Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › DU BOIS › DUBOIS REGIONAL MEDICAL CENTER

DUBOIS REGIONAL MEDICAL CENTER

NPI: 1144249657 · DU BOIS, PA 15801 · Emergency Medicine Physician

$18.77M
Total Medicaid Paid
571,657
Total Claims
504,568
Beneficiaries
359
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 715 $30K
2019 8,632 $58K
2020 45,642 $1.29M
2021 222,978 $7.05M
2022 97,305 $3.35M
2023 109,151 $3.86M
2024 87,234 $3.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 188,880 158,312 $10.07M
99284 8,768 8,317 $1.00M
G0378 Hospital observation service, per hour 540 499 $835K
99283 8,301 7,990 $667K
99285 4,032 3,782 $591K
87631 3,055 3,024 $449K
X0621 1,380 922 $284K
87636 1,735 1,718 $216K
96413 1,699 1,271 $163K
76817 2,847 2,628 $155K
X0620 520 483 $153K
87426 4,210 3,971 $142K
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 1,615 1,572 $134K
87804 10,526 5,319 $123K
80053 11,679 10,165 $119K
76816 2,582 2,381 $108K
80050 2,252 2,204 $104K
69436 179 179 $103K
82306 2,629 2,563 $100K
76819 1,899 992 $98K
74177 570 550 $90K
85025 16,995 14,570 $90K
J9312 Injection, rituximab, 10 mg 25 14 $85K
76811 929 895 $81K
45380 263 259 $77K
96374 2,933 2,687 $71K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,435 2,360 $68K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 841 704 $63K
87811 4,953 4,800 $58K
76830 1,207 1,183 $58K
80061 4,209 4,134 $56K
J2323 Injection, natalizumab, 1 mg 13 13 $56K
70553 270 262 $54K
G0379 Direct admission of patient for hospital observation care 29 29 $53K
96372 4,562 3,969 $49K
93005 5,142 4,837 $46K
96365 1,449 1,103 $46K
73721 182 180 $46K
71275 272 260 $45K
84443 2,243 2,155 $45K
80307 793 761 $43K
77067 555 546 $43K
0002A 1,035 1,034 $42K
87880 6,412 6,252 $41K
93306 505 499 $40K
0001A 1,178 1,178 $39K
43239 165 163 $38K
96375 2,441 2,009 $36K
86003 161 152 $35K
87591 1,306 1,294 $32K
87491 1,305 1,293 $32K
70450 579 563 $31K
80048 3,967 3,536 $30K
95811 59 58 $30K
72148 179 178 $30K
88175 986 979 $29K
97161 526 516 $28K
71046 1,747 1,657 $25K
74176 318 312 $25K
76805 451 433 $23K
87086 3,045 2,825 $23K
83735 3,757 3,211 $22K
G0008 Administration of influenza virus vaccine 2,356 2,240 $22K
76813 406 395 $21K
96415 453 336 $20K
81001 7,026 6,576 $20K
84439 2,314 2,257 $19K
87480 791 777 $19K
87660 778 764 $18K
99214 405 396 $18K
T1001 Nursing assessment / evaluation 113 112 $18K
84484 2,346 2,066 $18K
71045 2,654 2,485 $17K
76700 299 294 $16K
80081 181 177 $16K
80076 1,891 1,800 $16K
87624 398 393 $16K
71250 253 249 $15K
82607 1,255 1,228 $15K
45378 36 36 $15K
86618 616 606 $15K
87798 397 394 $14K
93971 200 195 $14K
76641 214 210 $13K
97162 217 214 $13K
83036 1,963 1,914 $13K
77412 261 25 $12K
73564 520 477 $12K
96367 620 352 $12K
82784 369 353 $12K
77063 552 543 $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] 728 561 $11K
99282 251 243 $11K
99501 147 92 $11K
99395 434 429 $11K
A9585 Injection, gadobutrol, 0.1 ml 1,581 1,545 $11K
84702 603 492 $10K
72125 178 176 $10K
82570 1,480 1,371 $10K
73610 545 499 $10K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 509 500 $10K
42820 13 13 $10K
76536 202 202 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,022 2,903 $10K
87081 1,635 1,617 $9K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 255 245 $9K
J1756 Injection, iron sucrose, 1 mg 1,140 665 $9K
82746 779 763 $9K
82728 795 757 $9K
82043 1,149 1,109 $9K
73221 40 40 $8K
20610 787 475 $8K
84703 773 725 $8K
85027 1,272 1,122 $8K
72110 364 343 $8K
87186 995 960 $8K
87077 1,049 1,008 $8K
96361 689 593 $7K
76705 226 215 $7K
86038 499 484 $7K
83690 1,628 1,514 $7K
88305 787 694 $7K
73630 610 573 $7K
94729 234 232 $7K
86235 93 91 $7K
87510 756 742 $7K
81025 1,393 1,348 $7K
99396 309 308 $7K
84153 293 289 $7K
87389 264 261 $7K
71260 108 104 $7K
83880 300 267 $7K
96360 274 229 $7K
77065 Tomosynthesis, mammo 105 100 $7K
86480 96 93 $7K
73030 410 377 $7K
72141 34 34 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 17 17 $7K
87633 60 60 $7K
94726 232 230 $6K
83970 173 164 $6K
81003 2,409 2,351 $6K
86617 158 151 $6K
84460 903 824 $6K
90686 1,321 1,314 $6K
84450 879 802 $6K
85730 1,113 1,033 $6K
90715 968 958 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,443 1,352 $6K
83540 702 671 $5K
Q9956 Injection, octafluoropropane microspheres, per ml 95 91 $5K
73502 276 265 $5K
82565 904 814 $5K
85610 1,751 1,404 $5K
87070 770 731 $5K
85652 1,835 1,743 $5K
87661 141 139 $5K
87481 127 126 $5K
73130 388 362 $5K
87797 190 190 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 251 244 $4K
87040 347 321 $4K
95806 65 64 $4K
86140 1,530 1,461 $4K
73110 361 314 $4K
86334 155 146 $4K
87502 15 13 $4K
86787 211 206 $4K
93017 106 104 $4K
99213 460 444 $4K
99392 55 53 $4K
45385 12 12 $4K
85379 408 390 $4K
80320 331 313 $4K
76942 121 107 $4K
83615 569 401 $4K
94060 336 330 $3K
84550 671 504 $3K
82805 118 106 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 776 754 $3K
77066 Tomosynthesis, mammo 39 37 $3K
76770 80 79 $3K
86160 94 91 $3K
77336 61 27 $3K
93970 38 37 $3K
84100 596 477 $3K
A0425 Ground mileage, per statute mile 1,281 954 $3K
86850 472 409 $3K
70498 25 25 $3K
83605 532 470 $3K
86431 355 345 $3K
76642 71 69 $3K
70551 16 15 $3K
76801 58 57 $3K
82785 153 148 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,205 1,144 $3K
74018 199 183 $3K
96366 190 148 $2K
86200 157 154 $2K
J2469 Injection, palonosetron hcl, 25 mcg 336 226 $2K
83550 481 464 $2K
95886 41 39 $2K
72050 91 90 $2K
99391 41 41 $2K
77334 15 12 $2K
83721 188 186 $2K
82550 325 312 $2K
87340 149 143 $2K
86592 474 467 $2K
87522 Neg quan hep c or qual rna 46 44 $2K
93010 225 192 $2K
82950 246 246 $2K
J7030 Infusion, normal saline solution , 1000 cc 4,242 3,694 $2K
84156 417 321 $2K
80305 172 138 $2K
86900 513 448 $2K
84146 58 56 $2K
77080 28 28 $2K
86901 509 444 $2K
86225 96 94 $1K
73080 126 117 $1K
82247 222 163 $1K
70220 64 60 $1K
82248 207 185 $1K
99173 224 222 $1K
92133 153 143 $1K
93975 12 12 $1K
97165 46 44 $1K
76820 58 31 $1K
82150 251 236 $1K
87102 140 128 $1K
84403 43 41 $1K
73562 61 56 $1K
76815 32 27 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 257 210 $1K
72072 55 53 $1K
99394 13 13 $1K
86800 65 60 $1K
84520 238 217 $1K
96376 627 384 $1K
84480 126 124 $1K
96523 59 55 $989.58
73590 61 58 $986.00
J2270 Injection, morphine sulfate, up to 10 mg 900 760 $953.69
10005 14 14 $919.64
11981 12 12 $916.30
99393 12 12 $865.60
86403 53 50 $774.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,894 2,164 $758.20
84436 81 80 $737.31
J1030 Injection, methylprednisolone acetate, 40 mg 298 292 $735.50
36415 1,834 1,203 $700.13
J1170 Injection, hydromorphone, up to 4 mg 1,107 869 $645.57
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,222 2,594 $642.45
X0592 14 13 $616.00
84165 47 44 $607.04
74022 25 24 $600.00
76775 13 12 $592.90
88342 14 12 $573.95
87501 15 14 $566.26
J7120 Ringers lactate infusion, up to 1000 cc 1,174 993 $543.24
87641 26 26 $536.33
86255 27 26 $523.48
73523 15 15 $521.25
76856 12 12 $521.00
J1885 Injection, ketorolac tromethamine, per 15 mg 3,535 3,282 $501.36
86039 29 28 $477.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 410 335 $471.93
86376 59 57 $470.61
93226 13 13 $437.40
82310 72 66 $421.57
80329 51 51 $414.19
95816 29 29 $411.45
92551 49 48 $396.00
82040 136 127 $384.44
3044F 3,178 2,747 $378.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,618 2,927 $360.92
J0696 Injection, ceftriaxone sodium, per 250 mg 650 534 $345.90
83516 157 155 $345.78
87046 26 25 $332.96
77417 22 12 $330.12
87209 16 15 $309.40
84075 55 51 $300.79
82140 77 72 $299.50
92134 31 28 $297.12
94640 209 166 $293.65
70030 15 15 $259.43
86706 15 14 $246.50
3052F 604 522 $228.37
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 55 51 $223.24
73120 16 15 $220.65
3046F 1,147 972 $220.00
72100 14 13 $219.50
72202 14 13 $217.80
83001 13 12 $211.75
86812 18 17 $211.20
90688 19 19 $209.00
81508 53 51 $206.64
93225 13 13 $200.80
84163 13 13 $196.24
96127 48 47 $193.44
96110 24 24 $184.56
87045 26 25 $182.16
J3010 Injection, fentanyl citrate, 0.1 mg 1,162 1,092 $179.31
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,771 3,590 $178.86
73552 12 12 $168.84
84112 30 28 $161.28
82533 12 12 $158.40
3051F 1,111 996 $153.00
88304 31 27 $143.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $142.20
36600 16 15 $141.70
80178 18 14 $140.80
J2765 Injection, metoclopramide hcl, up to 10 mg 453 425 $140.58
86580 27 25 $139.15
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 915 644 $126.52
87177 16 15 $115.50
96160 33 32 $111.07
83520 29 28 $99.00
87581 28 28 $95.76
J2060 Injection, lorazepam, 2 mg 307 277 $91.14
87205 46 38 $88.65
J2704 Injection, propofol, 10 mg 259 236 $76.70
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 26 25 $66.00
90471 54 54 $66.00
82009 18 14 $58.00
J3475 Injection, magnesium sulfate, per 500 mg 16 13 $51.28
G0444 Annual depression screening, 5 to 15 minutes 247 246 $43.00
90662 53 48 $40.34
88108 16 12 $33.15
J1644 Injection, heparin sodium, per 1000 units 43 26 $21.55
A4248 Chlorhexidine containing antiseptic, 1 ml 425 376 $17.23
A9270 Non-covered item or service 321 115 $16.50
97110 86 26 $15.26
J2250 Injection, midazolam hydrochloride, per 1 mg 331 306 $14.98
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 761 723 $0.06
3078F 25,752 24,475 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 267 160 $0.00
3077F 4,638 4,431 $0.00
81513 82 81 $0.00
88173 16 13 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 918 918 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 44 42 $0.00
0353U 80 80 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 49 44 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 12 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 20 14 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 12 12 $0.00
A4212 Non-coring needle or stylet with or without catheter 19 12 $0.00
3079F 15,022 14,438 $0.00
3080F 3,281 3,173 $0.00
3074F 34,878 32,931 $0.00
3075F 5,939 5,783 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 910 893 $0.00
C2618 Probe/needle, cryoablation 62 56 $0.00
J9045 Injection, carboplatin, 50 mg 16 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 270 268 $0.00
90656 82 82 $0.00
90677 19 19 $0.00