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

Methodist Hospital

Methodist Hospital was paid $10.65M by Medicaid between Jul 2019 and Dec 2024, across 175 billing codes. Its largest line is 99284, emergency room visit (serious) — 40% of everything it billed.

33Billing provider infoMETHODIST HOSPITAL
PHILADELPHIA, PA 19145
33aNPI1134297393assigned 12/04/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$10.65M
24GClaims152,559
24DCodes billed175
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#27 of 154
Median peer was paid$2.82M
This provider vs. median3.8×

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
2019817$21K
202023,522$1.36M
202154,193$4.24M
202218,118$1.57M
202326,657$2.03M
2024incomplete29,252$1.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 40% 20,347 19,312 $4.22M
G0378 Hospital observation service, per hour 16% 2,063 1,191 $1.73M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 7,006 6,702 $1.55M
77067 Screening mammography, bilateral, including computer-aided detection 5.0% 3,433 3,403 $535K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.4% 2,224 2,047 $470K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.0% 2,101 1,962 $318K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2.0% 977 624 $210K
77063 Screening digital breast tomosynthesis, bilateral 1.3% 3,403 3,353 $139K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 230 218 $115K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 265 254 $97K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,248 716 $79K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive <1% 1,098 476 $71K
163 more codes
97602 <1% 571 $70K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 426 $57K
77066 Tomosynthesis, mammo <1% 273 $49K
76642 <1% 552 $46K
97597 <1% 756 $46K
76641 <1% 330 $37K
96375 Therapeutic injection; each additional sequential IV push <1% 1,440 $36K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 289 $32K
71250 <1% 299 $32K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 471 $30K
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 <1% 403 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 671 $26K
77065 Tomosynthesis, mammo <1% 199 $26K
76830 Ultrasound, transvaginal <1% 295 $25K
76536 <1% 260 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,103 $24K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 41 $24K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 357 $23K
71046 Radiologic examination, chest; 2 views <1% 1,200 $23K
97598 <1% 221 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 150 $22K
76770 <1% 284 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,162 $20K
80048 Basic metabolic panel (calcium, ionized) <1% 6,238 $19K
77080 <1% 206 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 167 $18K
72110 <1% 351 $15K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,467 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,231 $15K
70450 Computed tomography, head or brain; without contrast material <1% 587 $14K
93970 <1% 110 $14K
74183 <1% 15 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 330 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 201 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 16 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 97 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,337 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 411 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 95 $8K
10005 <1% 15 $8K
94729 <1% 108 $6K
73630 <1% 405 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,255 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 26 $5K
95886 <1% 58 $5K
73030 <1% 215 $5K
99214 Doctor's office visit, returning patient (more involved) <1% 244 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 172 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 105 $5K
84484 <1% 1,994 $5K
71045 Radiologic examination, chest; single view <1% 1,637 $5K
88342 <1% 132 $5K
73564 <1% 213 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,480 $4K
72050 <1% 69 $4K
80076 <1% 1,385 $4K
99213 Doctor's office visit, returning patient (routine) <1% 70 $3K
73610 <1% 157 $3K
97161 <1% 114 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 12 $2K
97162 <1% 71 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 107 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 416 $2K
94726 <1% 44 $2K
93971 <1% 27 $2K
73130 <1% 190 $2K
83880 <1% 289 $2K
80053 Comprehensive metabolic panel <1% 418 $2K
C1769 Guide wire <1% 87 $2K
82803 <1% 291 $2K
A9270 Non-covered item or service <1% 16,960 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 260 $2K
A9585 Injection, gadobutrol, 0.1 ml <1% 614 $2K
81001 <1% 923 $2K
96417 <1% 17 $2K
93975 <1% 25 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 260 $1K
73562 <1% 50 $1K
83690 <1% 890 $1K
76376 <1% 44 $1K
J2704 Injection, propofol, 10 mg <1% 3,313 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 605 $1K
85730 <1% 494 $1K
84443 Thyroid stimulating hormone (TSH) <1% 240 $1K
73502 <1% 44 $1K
83605 <1% 571 $1K
85027 <1% 225 $1K
93922 <1% 14 $970.37
90715 <1% 106 $840.94
73110 <1% 68 $837.03
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 63 $808.46
83735 <1% 667 $775.05
85610 <1% 582 $745.69
0001A <1% 15 $679.02
87077 <1% 204 $652.43
80320 <1% 121 $646.82
85379 <1% 258 $637.18
87040 <1% 147 $560.20
J2469 Injection, palonosetron hcl, 25 mcg <1% 552 $555.81
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 140 $546.81
86900 <1% 226 $482.59
36415 Collection of venous blood by venipuncture <1% 964 $433.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 152 $404.67
99215 Doctor's office visit, returning patient (complex) <1% 30 $385.30
86850 <1% 149 $334.07
96376 <1% 241 $303.30
94060 <1% 14 $299.80
72100 <1% 38 $299.45
81003 <1% 359 $299.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,247 $276.13
84702 <1% 56 $262.72
86901 <1% 192 $230.40
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 21 $193.18
87186 <1% 89 $168.36
82550 <1% 82 $153.62
73080 <1% 14 $150.20
80329 <1% 15 $86.58
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,061 $84.60
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 22 $79.18
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,118 $75.90
J3490 Unclassified drugs <1% 3,570 $74.13
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,435 $67.06
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,531 $66.95
J2270 Injection, morphine sulfate, up to 10 mg <1% 647 $65.10
87205 <1% 30 $61.19
87070 <1% 12 $47.94
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,058 $47.36
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 700 $44.42
83036 Hemoglobin; glycosylated (A1C) <1% 15 $39.41
86140 <1% 36 $30.87
84100 <1% 70 $27.19
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,307 $24.69
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 577 $16.97
85652 <1% 12 $15.05
83540 <1% 15 $12.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 949 $10.75
J0690 Injection, cefazolin sodium, 500 mg <1% 570 $10.33
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 398 $7.14
83550 <1% 13 $7.13
J1815 Injection, insulin, per 5 units <1% 743 $5.62
J2060 Injection, lorazepam, 2 mg <1% 15 $4.70
88300 0% 15 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 323 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 214 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 508 $0.00
00000 0% 169 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 13 $0.00
J1439 Injection, ferric carboxymaltose, 1 mg 0% 30 $0.00
J7999 Compounded drug, not otherwise classified 0% 54 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 39 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 24 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 128 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 108 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 352 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 194 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 767 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 274 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 15 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 45 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 52 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 66 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 30 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 61 $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 officialLUBARSKY, NEIL (SENIOR VICE PRESIDENT)
Same official

Other billing entities under LUBARSKY, NEIL

Full network →
ProviderLocationPaid
Thomas Jefferson University Hospitals INCPhiladelphia, PA$40.28M

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