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

Ephrata Community Hospital

Ephrata Community Hospital was paid $8.10M by Medicaid between Jan 2018 and Dec 2024, across 219 billing codes. Its largest line is 99285, emergency room visit (most serious) — 30% of everything it billed.

33Billing provider infoEPHRATA COMMUNITY HOSPITAL
EPHRATA, PA 17522
33aNPI1083615587assigned 08/09/2005
33bProvider typeClinic/Center
28Total paid$8.10M
24GClaims228,799
24DCodes billed219
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#22 of 176
Median peer was paid$441K
This provider vs. median18×

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
2018427$36K
2019761$28K
202025,309$716K
2021108,770$3.30M
202237,527$1.50M
202332,551$1.37M
2024incomplete23,454$1.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 30% 13,064 11,963 $2.42M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 7,255 6,919 $1.09M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 6,522 6,034 $1.02M
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 8.6% 8,492 7,911 $695K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.1% 7,899 3,677 $334K
G0378 Hospital observation service, per hour 2.7% 228 219 $217K
0202U Oncology (prostate), multianalyte, gene expression profiling 2.0% 1,846 1,789 $160K
80053 Comprehensive metabolic panel 1.6% 16,296 15,002 $132K
36415 Collection of venous blood by venipuncture 1.2% 22,016 19,255 $95K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 678 645 $93K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 4,844 4,413 $87K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,068 16,321 $79K
207 more codes
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,283 $75K
77067 Screening mammography, bilateral, including computer-aided detection <1% 800 $71K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 600 $65K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,472 $61K
80050 General health panel <1% 1,209 $56K
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% 4,240 $54K
99215 Doctor's office visit, returning patient (complex) <1% 624 $51K
96375 Therapeutic injection; each additional sequential IV push <1% 3,737 $46K
80061 Lipid panel <1% 3,082 $45K
81513 <1% 407 $42K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,060 $42K
84443 Thyroid stimulating hormone (TSH) <1% 1,716 $39K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,113 $36K
96361 Intravenous infusion, hydration; each additional hour <1% 3,465 $33K
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% 689 $29K
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% 2,591 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 421 $25K
76830 Ultrasound, transvaginal <1% 570 $24K
84702 <1% 2,292 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 617 $23K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 89 $21K
59025 Fetal non-stress test <1% 97 $20K
71046 Radiologic examination, chest; 2 views <1% 1,469 $20K
70450 Computed tomography, head or brain; without contrast material <1% 475 $20K
71275 Computed tomographic angiography, chest, with contrast material <1% 153 $20K
77063 Screening digital breast tomosynthesis, bilateral <1% 800 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 256 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 319 $17K
96376 <1% 489 $17K
83036 Hemoglobin; glycosylated (A1C) <1% 2,346 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 351 $17K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 383 $17K
84484 <1% 2,148 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 571 $15K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,313 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 634 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 233 $14K
71250 <1% 168 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 437 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 608 $12K
T1001 Nursing assessment / evaluation <1% 60 $12K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 558 $12K
81001 <1% 6,802 $12K
70551 Magnetic resonance imaging, brain; without contrast material <1% 56 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,436 $12K
80048 Basic metabolic panel (calcium, ionized) <1% 1,717 $11K
95886 <1% 237 $11K
87481 <1% 172 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 362 $10K
93971 <1% 175 $10K
83880 <1% 463 $10K
84466 <1% 642 $10K
83690 <1% 3,307 $10K
99213 Doctor's office visit, returning patient (routine) <1% 200 $9K
76642 <1% 217 $9K
86803 <1% 383 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 184 $8K
85027 <1% 1,180 $8K
72110 <1% 377 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,027 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 146 $7K
83735 <1% 1,542 $7K
95800 <1% 85 $7K
73564 <1% 377 $7K
71045 Radiologic examination, chest; single view <1% 1,476 $7K
82607 <1% 616 $7K
86618 <1% 262 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 179 $6K
82728 <1% 589 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 263 $6K
84439 <1% 691 $6K
87040 <1% 502 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 124 $6K
76801 <1% 147 $5K
83540 <1% 680 $5K
76536 <1% 92 $5K
85610 <1% 1,783 $5K
84703 <1% 695 $5K
82570 <1% 643 $5K
76770 <1% 131 $4K
99214 Doctor's office visit, returning patient (more involved) <1% 71 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 275 $4K
87077 <1% 601 $4K
72050 <1% 161 $4K
86038 <1% 256 $4K
83605 <1% 866 $4K
83655 <1% 321 $4K
73610 <1% 229 $4K
82043 <1% 433 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 15 $3K
87186 <1% 456 $3K
73030 <1% 240 $3K
82784 <1% 133 $3K
73630 <1% 286 $3K
87653 <1% 70 $3K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 701 $3K
82075 <1% 288 $3K
85730 <1% 683 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 260 $3K
83013 <1% 39 $3K
S9470 Nutritional counseling, dietitian visit <1% 154 $3K
87340 <1% 178 $3K
87799 <1% 31 $3K
85379 <1% 390 $3K
87522 Neg quan hep c or qual rna <1% 59 $2K
J1756 Injection, iron sucrose, 1 mg <1% 304 $2K
93970 <1% 27 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 43 $2K
84146 <1% 89 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 55 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $2K
84403 <1% 72 $2K
82565 <1% 571 $2K
85652 <1% 678 $2K
74022 <1% 107 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 45 $2K
86592 <1% 413 $2K
84100 <1% 322 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 31 $2K
73130 <1% 179 $2K
90715 <1% 92 $2K
86140 <1% 603 $2K
72070 <1% 89 $2K
73110 <1% 136 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 25 $1K
86850 <1% 218 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 12 $1K
86003 <1% 12 $1K
80076 <1% 149 $1K
84153 <1% 56 $1K
77066 Tomosynthesis, mammo <1% 13 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,298 $1K
86480 <1% 16 $1K
94760 <1% 23 $1K
93017 <1% 37 $1K
83001 <1% 63 $1K
82248 <1% 238 $1K
84550 <1% 181 $1K
73502 <1% 65 $1K
82947 <1% 514 $1K
83516 <1% 32 $963.10
82746 <1% 93 $934.72
87512 <1% 32 $904.04
86900 <1% 280 $845.36
86901 <1% 280 $845.27
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 38 $805.60
J7030 Infusion, normal saline solution , 1000 cc <1% 1,365 $770.51
84156 <1% 180 $733.29
86431 <1% 94 $709.74
86706 <1% 43 $603.12
J2270 Injection, morphine sulfate, up to 10 mg <1% 781 $574.76
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,983 $549.80
97165 <1% 14 $540.12
80164 <1% 29 $539.98
83970 <1% 12 $531.28
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,322 $530.29
93296 <1% 41 $525.99
82950 <1% 70 $509.96
87493 <1% 13 $495.95
82550 <1% 88 $478.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,733 $428.53
84402 <1% 13 $403.65
94729 <1% 12 $365.98
81003 <1% 115 $361.51
83615 <1% 67 $355.00
87427 <1% 27 $333.56
A9270 Non-covered item or service <1% 38 $323.75
87081 <1% 58 $319.02
77062 <1% 12 $302.55
87205 <1% 67 $300.13
84481 <1% 13 $296.12
87209 <1% 13 $261.15
94727 <1% 12 $242.45
J0780 Injection, prochlorperazine, up to 10 mg <1% 335 $235.26
72040 <1% 12 $224.93
87070 <1% 39 $223.75
72100 <1% 12 $220.78
73140 <1% 24 $201.30
90686 <1% 13 $189.80
87045 <1% 27 $188.98
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,894 $185.81
74018 <1% 16 $180.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 $175.32
J2704 Injection, propofol, 10 mg <1% 390 $148.06
G0008 Administration of influenza virus vaccine <1% 12 $148.00
J2060 Injection, lorazepam, 2 mg <1% 518 $146.14
82803 <1% 28 $141.96
80178 <1% 17 $128.00
94060 <1% 12 $125.97
J8597 Antiemetic drug, oral, not otherwise specified <1% 230 $120.30
87046 <1% 27 $117.45
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 721 $113.16
84425 <1% 13 $106.75
87177 <1% 13 $97.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 118 $61.22
J3010 Injection, fentanyl citrate, 0.1 mg <1% 349 $31.73
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) <1% 25 $30.18
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 396 $25.75
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% 53 $15.33
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 232 $3.96
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program <1% 105 $0.01
A9585 Injection, gadobutrol, 0.1 ml 0% 154 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 157 $0.00
J3490 Unclassified drugs 0% 184 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 19 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 178 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 396 $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 officialCHAMBERS, ORIE (INTERIM PRESIDENT & VP PATIENT CARE)
Same official

Other billing entities under CHAMBERS, ORIE

Full network →
ProviderLocationPaid
Ephrata Community HospitalEphrata, PA$1.33M
Ephrata Community HospitalEphrata, PA$107K
Ephrata Community Hospital-SpuEphrata, PA$100K

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