Medicaid Provider Spending

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

WAYNE MEMORIAL HOSPITAL

NPI: 1124026182 · HONESDALE, PA 18431 · Nephrology Physician · NPI assigned 07/13/2005

$9.17M
Total Medicaid Paid
263,892
Total Claims
240,920
Beneficiaries
244
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNSINGER, PATRICIA (CHEIF FINANCIAL OFFICER)
NPI Enumeration Date07/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,333 $59K
2019 1,236 $14K
2020 32,991 $897K
2021 123,996 $3.66M
2022 31,318 $1.43M
2023 42,942 $1.88M
2024 30,076 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,479 4,392 $1.94M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,414 8,457 $1.35M
99284 Emergency department visit for the evaluation and management, high severity 11,096 9,451 $1.05M
99283 Emergency department visit for the evaluation and management, moderate severity 11,191 9,197 $728K
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 6,395 5,922 $479K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,559 1,523 $286K
80053 Comprehensive metabolic panel 18,661 17,330 $194K
X0621 624 342 $172K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,767 2,693 $131K
84443 Thyroid stimulating hormone (TSH) 4,692 4,586 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,977 17,502 $96K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,564 2,550 $95K
300 Patient transfer system <300 1,114 214 $94K
80061 Lipid panel 7,193 7,125 $91K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,854 2,716 $91K
G0378 Hospital observation service, per hour 184 168 $87K
87486 2,247 2,193 $85K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,397 3,178 $84K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,940 2,298 $74K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,608 2,443 $65K
70450 Computed tomography, head or brain; without contrast material 965 936 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,948 1,735 $63K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,014 966 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,238 5,978 $54K
80050 General health panel 1,279 1,270 $54K
T1015 Clinic visit/encounter, all-inclusive 1,645 501 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material 633 617 $49K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,618 3,468 $45K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 324 321 $35K
77067 Screening mammography, bilateral, including computer-aided detection 472 471 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 699 683 $33K
87070 4,171 4,061 $32K
86617 973 575 $30K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,233 1,216 $29K
87086 Culture, bacterial; quantitative colony count, urine 4,092 3,827 $29K
96375 Therapeutic injection; each additional sequential IV push 1,701 1,545 $28K
71275 Computed tomographic angiography, chest, with contrast material 159 155 $27K
71046 Radiologic examination, chest; 2 views 1,919 1,880 $27K
20610 1,015 802 $26K
86618 1,011 568 $25K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 844 833 $25K
86803 1,327 1,319 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,038 1,023 $24K
86780 1,588 1,571 $24K
84484 2,747 2,506 $22K
84439 2,975 2,941 $22K
71045 Radiologic examination, chest; single view 2,827 2,733 $20K
36415 Collection of venous blood by venipuncture 4,939 4,040 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 451 449 $19K
87081 2,664 2,584 $19K
93307 213 213 $18K
87476 489 480 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete 362 362 $18K
94729 1,549 1,339 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 667 645 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,413 3,180 $18K
81001 6,610 6,387 $17K
83036 Hemoglobin; glycosylated (A1C) 2,777 2,752 $17K
82607 1,327 1,319 $16K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 201 134 $16K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 548 348 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 881 876 $15K
87340 1,066 1,060 $15K
94727 1,461 1,268 $15K
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 1,108 970 $14K
85730 2,345 2,257 $13K
83690 3,012 2,892 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,009 254 $13K
72125 Computed tomography, cervical spine; without contrast material 182 179 $12K
84702 782 635 $12K
87150 262 258 $12K
83735 1,887 1,739 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,150 967 $12K
76830 Ultrasound, transvaginal 252 251 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 506 180 $11K
80299 444 407 $11K
85610 3,378 3,073 $10K
87522 Neg quan hep c or qual rna 265 261 $10K
87186 1,266 1,216 $10K
X0592 257 189 $10K
83605 1,265 1,200 $10K
76536 195 193 $9K
77063 Screening digital breast tomosynthesis, bilateral 472 471 $9K
84703 923 895 $9K
93000 631 613 $9K
84481 414 405 $9K
73610 482 444 $8K
80048 Basic metabolic panel (calcium, ionized) 1,127 1,035 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 111 111 $8K
84153 337 335 $8K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 360 112 $8K
73562 532 449 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 221 217 $7K
84146 130 128 $7K
86038 499 496 $7K
87077 880 856 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material 114 112 $7K
93971 113 110 $7K
82728 621 613 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 173 171 $7K
80320 571 545 $7K
84466 396 392 $7K
85027 988 943 $6K
84403 239 237 $6K
87040 572 389 $6K
82746 544 539 $6K
94060 957 811 $6K
82570 934 873 $6K
80074 121 120 $6K
83880 235 227 $6K
71250 112 111 $6K
0202U Oncology (prostate), multianalyte, gene expression profiling 55 53 $6K
86665 198 113 $5K
82043 762 756 $5K
73030 376 356 $5K
81003 1,954 1,848 $5K
86762 257 256 $5K
73630 480 429 $5K
84436 580 559 $5K
94618 487 411 $5K
72110 243 243 $5K
85378 556 550 $5K
86850 619 563 $5K
87088 673 636 $5K
76642 114 103 $4K
82951 338 302 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 30 25 $4K
73110 379 329 $4K
84145 231 226 $4K
73130 353 320 $4K
86003 22 20 $4K
83001 201 197 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 152 148 $4K
85651 1,260 1,235 $3K
84402 131 130 $3K
86235 109 108 $3K
73502 201 188 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 80 80 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 227 85 $3K
82670 145 143 $3K
97164 103 101 $3K
83550 633 628 $3K
86431 343 322 $3K
84480 354 353 $3K
93017 75 74 $3K
87581 364 355 $3K
86140 918 887 $3K
74018 192 186 $2K
86664 113 113 $2K
86901 632 571 $2K
86900 632 571 $2K
82150 499 489 $2K
80349 188 177 $2K
83525 205 204 $2K
88142 130 130 $2K
80076 242 239 $2K
83002 120 117 $2K
86800 112 112 $2K
82140 422 373 $2K
82550 330 308 $2K
96361 Intravenous infusion, hydration; each additional hour 215 197 $2K
82784 121 121 $2K
84550 306 295 $2K
99244 Office or other outpatient consultation, moderate to high complexity 16 13 $2K
83970 44 43 $2K
90715 116 110 $2K
88307 46 46 $2K
86769 109 107 $1K
93016 69 69 $1K
72100 72 72 $1K
97597 90 53 $1K
83540 167 166 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $1K
70486 15 15 $1K
82248 187 162 $1K
83615 187 174 $1K
86757 48 33 $1K
86376 147 147 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 563 517 $1K
86706 85 85 $1K
93970 13 12 $1K
84156 288 274 $1K
73080 93 80 $968.55
93018 69 69 $940.59
86255 58 58 $923.02
72050 35 35 $859.54
83655 79 78 $800.50
99215 Prolong outpt/office vis 12 12 $718.05
80178 99 89 $700.37
80164 37 37 $623.96
81025 224 220 $606.80
77080 12 12 $598.94
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $554.15
84144 31 27 $546.55
82977 59 58 $510.67
80069 61 55 $465.00
85007 123 110 $449.58
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 12 12 $396.00
72070 25 25 $393.80
82565 68 67 $379.97
J1170 Injection, hydromorphone, up to 4 mg 440 359 $375.62
82947 97 95 $373.73
73090 34 33 $357.82
73140 42 41 $351.10
84100 56 54 $321.84
86677 52 51 $301.75
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,344 3,058 $285.61
82627 13 13 $282.45
82465 42 42 $264.12
82962 174 108 $263.84
12001 12 12 $257.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 30 $252.00
84155 54 54 $246.26
93248 13 13 $239.76
94010 60 53 $235.10
82785 13 13 $220.40
82103 12 12 $193.80
86704 13 13 $188.25
96376 42 41 $126.22
G0463 Hospital outpatient clinic visit for assessment and management of a patient 197 179 $124.12
88141 16 16 $102.90
87147 26 25 $74.85
J1200 Injection, diphenhydramine hcl, up to 50 mg 474 409 $68.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 494 474 $57.00
J0690 Injection, cefazolin sodium, 500 mg 271 218 $44.16
J2765 Injection, metoclopramide hcl, up to 10 mg 91 85 $21.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,194 1,131 $2.40
J1885 Injection, ketorolac tromethamine, per 15 mg 2,542 2,412 $1.10
J2704 Injection, propofol, 10 mg 870 813 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 927 826 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 26 25 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 207 199 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 412 379 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 153 103 $0.00
3074F 70 70 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 262 243 $0.00
J3490 Unclassified drugs 69 52 $0.00
J2060 Injection, lorazepam, 2 mg 17 15 $0.00
J7050 Infusion, normal saline solution, 250 cc 14 13 $0.00
J7030 Infusion, normal saline solution , 1000 cc 2,617 2,402 $0.00
3078F 50 50 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 13 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 73 63 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 14 12 $0.00