Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Du Bois › NPI 1144249657
Physician

Dubois Regional Medical Center

Dubois Regional Medical Center was paid $18.77M by Medicaid between Jan 2018 and Dec 2024, across 359 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.

33Billing provider infoDUBOIS REGIONAL MEDICAL CENTER
DU BOIS, PA 15801
33aNPI1144249657assigned 07/18/2006
28Total paid$18.77M
24GClaims571,657
24DCodes billed359
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#2 of 1,211
Median peer was paid$19K
This provider vs. median963×

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$250K$500K$750K2018201920202021202220232024
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
2018715$30K
20198,632$58K
202045,642$1.29M
2021222,978$7.05M
202297,305$3.35M
2023109,151$3.86M
2024incomplete87,234$3.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 54% 188,880 158,312 $10.07M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.3% 8,768 8,317 $1.00M
G0378 Hospital observation service, per hour 4.4% 540 499 $835K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.6% 8,301 7,990 $667K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 4,032 3,782 $591K
87631 2.4% 3,055 3,024 $449K
X0621 1.5% 1,380 922 $284K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.2% 1,735 1,718 $216K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,699 1,271 $163K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,847 2,628 $155K
X0620 <1% 520 483 $153K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 4,210 3,971 $142K
347 more codes
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% 1,615 $134K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 10,526 $123K
80053 Comprehensive metabolic panel <1% 11,679 $119K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,582 $108K
80050 General health panel <1% 2,252 $104K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 179 $103K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,629 $100K
76819 Fetal biophysical profile; without non-stress testing <1% 1,899 $98K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 570 $90K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16,995 $90K
J9312 Injection, rituximab, 10 mg <1% 25 $85K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 929 $81K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 263 $77K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,933 $71K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,435 $68K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 841 $63K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 4,953 $58K
76830 Ultrasound, transvaginal <1% 1,207 $58K
80061 Lipid panel <1% 4,209 $56K
J2323 Injection, natalizumab, 1 mg <1% 13 $56K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 270 $54K
G0379 Direct admission of patient for hospital observation care <1% 29 $53K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,562 $49K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,142 $46K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,449 $46K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 182 $46K
71275 Computed tomographic angiography, chest, with contrast material <1% 272 $45K
84443 Thyroid stimulating hormone (TSH) <1% 2,243 $45K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 793 $43K
77067 Screening mammography, bilateral, including computer-aided detection <1% 555 $43K
0002A <1% 1,035 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,412 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 505 $40K
0001A <1% 1,178 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 165 $38K
96375 Therapeutic injection; each additional sequential IV push <1% 2,441 $36K
86003 <1% 161 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,306 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,305 $32K
70450 Computed tomography, head or brain; without contrast material <1% 579 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 3,967 $30K
95811 <1% 59 $30K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 179 $30K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 986 $29K
97161 <1% 526 $28K
71046 Radiologic examination, chest; 2 views <1% 1,747 $25K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 318 $25K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 451 $23K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,045 $23K
83735 <1% 3,757 $22K
G0008 Administration of influenza virus vaccine <1% 2,356 $22K
76813 <1% 406 $21K
96415 <1% 453 $20K
81001 <1% 7,026 $20K
84439 <1% 2,314 $19K
87480 <1% 791 $19K
87660 <1% 778 $18K
99214 Doctor's office visit, returning patient (more involved) <1% 405 $18K
T1001 Nursing assessment / evaluation <1% 113 $18K
84484 <1% 2,346 $18K
71045 Radiologic examination, chest; single view <1% 2,654 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 299 $16K
80081 <1% 181 $16K
80076 <1% 1,891 $16K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 398 $16K
71250 <1% 253 $15K
82607 <1% 1,255 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 36 $15K
86618 <1% 616 $15K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 397 $14K
93971 <1% 200 $14K
76641 <1% 214 $13K
97162 <1% 217 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,963 $13K
77412 <1% 261 $12K
73564 <1% 520 $12K
96367 <1% 620 $12K
82784 <1% 369 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 552 $11K
G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] <1% 728 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 251 $11K
99501 <1% 147 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 434 $11K
A9585 Injection, gadobutrol, 0.1 ml <1% 1,581 $11K
84702 <1% 603 $10K
72125 Computed tomography, cervical spine; without contrast material <1% 178 $10K
82570 <1% 1,480 $10K
73610 <1% 545 $10K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 509 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 13 $10K
76536 <1% 202 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,022 $10K
87081 <1% 1,635 $9K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 255 $9K
J1756 Injection, iron sucrose, 1 mg <1% 1,140 $9K
82746 <1% 779 $9K
82728 <1% 795 $9K
82043 <1% 1,149 $9K
73221 <1% 40 $8K
20610 <1% 787 $8K
84703 <1% 773 $8K
85027 <1% 1,272 $8K
72110 <1% 364 $8K
87186 <1% 995 $8K
87077 <1% 1,049 $8K
96361 Intravenous infusion, hydration; each additional hour <1% 689 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 226 $7K
86038 <1% 499 $7K
83690 <1% 1,628 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 787 $7K
73630 <1% 610 $7K
94729 <1% 234 $7K
86235 <1% 93 $7K
87510 <1% 756 $7K
81025 <1% 1,393 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 309 $7K
84153 <1% 293 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 264 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 108 $7K
83880 <1% 300 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 274 $7K
77065 Tomosynthesis, mammo <1% 105 $7K
86480 <1% 96 $7K
73030 <1% 410 $7K
72141 <1% 34 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 17 $7K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 60 $7K
94726 <1% 232 $6K
83970 <1% 173 $6K
81003 <1% 2,409 $6K
86617 <1% 158 $6K
84460 <1% 903 $6K
90686 <1% 1,321 $6K
84450 <1% 879 $6K
85730 <1% 1,113 $6K
90715 <1% 968 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 1,443 $6K
83540 <1% 702 $5K
Q9956 Injection, octafluoropropane microspheres, per ml <1% 95 $5K
73502 <1% 276 $5K
82565 <1% 904 $5K
85610 <1% 1,751 $5K
87070 <1% 770 $5K
85652 <1% 1,835 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 141 $5K
87481 <1% 127 $5K
73130 <1% 388 $5K
87797 <1% 190 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 251 $4K
87040 <1% 347 $4K
95806 <1% 65 $4K
86140 <1% 1,530 $4K
73110 <1% 361 $4K
86334 <1% 155 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 15 $4K
86787 <1% 211 $4K
93017 <1% 106 $4K
99213 Doctor's office visit, returning patient (routine) <1% 460 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 55 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $4K
85379 <1% 408 $4K
80320 <1% 331 $4K
76942 <1% 121 $4K
83615 <1% 569 $4K
94060 <1% 336 $3K
84550 <1% 671 $3K
82805 <1% 118 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 776 $3K
77066 Tomosynthesis, mammo <1% 39 $3K
76770 <1% 80 $3K
86160 <1% 94 $3K
77336 <1% 61 $3K
93970 <1% 38 $3K
84100 <1% 596 $3K
A0425 Ground mileage, per statute mile <1% 1,281 $3K
86850 <1% 472 $3K
70498 <1% 25 $3K
83605 <1% 532 $3K
86431 <1% 355 $3K
76642 <1% 71 $3K
70551 Magnetic resonance imaging, brain; without contrast material <1% 16 $3K
76801 <1% 58 $3K
82785 <1% 153 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,205 $3K
74018 <1% 199 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 190 $2K
86200 <1% 157 $2K
J2469 Injection, palonosetron hcl, 25 mcg <1% 336 $2K
83550 <1% 481 $2K
95886 <1% 41 $2K
72050 <1% 91 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 41 $2K
77334 <1% 15 $2K
83721 <1% 188 $2K
82550 <1% 325 $2K
87340 <1% 149 $2K
86592 <1% 474 $2K
87522 Neg quan hep c or qual rna <1% 46 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 225 $2K
82950 <1% 246 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,242 $2K
84156 <1% 417 $2K
80305 <1% 172 $2K
86900 <1% 513 $2K
84146 <1% 58 $2K
77080 <1% 28 $2K
86901 <1% 509 $2K
86225 <1% 96 $1K
73080 <1% 126 $1K
82247 <1% 222 $1K
70220 <1% 64 $1K
82248 <1% 207 $1K
99173 <1% 224 $1K
92133 <1% 153 $1K
93975 <1% 12 $1K
97165 <1% 46 $1K
76820 <1% 58 $1K
82150 <1% 251 $1K
87102 <1% 140 $1K
84403 <1% 43 $1K
73562 <1% 61 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 257 $1K
72072 <1% 55 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $1K
86800 <1% 65 $1K
84520 <1% 238 $1K
96376 <1% 627 $1K
84480 <1% 126 $1K
96523 <1% 59 $989.58
73590 <1% 61 $986.00
J2270 Injection, morphine sulfate, up to 10 mg <1% 900 $953.69
10005 <1% 14 $919.64
11981 <1% 12 $916.30
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 $865.60
86403 <1% 53 $774.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,894 $758.20
84436 <1% 81 $737.31
J1030 Injection, methylprednisolone acetate, 40 mg <1% 298 $735.50
36415 Collection of venous blood by venipuncture <1% 1,834 $700.13
J1170 Injection, hydromorphone, up to 4 mg <1% 1,107 $645.57
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,222 $642.45
X0592 <1% 14 $616.00
84165 <1% 47 $607.04
74022 <1% 25 $600.00
76775 <1% 13 $592.90
88342 <1% 14 $573.95
87501 <1% 15 $566.26
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,174 $543.24
87641 <1% 26 $536.33
86255 <1% 27 $523.48
73523 <1% 15 $521.25
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 12 $521.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,535 $501.36
86039 <1% 29 $477.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 410 $471.93
86376 <1% 59 $470.61
93226 <1% 13 $437.40
82310 <1% 72 $421.57
80329 <1% 51 $414.19
95816 <1% 29 $411.45
92551 <1% 49 $396.00
82040 <1% 136 $384.44
3044F <1% 3,178 $378.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,618 $360.92
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 650 $345.90
83516 <1% 157 $345.78
87046 <1% 26 $332.96
77417 <1% 22 $330.12
87209 <1% 16 $309.40
84075 <1% 55 $300.79
82140 <1% 77 $299.50
92134 <1% 31 $297.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 209 $293.65
70030 <1% 15 $259.43
86706 <1% 15 $246.50
3052F <1% 604 $228.37
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 55 $223.24
73120 <1% 16 $220.65
3046F <1% 1,147 $220.00
72100 <1% 14 $219.50
72202 <1% 14 $217.80
83001 <1% 13 $211.75
86812 <1% 18 $211.20
90688 <1% 19 $209.00
81508 <1% 53 $206.64
93225 <1% 13 $200.80
84163 <1% 13 $196.24
96127 <1% 48 $193.44
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 24 $184.56
87045 <1% 26 $182.16
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,162 $179.31
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,771 $178.86
73552 <1% 12 $168.84
84112 <1% 30 $161.28
82533 <1% 12 $158.40
3051F <1% 1,111 $153.00
88304 <1% 31 $143.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 12 $142.20
36600 <1% 16 $141.70
80178 <1% 18 $140.80
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 453 $140.58
86580 <1% 27 $139.15
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 915 $126.52
87177 <1% 16 $115.50
96160 <1% 33 $111.07
83520 <1% 29 $99.00
87581 <1% 28 $95.76
J2060 Injection, lorazepam, 2 mg <1% 307 $91.14
87205 <1% 46 $88.65
J2704 Injection, propofol, 10 mg <1% 259 $76.70
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 26 $66.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 54 $66.00
82009 <1% 18 $58.00
J3475 Injection, magnesium sulfate, per 500 mg <1% 16 $51.28
G0444 Annual depression screening, 5 to 15 minutes <1% 247 $43.00
90662 <1% 53 $40.34
88108 <1% 16 $33.15
J1644 Injection, heparin sodium, per 1000 units <1% 43 $21.55
A4248 Chlorhexidine containing antiseptic, 1 ml <1% 425 $17.23
A9270 Non-covered item or service <1% 321 $16.50
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 86 $15.26
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 331 $14.98
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 761 $0.06
3078F 0% 25,752 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 0% 267 $0.00
3077F 0% 4,638 $0.00
81513 0% 82 $0.00
88173 0% 16 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 918 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 44 $0.00
0353U 0% 80 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 49 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 20 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 12 $0.00
A4212 Non-coring needle or stylet with or without catheter 0% 19 $0.00
3079F 0% 15,022 $0.00
3080F 0% 3,281 $0.00
3074F 0% 34,878 $0.00
3075F 0% 5,939 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 910 $0.00
C2618 Probe/needle, cryoablation 0% 62 $0.00
J9045 Injection, carboplatin, 50 mg 0% 16 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 270 $0.00
90656 0% 82 $0.00
90677 0% 19 $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 officialSCHNEIDER, HEATHER (CFO)
Parent organizationPENN HIGHLANDS HEALTHCARE
Same official

Other billing entities under SCHNEIDER, HEATHER

Full network →
ProviderLocationPaid
Dubois Regional Medical CenterBrookville, PA$336K
Highlands Hospital and Health CenterConnellsville, PA$179K
Dubois Regional Medical CenterDu Bois, PA$140K
Dubois Regional Medical CenterDu Bois, PA$3K

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