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

Einstein Medical Center Montgomery

Einstein Medical Center Montgomery was paid $7.47M by Medicaid between Jan 2019 and Dec 2024, across 169 billing codes. Its largest line is G0378, Hospital observation service, per hour — 32% of everything it billed.

33Billing provider infoEINSTEIN MEDICAL CENTER MONTGOMERY
EAST NORRITON, PA 19403
33aNPI1104192590assigned 03/29/2012
33bProvider typeGeneral Acute Care Hospital
28Total paid$7.47M
24GClaims102,617
24DCodes billed169
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#43 of 154
Median peer was paid$2.82M
This provider vs. median2.6×

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$400K$600K2018201920202021202220232024
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
20191,681$79K
202019,345$1.06M
202150,942$3.88M
20227,376$928K
202312,129$991K
2024incomplete11,144$529K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0378 Hospital observation service, per hour 32% 1,676 1,462 $2.41M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 8,290 7,838 $1.55M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 4,586 4,396 $960K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.7% 2,871 2,719 $498K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.3% 1,263 1,194 $244K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.4% 2,864 2,662 $176K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.9% 723 700 $141K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.5% 72 70 $112K
S5000 Prescription drug, generic 1.3% 11,174 4,479 $97K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 83 77 $90K
77067 Screening mammography, bilateral, including computer-aided detection 1.2% 774 765 $86K
62323 1.1% 131 125 $82K
157 more codes
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,092 $67K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 473 $66K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 653 $47K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 135 $47K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 465 $45K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 780 $45K
99215 Doctor's office visit, returning patient (complex) <1% 381 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,662 $34K
99214 Doctor's office visit, returning patient (more involved) <1% 383 $30K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 146 $29K
36415 Collection of venous blood by venipuncture <1% 1,676 $27K
76801 <1% 451 $27K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 182 $26K
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% 1,296 $26K
76830 Ultrasound, transvaginal <1% 421 $23K
77063 Screening digital breast tomosynthesis, bilateral <1% 774 $22K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 512 $21K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 273 $20K
59025 Fetal non-stress test <1% 1,504 $20K
80053 Comprehensive metabolic panel <1% 2,987 $20K
76813 <1% 262 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 228 $17K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 52 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 228 $15K
76642 <1% 202 $12K
76536 <1% 161 $11K
77066 Tomosynthesis, mammo <1% 93 $9K
71250 <1% 144 $9K
72141 <1% 28 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,317 $9K
70450 Computed tomography, head or brain; without contrast material <1% 399 $9K
71046 Radiologic examination, chest; 2 views <1% 884 $8K
99213 Doctor's office visit, returning patient (routine) <1% 149 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 100 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 214 $7K
73564 <1% 286 $7K
70551 Magnetic resonance imaging, brain; without contrast material <1% 27 $6K
85027 <1% 1,412 $6K
77065 Tomosynthesis, mammo <1% 72 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 655 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 2,003 $6K
73030 <1% 310 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 494 $5K
83880 <1% 215 $5K
95886 <1% 75 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 38 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 278 $3K
73610 <1% 177 $3K
77080 <1% 48 $3K
72110 <1% 113 $3K
71275 Computed tomographic angiography, chest, with contrast material <1% 30 $3K
73630 <1% 253 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 27 $3K
93971 <1% 80 $3K
82248 <1% 1,056 $3K
76770 <1% 47 $3K
84443 Thyroid stimulating hormone (TSH) <1% 249 $3K
86850 <1% 326 $3K
71045 Radiologic examination, chest; single view <1% 758 $3K
73130 <1% 217 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 309 $3K
96367 <1% 57 $2K
83735 <1% 1,712 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 27 $2K
72114 <1% 77 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 575 $2K
Q3014 Telehealth originating site facility fee <1% 148 $2K
84484 <1% 1,072 $2K
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% 12 $2K
J3490 Unclassified drugs <1% 787 $2K
84100 <1% 1,583 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 404 $2K
73110 <1% 115 $1K
73502 <1% 64 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 85 $1K
77062 <1% 38 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 861 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 352 $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 <1% 842 $1K
85610 <1% 754 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 217 $1K
85730 <1% 506 $1K
84702 <1% 102 $994.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 775 $983.71
86900 <1% 422 $982.28
76819 Fetal biophysical profile; without non-stress testing <1% 13 $945.29
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 326 $912.50
96376 <1% 271 $896.22
70496 <1% 12 $887.04
72040 <1% 47 $882.39
83690 <1% 769 $862.69
81001 <1% 785 $789.61
C1769 Guide wire <1% 70 $767.93
81003 <1% 749 $702.86
73562 <1% 33 $653.57
76820 <1% 22 $649.17
76775 <1% 16 $609.31
99241 <1% 12 $591.10
86901 <1% 366 $589.85
82962 <1% 1,174 $587.10
72125 Computed tomography, cervical spine; without contrast material <1% 46 $560.04
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 266 $443.90
J2704 Injection, propofol, 10 mg <1% 1,639 $430.11
84703 <1% 166 $422.21
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 22 $419.80
76000 <1% 26 $367.06
83605 <1% 271 $355.44
82247 <1% 35 $350.72
77061 <1% 13 $341.14
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 14 $312.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,126 $305.18
82728 <1% 49 $299.17
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 38 $287.38
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 12 $285.26
96361 Intravenous infusion, hydration; each additional hour <1% 30 $283.22
73560 <1% 24 $246.95
80061 Lipid panel <1% 68 $246.82
72100 <1% 14 $241.16
83540 <1% 52 $199.07
81025 <1% 870 $192.74
74018 <1% 16 $189.88
82607 <1% 46 $172.97
80320 <1% 64 $169.85
73080 <1% 16 $157.60
72020 <1% 22 $157.40
73590 <1% 13 $152.32
88342 <1% 25 $146.60
J1644 Injection, heparin sodium, per 1000 units <1% 265 $136.30
J2270 Injection, morphine sulfate, up to 10 mg <1% 512 $120.97
83550 <1% 41 $105.22
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,540 $100.56
J0690 Injection, cefazolin sodium, 500 mg <1% 657 $91.76
82746 <1% 16 $74.02
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,308 $62.74
87205 <1% 44 $59.88
87186 <1% 29 $58.96
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 233 $41.78
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,808 $39.61
82550 <1% 38 $35.95
J7120 Ringers lactate infusion, up to 1000 cc <1% 302 $35.64
87070 <1% 15 $32.10
87040 <1% 15 $28.00
85652 <1% 25 $25.51
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,311 $20.86
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 29 $17.50
J3475 Injection, magnesium sulfate, per 500 mg <1% 81 $15.34
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 277 $6.33
J2060 Injection, lorazepam, 2 mg <1% 46 $1.21
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 0% 167 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 32 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 90 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 16 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 171 $0.00
J1815 Injection, insulin, per 5 units 0% 38 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 446 $0.00
S0028 Injection, famotidine, 20 mg 0% 38 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 23 $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 officialWYATT, WALTER (ASSOCIATE VICE PRESIDENT - FINANCE)
Same official

Other billing entities under WYATT, WALTER

Full network →
ProviderLocationPaid
Einstein Medical Center MontgomeryEast Norriton, PA$13K

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