Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › JEFFERSON HEALTH - NORTHEAST

JEFFERSON HEALTH - NORTHEAST

NPI: 1114095791 · PHILADELPHIA, PA 19124 · General Acute Care Hospital · NPI assigned 12/01/2006

$14.48M
Total Medicaid Paid
214,810
Total Claims
181,824
Beneficiaries
178
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALUP, RICHARD (PRESIDENT)
NPI Enumeration Date12/01/2006

Related Entities

Other providers sharing the same authorized official: GALUP, RICHARD

ProviderCityStateTotal Paid
JEFFERSON HEALTH - NORTHEAST PHILADELPHIA PA $5.50M
JEFFERSON HEALTH - NORTHEAST LANGHORNE PA $1.71M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 370 $23K
2020 34,106 $1.99M
2021 81,036 $4.77M
2022 28,250 $2.55M
2023 29,502 $2.83M
2024 41,546 $2.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 24,934 23,596 $4.73M
99284 Emergency department visit for the evaluation and management, high severity 22,163 21,181 $4.12M
G0378 Hospital observation service, per hour 3,461 1,900 $2.89M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,892 8,473 $1.44M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,407 1,310 $170K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,354 1,316 $168K
77067 Screening mammography, bilateral, including computer-aided detection 1,625 1,601 $142K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,553 818 $135K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,186 1,157 $72K
36000 1,455 1,374 $62K
80048 Basic metabolic panel (calcium, ionized) 16,063 13,738 $47K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 362 357 $44K
77063 Screening digital breast tomosynthesis, bilateral 1,266 1,246 $29K
70450 Computed tomography, head or brain; without contrast material 1,513 1,443 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,317 1,135 $22K
71046 Radiologic examination, chest; 2 views 2,125 2,046 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,383 5,732 $19K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,156 4,816 $18K
71260 Computed tomography, thorax, diagnostic; with contrast material 318 317 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,256 14,376 $17K
76830 Ultrasound, transvaginal 379 371 $16K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,239 4,080 $14K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 126 44 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 410 394 $13K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,947 1,896 $13K
97161 137 128 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 168 165 $9K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 922 868 $9K
72125 Computed tomography, cervical spine; without contrast material 484 471 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 74 73 $8K
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 484 446 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,950 1,656 $6K
0001A 130 130 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 173 170 $6K
71045 Radiologic examination, chest; single view 2,556 2,413 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 52 51 $6K
84484 3,213 2,750 $6K
0002A 103 103 $6K
71250 103 99 $5K
70486 205 202 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 162 127 $5K
97150 Therapeutic procedure(s), group (2 or more individuals) 58 26 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 16 16 $5K
73630 566 516 $5K
96375 Therapeutic injection; each additional sequential IV push 2,075 1,828 $4K
72100 185 177 $4K
80076 2,763 2,605 $4K
93971 136 131 $4K
T1015 Clinic visit/encounter, all-inclusive 59 14 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 178 170 $3K
73030 332 318 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 166 164 $3K
76801 153 141 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 410 394 $3K
93975 77 76 $3K
73130 454 414 $3K
73562 128 103 $2K
73564 349 330 $2K
90715 530 521 $2K
73610 341 316 $2K
80320 427 392 $2K
93017 53 52 $2K
71275 Computed tomographic angiography, chest, with contrast material 101 99 $2K
96361 Intravenous infusion, hydration; each additional hour 770 700 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 499 266 $2K
76770 31 31 $2K
83690 2,192 2,067 $2K
85730 1,300 1,218 $2K
12001 39 38 $2K
12002 13 13 $2K
83735 1,682 1,429 $2K
81003 1,985 1,877 $1K
A9585 Injection, gadobutrol, 0.1 ml 95 88 $1K
0031A 29 29 $1K
84702 411 385 $1K
A9270 Non-covered item or service 19,643 6,538 $1K
84443 Thyroid stimulating hormone (TSH) 423 392 $1K
80053 Comprehensive metabolic panel 645 587 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 24 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 234 223 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 13 $1K
80329 323 292 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 68 63 $1K
83880 327 315 $990.39
85610 1,363 1,274 $961.69
82805 181 168 $872.59
83605 716 649 $803.77
87086 Culture, bacterial; quantitative colony count, urine 383 376 $784.28
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 434 429 $745.20
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 28 28 $700.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 386 363 $632.19
85379 468 446 $575.53
87631 134 133 $570.50
73502 43 42 $547.86
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 434 429 $530.04
96376 709 526 $526.40
81001 1,289 1,260 $524.35
82962 1,053 707 $502.78
87186 263 258 $502.17
76775 15 13 $491.17
86850 299 287 $479.62
73110 123 120 $465.55
84703 326 312 $463.89
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 136 106 $434.44
72110 24 24 $398.91
J2270 Injection, morphine sulfate, up to 10 mg 1,814 1,444 $384.22
J7030 Infusion, normal saline solution , 1000 cc 1,362 1,150 $370.07
87040 141 122 $364.00
82550 371 337 $359.63
87088 325 316 $356.80
86900 381 365 $348.13
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 171 166 $341.41
86901 377 361 $303.23
85027 371 309 $256.43
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 17 16 $229.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 64 41 $227.00
87070 75 68 $173.67
J1885 Injection, ketorolac tromethamine, per 15 mg 5,985 5,426 $158.13
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 81 76 $136.53
83036 Hemoglobin; glycosylated (A1C) 202 195 $127.61
87210 181 178 $98.94
84100 225 165 $91.25
80061 Lipid panel 118 110 $87.99
J2704 Injection, propofol, 10 mg 98 87 $82.15
82010 82 72 $81.50
J1953 Injection, levetiracetam, 10 mg 19 15 $73.40
36415 Collection of venous blood by venipuncture 611 451 $70.38
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,955 2,569 $66.60
J3490 Unclassified drugs 1,944 1,519 $62.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 145 135 $58.19
73590 13 13 $49.50
J1815 Injection, insulin, per 5 units 1,426 566 $48.85
J0696 Injection, ceftriaxone sodium, per 250 mg 1,234 1,047 $48.05
J1200 Injection, diphenhydramine hcl, up to 50 mg 524 472 $42.08
J1170 Injection, hydromorphone, up to 4 mg 233 157 $39.02
84460 14 14 $36.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 506 460 $35.93
J2765 Injection, metoclopramide hcl, up to 10 mg 725 635 $35.13
82247 15 15 $34.65
J1245 Injection, dipyridamole, per 10 mg 41 40 $32.76
84075 14 14 $31.85
82330 69 65 $29.47
82248 12 12 $27.72
J2060 Injection, lorazepam, 2 mg 576 478 $24.78
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,241 1,011 $23.83
84155 15 15 $23.35
73080 18 18 $23.00
J3370 Injection, vancomycin hcl, 500 mg 159 95 $22.48
J1644 Injection, heparin sodium, per 1000 units 242 123 $19.57
J1650 Injection, enoxaparin sodium, 10 mg 814 511 $18.74
82040 15 15 $18.25
86140 82 72 $18.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 576 554 $17.50
J0690 Injection, cefazolin sodium, 500 mg 49 26 $14.67
84295 67 63 $13.19
84132 69 65 $12.87
82435 67 63 $12.87
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 112 98 $12.04
J3010 Injection, fentanyl citrate, 0.1 mg 117 93 $10.55
87205 18 16 $9.00
J1630 Injection, haloperidol, up to 5 mg 42 38 $6.96
82947 69 65 $4.12
85651 15 13 $3.77
J2250 Injection, midazolam hydrochloride, per 1 mg 123 113 $3.41
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 199 172 $2.63
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 224 160 $2.43
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 17 15 $0.48
91300 45 43 $0.06
J3475 Injection, magnesium sulfate, per 500 mg 163 144 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 175 121 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 29 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 15 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 175 131 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 271 220 $0.00
81025 45 45 $0.00
C9113 Injection, pantoprazole sodium, per vial 38 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 40 40 $0.00
J0280 Injection, aminophyllin, up to 250 mg 24 24 $0.00