 $102K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,786 $98K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,705 $92K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16,054 $92K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,051 $83K
71046 Radiologic examination, chest; 2 views <1% 3,393 $81K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,174 $81K
93975 <1% 228 $80K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,738 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 915 $79K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 648 $75K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 380 $73K
80048 Basic metabolic panel (calcium, ionized) <1% 2,611 $72K
76830 Ultrasound, transvaginal <1% 705 $71K
86850 <1% 2,178 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 999 $65K
96375 Therapeutic injection; each additional sequential IV push <1% 3,983 $59K
73564 <1% 1,082 $57K
73610 <1% 1,346 $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% 1,717 $55K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,523 $55K
97597 <1% 819 $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% 1,612 $52K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 513 $50K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,260 $43K
73630 <1% 1,366 $42K
86900 <1% 2,193 $42K
71275 Computed tomographic angiography, chest, with contrast material <1% 134 $41K
97161 <1% 430 $39K
73110 <1% 1,053 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,818 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 402 $36K
83880 <1% 1,160 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 81 $34K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 24 $33K
73130 <1% 911 $30K
71045 Radiologic examination, chest; single view <1% 1,973 $26K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 172 $26K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,088 $26K
84484 <1% 4,735 $25K
73030 <1% 729 $25K
90832 Psychotherapy session, about 30 minutes <1% 527 $24K
76642 <1% 331 $23K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 351 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 122 $21K
84443 Thyroid stimulating hormone (TSH) <1% 1,794 $20K
80050 General health panel <1% 374 $20K
87631 <1% 191 $20K
83605 <1% 2,014 $20K
84703 <1% 2,855 $20K
76536 <1% 174 $17K
94060 <1% 88 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 150 $16K
83690 <1% 4,066 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 363 $15K
90792 Psychiatric diagnostic evaluation with medical services <1% 111 $14K
43235 <1% 24 $14K
87040 <1% 1,471 $14K
83735 <1% 3,518 $13K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,097 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 65 $13K
81025 <1% 2,187 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 41 $12K
85027 <1% 1,789 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $11K
76801 <1% 103 $11K
97162 <1% 110 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 164 $10K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,916 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 104 $9K
73502 <1% 286 $9K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 336 $8K
C1769 Guide wire <1% 306 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,763 $8K
90863 <1% 346 $7K
86901 <1% 404 $7K
82962 <1% 3,789 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 38 $6K
81001 <1% 4,273 $6K
96376 <1% 602 $6K
95886 <1% 155 $6K
96367 <1% 86 $6K
99239 Hospital discharge day management, more than 30 minutes <1% 81 $6K
85730 <1% 1,233 $5K
86140 <1% 1,136 $5K
74018 <1% 74 $5K
85610 <1% 1,880 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $4K
12001 <1% 14 $4K
95816 <1% 24 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 441 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 642 $4K
V2632 Posterior chamber intraocular lens <1% 112 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 176 $4K
76819 Fetal biophysical profile; without non-stress testing <1% 64 $4K
81003 <1% 2,672 $3K
84702 <1% 215 $3K
71250 <1% 42 $3K
76770 <1% 12 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 76 $3K
73590 <1% 116 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 27 $3K
85378 <1% 292 $3K
88304 <1% 140 $3K
59025 Fetal non-stress test <1% 64 $3K
73080 <1% 87 $2K
88342 <1% 41 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 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) <1% 217 $2K
72110 <1% 43 $2K
77065 Tomosynthesis, mammo <1% 15 $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% 1,120 $2K
J2704 Injection, propofol, 10 mg <1% 8,876 $2K
87186 <1% 267 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 30 $1K
A9585 Injection, gadobutrol, 0.1 ml <1% 822 $1K
94729 <1% 53 $1K
87641 <1% 58 $1K
87205 <1% 316 $1K
80143 <1% 561 $1K
90715 <1% 36 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 543 $1K
80179 <1% 542 $994.54
95806 <1% 21 $987.33
85651 <1% 348 $884.43
97165 <1% 12 $881.29
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,440 $805.01
88307 <1% 13 $757.62
83036 Hemoglobin; glycosylated (A1C) <1% 122 $729.10
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,847 $711.23
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,285 $668.52
73140 <1% 14 $658.75
73560 <1% 16 $631.80
87468 <1% 18 $626.44
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,468 $563.66
87075 <1% 86 $484.02
93971 <1% 12 $462.50
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,350 $415.89
J1170 Injection, hydromorphone, up to 4 mg <1% 1,397 $402.28
96523 <1% 29 $389.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,580 $386.93
J7050 Infusion, normal saline solution, 250 cc <1% 1,150 $386.02
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $379.80
87640 <1% 12 $349.96
85014 <1% 76 $349.06
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 368 $348.57
87469 <1% 18 $313.32
87484 <1% 18 $313.32
87478 <1% 18 $313.32
73562 <1% 25 $276.67
J0690 Injection, cefazolin sodium, 500 mg <1% 2,146 $244.91
87176 <1% 55 $231.65
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 12 $220.75
84100 <1% 48 $195.15
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 403 $185.70
82805 <1% 15 $161.73
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,012 $132.00
J3490 Unclassified drugs <1% 244 $126.90
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 711 $112.69
J0780 Injection, prochlorperazine, up to 10 mg <1% 184 $111.58
99153 Mod sedat endo service >5yrs <1% 12 $110.90
J1650 Injection, enoxaparin sodium, 10 mg <1% 124 $107.49
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 625 $102.13
J7060 5% dextrose/water (500 ml = 1 unit) <1% 412 $99.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17 $89.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 561 $87.51
94618 <1% 12 $83.63
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 27 $68.74
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 64 $47.18
87077 <1% 42 $37.98
J1644 Injection, heparin sodium, per 1000 units <1% 307 $33.94
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 307 $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 <1% 842 $30.43
85007 <1% 14 $23.43
85018 <1% 19 $22.32
J3475 Injection, magnesium sulfate, per 500 mg <1% 117 $17.80
85652 <1% 16 $15.06
J7030 Infusion, normal saline solution , 1000 cc <1% 342 $2.69
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 516 $0.09
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 315 $0.04
J1596 Injection, glycopyrrolate, 0.1 mg 0% 335 $0.00
86618 0% 20 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 41 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 19 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 62 $0.00
J2060 Injection, lorazepam, 2 mg 0% 16 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 108 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 32 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 18 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 41 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 15 $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 officialMACAFEE, FRANCIS (VP, CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under MACAFEE, FRANCIS

Full network →
ProviderLocationPaid
Corning HospitalCorning, NY$17.73M
Robert Packer HospitalTowanda, PA$1.93M
Troy Community Hospital IncorporatedTroy, PA$1.10M
Robert Packer HospitalTowanda, PA$816K
Guthrie Towanda Memorial HospitalTowanda, PA$192K
Robert Packer HospitalSayre, PA$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.