Medicaid Provider Spending

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

PENN PRESYBYTERIAN MEDICAL CENTER

NPI: 1134278989 · PHILA, PA 19104 · General Acute Care Hospital · NPI assigned 01/10/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.

$1.48M
Total Medicaid Paid
4,094
Total Claims
379
Beneficiaries
2
Codes Billed
2022-07
First Month
2023-05
Last Month

Provider Details

Authorized OfficialMCCORMICK, THOMAS (VICE PRESIDENT PATIENT ACCOUNTING)
NPI Enumeration Date01/10/2007

Related Entities

Other providers sharing the same authorized official: MCCORMICK, THOMAS

ProviderCityStateTotal Paid
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA PA $84.02M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS PHILA PA $25.68M
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $23.27M
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP PHILADELPHIA PA $14.08M
HALL-MERCER CMH-MRC OF PA HOSP PHILA PA $6.82M
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA PHILA PA $2.61M
PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB PHILA PA $1.60M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS PHILADELPHIA PA $69K
THOMAS E MCCORMICK, MD, PC RUTLAND VT $22K
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,231 $813K
2023 1,863 $670K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 3,914 325 $1.41M
H0013 Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) 180 54 $72K