Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NAZARETH HOSPITAL

NPI: 1124023015 · PHILADELPHIA, PA 19152 · General Acute Care Hospital · NPI assigned 06/16/2005

$28.16M
Total Medicaid Paid
318,353
Total Claims
283,637
Beneficiaries
177
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWAJDA, DAVID (CHIEF FINANCIAL OFFICER, VP FINANCE)
NPI Enumeration Date06/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 537 $48K
2020 55,061 $3.24M
2021 96,302 $8.36M
2022 37,746 $5.56M
2023 61,404 $5.70M
2024 67,303 $5.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 29,375 27,848 $8.82M
99283 Emergency department visit for the evaluation and management, moderate severity 23,205 22,491 $6.44M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,212 17,131 $5.79M
G0378 Hospital observation service, per hour 2,241 1,830 $3.52M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,789 6,620 $1.83M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 166 163 $274K
T1015 Clinic visit/encounter, all-inclusive 3,481 907 $264K
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 3,948 3,781 $121K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,098 533 $117K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 270 156 $92K
99281 Emergency department visit for the evaluation and management, self-limited or minor 317 308 $80K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 318 307 $54K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,436 1,370 $53K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 116 110 $43K
77067 Screening mammography, bilateral, including computer-aided detection 342 334 $38K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,379 10,646 $38K
93975 733 696 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,217 11,244 $33K
80053 Comprehensive metabolic panel 18,361 16,956 $30K
73630 1,198 1,057 $24K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 222 123 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,522 20,189 $21K
71045 Radiologic examination, chest; single view 5,709 5,390 $20K
97161 362 353 $20K
71046 Radiologic examination, chest; 2 views 1,779 1,697 $17K
70450 Computed tomography, head or brain; without contrast material 1,505 1,444 $16K
93970 166 161 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 544 502 $15K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 102 96 $15K
76641 178 141 $14K
76830 Ultrasound, transvaginal 436 431 $13K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 323 224 $12K
76700 Ultrasound, abdominal, real time with image documentation; complete 156 152 $12K
84484 7,049 6,386 $11K
96375 Therapeutic injection; each additional sequential IV push 4,166 3,802 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 396 387 $10K
77063 Screening digital breast tomosynthesis, bilateral 327 322 $10K
72100 296 293 $9K
0012A 131 131 $9K
71275 Computed tomographic angiography, chest, with contrast material 386 379 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,189 1,143 $9K
93971 238 227 $9K
0011A 170 170 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 311 308 $8K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 362 345 $8K
93017 104 100 $7K
73610 482 443 $7K
36415 Collection of venous blood by venipuncture 14,504 12,398 $6K
77066 Tomosynthesis, mammo 42 40 $6K
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 2,531 2,450 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 744 701 $6K
80048 Basic metabolic panel (calcium, ionized) 3,403 2,955 $6K
76801 404 370 $5K
93041 7,614 7,037 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 189 186 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 312 283 $5K
73564 402 364 $4K
83690 6,072 5,722 $4K
73030 305 279 $3K
72125 Computed tomography, cervical spine; without contrast material 279 273 $3K
83880 999 941 $3K
73130 468 443 $3K
83735 3,956 3,272 $3K
85730 2,938 2,746 $3K
73502 99 86 $3K
0202U Oncology (prostate), multianalyte, gene expression profiling 12 12 $3K
85610 3,239 2,953 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 324 306 $2K
84443 Thyroid stimulating hormone (TSH) 689 659 $2K
76770 37 37 $2K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $2K
81001 7,023 6,670 $2K
84703 1,994 1,902 $2K
72070 43 43 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 66 43 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,287 1,222 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,868 1,787 $2K
96361 Intravenous infusion, hydration; each additional hour 146 141 $2K
90715 407 400 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,381 1,271 $2K
74018 40 39 $1K
72040 28 28 $1K
70486 72 72 $1K
73110 154 143 $1K
84702 656 582 $1K
85027 1,009 876 $1K
71250 42 41 $1K
93350 12 12 $1K
80061 Lipid panel 192 180 $1K
80177 78 74 $954.50
84100 1,757 1,314 $899.54
C1769 Guide wire 28 25 $873.61
86900 632 611 $836.25
81003 2,740 2,630 $808.66
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $749.08
81025 5,385 5,129 $722.81
86850 418 408 $674.83
87186 430 410 $602.70
80076 358 340 $574.19
88342 65 64 $554.76
85007 852 759 $543.19
87077 480 442 $512.50
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 29 12 $495.31
87081 778 751 $493.14
86901 626 605 $485.46
J7030 Infusion, normal saline solution , 1000 cc 6,514 5,761 $481.45
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 835 818 $478.77
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 835 818 $478.23
85379 714 696 $471.17
83605 619 571 $464.79
83036 Hemoglobin; glycosylated (A1C) 222 204 $462.59
97165 24 24 $445.30
87040 319 295 $444.48
82803 153 149 $393.88
0352U 91 88 $387.90
82550 405 380 $384.01
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 198 195 $351.86
87641 13 12 $341.55
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 366 267 $314.16
J1245 Injection, dipyridamole, per 10 mg 32 27 $264.81
76870 13 12 $227.43
J1644 Injection, heparin sodium, per 1000 units 500 222 $207.39
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 343 320 $202.47
J2704 Injection, propofol, 10 mg 1,222 1,082 $198.94
93976 48 47 $174.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 431 398 $173.65
J0690 Injection, cefazolin sodium, 500 mg 153 130 $166.41
J1170 Injection, hydromorphone, up to 4 mg 442 269 $158.64
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $154.72
J2270 Injection, morphine sulfate, up to 10 mg 1,804 1,335 $144.37
A9575 Injection, gadoterate meglumine, 0.1 ml 12 12 $142.18
J0696 Injection, ceftriaxone sodium, per 250 mg 742 667 $141.17
73590 18 18 $131.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 984 837 $123.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,033 3,522 $122.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,004 1,920 $121.49
87210 308 299 $113.49
80320 17 16 $111.13
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 12 $97.34
J3010 Injection, fentanyl citrate, 0.1 mg 1,298 972 $91.29
J1885 Injection, ketorolac tromethamine, per 15 mg 5,250 4,815 $89.21
82607 12 12 $89.18
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,118 976 $84.06
82746 12 12 $82.32
12001 25 25 $71.06
87430 219 211 $69.30
J2765 Injection, metoclopramide hcl, up to 10 mg 972 914 $59.18
73080 30 27 $57.04
97116 71 41 $51.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 53 43 $28.34
J2250 Injection, midazolam hydrochloride, per 1 mg 1,009 929 $26.47
J1650 Injection, enoxaparin sodium, 10 mg 750 368 $24.70
88304 14 12 $18.86
J3370 Injection, vancomycin hcl, 500 mg 27 17 $16.62
J7120 Ringers lactate infusion, up to 1000 cc 468 395 $16.22
82150 57 54 $15.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 143 139 $10.37
J2060 Injection, lorazepam, 2 mg 519 436 $9.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,002 676 $9.08
A9270 Non-covered item or service 12,420 6,543 $7.74
J0780 Injection, prochlorperazine, up to 10 mg 62 58 $7.65
J7050 Infusion, normal saline solution, 250 cc 679 395 $5.88
87147 12 12 $5.26
82010 14 14 $5.00
J0330 Injection, succinylcholine chloride, up to 20 mg 14 13 $3.67
86140 15 14 $3.55
J1815 Injection, insulin, per 5 units 485 155 $0.00
96376 97 78 $0.00
J8540 Dexamethasone, oral, 0.25 mg 12 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 294 245 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 44 37 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 15 13 $0.00
J1756 Injection, iron sucrose, 1 mg 129 79 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 36 31 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 33 12 $0.00
84439 14 12 $0.00
87420 13 13 $0.00