Medicaid Provider Spending

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

EPHRATA COMMUNITY HOSPITAL

NPI: 1083615587 · EPHRATA, PA 17522 · Clinic/Center · NPI assigned 08/09/2005

$8.10M
Total Medicaid Paid
228,799
Total Claims
200,957
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, ORIE (INTERIM PRESIDENT & VP PATIENT CARE)
NPI Enumeration Date08/09/2005

Related Entities

Other providers sharing the same authorized official: CHAMBERS, ORIE

ProviderCityStateTotal Paid
EPHRATA COMMUNITY HOSPITAL EPHRATA PA $1.33M
EPHRATA COMMUNITY HOSPITAL EPHRATA PA $107K
EPHRATA COMMUNITY HOSPITAL-SPU EPHRATA PA $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 427 $36K
2019 761 $28K
2020 25,309 $716K
2021 108,770 $3.30M
2022 37,527 $1.50M
2023 32,551 $1.37M
2024 23,454 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,064 11,963 $2.42M
99283 Emergency department visit for the evaluation and management, moderate severity 7,255 6,919 $1.09M
99284 Emergency department visit for the evaluation and management, high severity 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 8,492 7,911 $695K
T1015 Clinic visit/encounter, all-inclusive 7,899 3,677 $334K
G0378 Hospital observation service, per hour 228 219 $217K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,846 1,789 $160K
80053 Comprehensive metabolic panel 16,296 15,002 $132K
36415 Collection of venous blood by venipuncture 22,016 19,255 $95K
74177 Computed tomography, abdomen and pelvis; with contrast material 678 645 $93K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,844 4,413 $87K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,068 16,321 $79K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,283 1,163 $75K
77067 Screening mammography, bilateral, including computer-aided detection 800 788 $71K
99282 Emergency department visit for the evaluation and management, low to moderate severity 600 563 $65K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,472 1,392 $61K
80050 General health panel 1,209 1,180 $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 4,240 3,860 $54K
99215 Prolong outpt/office vis 624 412 $51K
96375 Therapeutic injection; each additional sequential IV push 3,737 3,308 $46K
80061 Lipid panel 3,082 3,006 $45K
81513 407 397 $42K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,060 1,026 $42K
84443 Thyroid stimulating hormone (TSH) 1,716 1,660 $39K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,113 4,804 $36K
96361 Intravenous infusion, hydration; each additional hour 3,465 3,132 $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 689 629 $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 2,591 2,408 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 421 404 $25K
76830 Ultrasound, transvaginal 570 538 $24K
84702 2,292 2,082 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 617 582 $23K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 89 87 $21K
59025 Fetal non-stress test 97 71 $20K
71046 Radiologic examination, chest; 2 views 1,469 1,418 $20K
70450 Computed tomography, head or brain; without contrast material 475 451 $20K
71275 Computed tomographic angiography, chest, with contrast material 153 144 $20K
77063 Screening digital breast tomosynthesis, bilateral 800 788 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 256 253 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 319 300 $17K
96376 489 327 $17K
83036 Hemoglobin; glycosylated (A1C) 2,346 2,284 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 351 335 $17K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 383 349 $17K
84484 2,148 1,916 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 571 434 $15K
87086 Culture, bacterial; quantitative colony count, urine 2,313 2,110 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 634 609 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 233 229 $14K
71250 168 166 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 437 427 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 608 584 $12K
T1001 Nursing assessment / evaluation 60 57 $12K
H0004 Behavioral health counseling and therapy, per 15 minutes 558 500 $12K
81001 6,802 6,350 $12K
70551 Magnetic resonance imaging, brain; without contrast material 56 54 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,436 1,198 $12K
80048 Basic metabolic panel (calcium, ionized) 1,717 1,519 $11K
95886 237 230 $11K
87481 172 158 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 362 342 $10K
93971 175 167 $10K
83880 463 429 $10K
84466 642 614 $10K
83690 3,307 3,076 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 200 189 $9K
76642 217 210 $9K
86803 383 374 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 184 104 $8K
85027 1,180 1,066 $8K
72110 377 367 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,027 2,632 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 146 117 $7K
83735 1,542 1,332 $7K
95800 85 82 $7K
73564 377 325 $7K
71045 Radiologic examination, chest; single view 1,476 1,402 $7K
82607 616 589 $7K
86618 262 253 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 179 173 $6K
82728 589 559 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 263 256 $6K
84439 691 673 $6K
87040 502 459 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 124 118 $6K
76801 147 138 $5K
83540 680 650 $5K
76536 92 91 $5K
85610 1,783 1,391 $5K
84703 695 661 $5K
82570 643 601 $5K
76770 131 117 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 68 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 275 259 $4K
87077 601 564 $4K
72050 161 157 $4K
86038 256 243 $4K
83605 866 780 $4K
83655 321 315 $4K
73610 229 214 $4K
82043 433 420 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 15 15 $3K
87186 456 435 $3K
73030 240 212 $3K
82784 133 129 $3K
73630 286 265 $3K
87653 70 69 $3K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 701 677 $3K
82075 288 265 $3K
85730 683 636 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 260 253 $3K
83013 39 38 $3K
S9470 Nutritional counseling, dietitian visit 154 150 $3K
87340 178 174 $3K
87799 31 31 $3K
85379 390 373 $3K
87522 Neg quan hep c or qual rna 59 58 $2K
J1756 Injection, iron sucrose, 1 mg 304 145 $2K
93970 27 26 $2K
76819 Fetal biophysical profile; without non-stress testing 43 25 $2K
84146 89 86 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 55 54 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $2K
84403 72 69 $2K
82565 571 528 $2K
85652 678 610 $2K
74022 107 105 $2K
72125 Computed tomography, cervical spine; without contrast material 45 44 $2K
86592 413 401 $2K
84100 322 267 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 31 27 $2K
73130 179 150 $2K
90715 92 81 $2K
86140 603 547 $2K
72070 89 88 $2K
73110 136 120 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 25 $1K
86850 218 203 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $1K
86003 12 12 $1K
80076 149 140 $1K
84153 56 53 $1K
77066 Tomosynthesis, mammo 13 13 $1K
J1170 Injection, hydromorphone, up to 4 mg 2,298 1,240 $1K
86480 16 16 $1K
94760 23 13 $1K
93017 37 37 $1K
83001 63 60 $1K
82248 238 206 $1K
84550 181 163 $1K
73502 65 63 $1K
82947 514 398 $1K
83516 32 32 $963.10
82746 93 91 $934.72
87512 32 32 $904.04
86900 280 259 $845.36
86901 280 259 $845.27
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 38 38 $805.60
J7030 Infusion, normal saline solution , 1000 cc 1,365 1,190 $770.51
84156 180 150 $733.29
86431 94 94 $709.74
86706 43 43 $603.12
J2270 Injection, morphine sulfate, up to 10 mg 781 607 $574.76
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,983 3,824 $549.80
97165 14 14 $540.12
80164 29 29 $539.98
83970 12 12 $531.28
J1885 Injection, ketorolac tromethamine, per 15 mg 4,322 3,623 $530.29
93296 41 41 $525.99
82950 70 69 $509.96
87493 13 13 $495.95
82550 88 82 $478.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,733 1,422 $428.53
84402 13 13 $403.65
94729 12 12 $365.98
81003 115 104 $361.51
83615 67 57 $355.00
87427 27 27 $333.56
A9270 Non-covered item or service 38 26 $323.75
87081 58 57 $319.02
77062 12 12 $302.55
87205 67 65 $300.13
84481 13 13 $296.12
87209 13 13 $261.15
94727 12 12 $242.45
J0780 Injection, prochlorperazine, up to 10 mg 335 306 $235.26
72040 12 12 $224.93
87070 39 38 $223.75
72100 12 12 $220.78
73140 24 24 $201.30
90686 13 13 $189.80
87045 27 27 $188.98
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,894 1,404 $185.81
74018 16 13 $180.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $175.32
J2704 Injection, propofol, 10 mg 390 365 $148.06
G0008 Administration of influenza virus vaccine 12 12 $148.00
J2060 Injection, lorazepam, 2 mg 518 401 $146.14
82803 28 24 $141.96
80178 17 13 $128.00
94060 12 12 $125.97
J8597 Antiemetic drug, oral, not otherwise specified 230 164 $120.30
87046 27 27 $117.45
J2765 Injection, metoclopramide hcl, up to 10 mg 721 544 $113.16
84425 13 13 $106.75
87177 13 13 $97.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 118 96 $61.22
J3010 Injection, fentanyl citrate, 0.1 mg 349 293 $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) 25 13 $30.18
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 396 334 $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 53 30 $15.33
J2250 Injection, midazolam hydrochloride, per 1 mg 232 212 $3.96
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 105 90 $0.01
A9585 Injection, gadobutrol, 0.1 ml 154 150 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 157 139 $0.00
J3490 Unclassified drugs 184 89 $0.00
J7050 Infusion, normal saline solution, 250 cc 19 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 178 152 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 396 335 $0.00