Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HIGHLANDS HOSPITAL AND HEALTH CENTER

NPI: 1144215039 · CONNELLSVILLE, PA 15425 · Multi-Specialty Clinic/Center · NPI assigned 09/16/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STRISHOCK, JOURDAN controls 16+ related entities in our dataset. Read more

$4.47M
Total Medicaid Paid
105,993
Total Claims
98,455
Beneficiaries
117
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTRISHOCK, JOURDAN (COMPLIANCE ANALYST/ENROLLMENT SUPV)
Parent OrganizationPENN HIGHLANDS HEALTHCARE
NPI Enumeration Date09/16/2005

Related Entities

Other providers sharing the same authorized official: STRISHOCK, JOURDAN

ProviderCityStateTotal Paid
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $3.93M
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $3.58M
DUBOIS REGIONAL MEDICAL CENTER CLEARFIELD PA $1.79M
TYRONE HOSPITAL TYRONE PA $1.44M
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC CLEARFIELD PA $177K
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC SAINT MARYS PA $134K
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC DU BOIS PA $29K
HIGHLANDS HOSPITAL AND HEALTH CENTER CONNELLSVILLE PA $16K
DUBOIS REGIONAL MEDICAL CENTER DU BOIS PA $10K
J C BLAIR MEMORIAL HOSPITAL STATE COLLEGE PA $7K
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $4K
JC BLAIR MEMORIAL HOSPITAL HUNTINGDON PA $2K
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $404.23
J. C. BLAIR MEMORIAL HOSPITAL HUNTINGDON PA $346.50
MONONGAHELA VALLEY HOSPITAL, INC UNIONTOWN PA $320.93
MON-VALE ONCOLOGY, INC. MONONGAHELA PA $309.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 8,058 $346K
2021 51,092 $1.93M
2022 11,954 $563K
2023 23,833 $1.12M
2024 11,056 $517K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 20,572 18,367 $1.24M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,254 12,808 $944K
99284 Emergency department visit for the evaluation and management, high severity 5,750 5,595 $650K
99283 Emergency department visit for the evaluation and management, moderate severity 5,445 5,313 $418K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,368 1,309 $226K
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 1,722 1,662 $129K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 373 369 $66K
G0378 Hospital observation service, per hour 56 55 $54K
80053 Comprehensive metabolic panel 6,645 6,382 $54K
T1015 Clinic visit/encounter, all-inclusive 1,265 372 $53K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,114 1,094 $42K
87631 352 346 $42K
84443 Thyroid stimulating hormone (TSH) 2,259 2,201 $34K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,023 986 $33K
80061 Lipid panel 2,208 2,175 $29K
80050 General health panel 574 558 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 960 917 $27K
74177 Computed tomography, abdomen and pelvis; with contrast material 137 132 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,823 5,558 $24K
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 1,219 1,186 $19K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,682 1,619 $18K
0002A 403 403 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 515 507 $16K
70450 Computed tomography, head or brain; without contrast material 216 212 $16K
0001A 414 412 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,441 1,364 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 393 242 $13K
85027 1,716 1,658 $12K
83735 1,614 1,515 $11K
71046 Radiologic examination, chest; 2 views 713 699 $10K
72141 39 39 $10K
96375 Therapeutic injection; each additional sequential IV push 545 499 $10K
80048 Basic metabolic panel (calcium, ionized) 1,047 976 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 87 86 $9K
77067 Screening mammography, bilateral, including computer-aided detection 110 110 $9K
84703 817 794 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 454 434 $7K
83036 Hemoglobin; glycosylated (A1C) 972 954 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 319 314 $7K
84484 728 671 $6K
80320 460 427 $5K
82607 374 362 $5K
80329 367 343 $5K
71045 Radiologic examination, chest; single view 702 662 $5K
81001 1,720 1,657 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 123 123 $5K
82043 530 524 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 145 140 $4K
96361 Intravenous infusion, hydration; each additional hour 286 250 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 49 26 $4K
83690 744 712 $3K
82570 438 428 $3K
85730 474 452 $3K
85610 807 707 $3K
84439 323 316 $3K
87086 Culture, bacterial; quantitative colony count, urine 314 296 $3K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 20 17 $2K
82728 197 196 $2K
77063 Screening digital breast tomosynthesis, bilateral 109 109 $2K
86803 121 117 $2K
73030 85 81 $2K
83540 268 266 $2K
83605 286 268 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 71 71 $2K
80076 194 192 $2K
73610 92 88 $2K
72110 75 74 $2K
84450 231 218 $2K
73630 143 136 $2K
84460 207 195 $2K
36415 Collection of venous blood by venipuncture 4,711 4,367 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $1K
83550 231 229 $1K
87340 56 54 $804.96
85379 81 80 $804.52
82746 66 64 $788.28
81003 251 246 $777.89
84153 30 30 $743.58
85007 204 197 $725.09
73564 30 29 $661.47
0003A 15 15 $652.40
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 16 15 $647.11
84436 63 63 $586.90
85652 182 172 $558.33
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $519.14
82550 95 89 $494.02
88142 27 26 $471.68
84702 26 24 $462.04
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 13 13 $439.59
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 14 14 $419.07
73130 35 33 $403.15
87040 16 15 $362.18
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 44 38 $336.62
82150 75 72 $300.09
87430 46 44 $278.20
87081 47 45 $224.92
82248 30 26 $204.25
73110 18 18 $199.76
84550 34 32 $190.38
86141 18 17 $183.73
J1885 Injection, ketorolac tromethamine, per 15 mg 865 820 $147.86
82565 27 25 $147.22
90714 40 38 $126.00
84520 26 25 $124.88
86140 38 38 $114.27
86593 13 12 $79.61
93041 13 12 $49.30
J2704 Injection, propofol, 10 mg 193 169 $36.10
J2405 Injection, ondansetron hydrochloride, per 1 mg 483 419 $34.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg 232 207 $25.38
J3010 Injection, fentanyl citrate, 0.1 mg 16 15 $3.40
J2250 Injection, midazolam hydrochloride, per 1 mg 45 42 $2.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 125 120 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 15 $0.00
87280 13 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 26 26 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 23 22 $0.00