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

Regional Health Services INC

Regional Health Services INC was paid $5.08M by Medicaid between Jan 2018 and Nov 2024, across 108 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.

33Billing provider infoREGIONAL HEALTH SERVICES INC
ERIE, PA 16550
33aNPI1174520654assigned 06/30/2005
33bProvider typeEmergency Medicine Physician
28Total paid$5.08M
24GClaims154,341
24DCodes billed108
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#12 of 1,211
Median peer was paid$19K
This provider vs. median261×

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$50K$100K$150K2018201920202021202220232024
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
201814,530$161K
201912,038$124K
202011,577$263K
202145,449$1.37M
202231,990$1.21M
202321,701$1.03M
2024incomplete17,056$921K
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 39% 26,309 25,573 $2.00M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19% 17,779 16,685 $943K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 11,660 11,295 $726K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 8,038 7,419 $277K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.1% 8,096 3,603 $210K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.2% 30,860 26,667 $164K
71045 Radiologic examination, chest; single view 2.1% 19,753 15,658 $104K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.0% 2,918 2,797 $102K
71046 Radiologic examination, chest; 2 views 1.3% 7,314 7,022 $68K
70450 Computed tomography, head or brain; without contrast material 1.1% 2,014 1,827 $57K
99223 Prolong inpt eval add15 m <1% 610 584 $44K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 852 382 $36K
96 more codes
99308 Subsequent nursing facility care, per day, straightforward <1% 1,794 $36K
99204 Doctor's office visit, new patient (more involved) <1% 306 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 350 $24K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 874 $21K
77067 Screening mammography, bilateral, including computer-aided detection <1% 354 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 124 $13K
11721 <1% 1,186 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 338 $11K
0001A <1% 328 $10K
0002A <1% 285 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 151 $10K
99283 Emergency room visit (moderate) <1% 145 $9K
99203 Doctor's office visit, new patient (routine) <1% 181 $9K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 587 $7K
73630 <1% 648 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 169 $5K
99307 <1% 290 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 170 $5K
72100 <1% 340 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 232 $5K
90682 <1% 305 $5K
0003A <1% 125 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 170 $4K
90674 <1% 484 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 77 $4K
99222 Initial hospital care, per day, moderate complexity <1% 72 $4K
73610 <1% 224 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 180 $3K
81001 <1% 725 $3K
90734 <1% 101 $3K
99215 Doctor's office visit, returning patient (complex) <1% 95 $3K
95886 <1% 51 $3K
92551 <1% 320 $3K
51798 <1% 183 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 60 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 75 $3K
71010 <1% 497 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 498 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 13 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 28 $2K
G0008 Administration of influenza virus vaccine <1% 299 $2K
93000 <1% 123 $2K
99173 <1% 331 $2K
90715 <1% 109 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 56 $1K
90670 <1% 261 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 293 $1K
99243 <1% 12 $1K
74018 <1% 159 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 28 $1K
92567 <1% 99 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 26 $1K
71250 <1% 39 $1K
78264 <1% 28 $989.57
0072A <1% 25 $960.00
90648 <1% 187 $907.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 14 $776.76
69210 <1% 61 $750.59
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $699.64
0071A <1% 18 $680.00
51741 <1% 15 $671.15
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $641.08
71020 <1% 105 $592.30
93923 <1% 38 $518.01
17110 <1% 12 $443.33
93880 <1% 14 $442.61
73130 <1% 44 $425.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 100 $357.20
J1040 Injection, methylprednisolone acetate, 80 mg <1% 51 $326.77
93296 <1% 27 $313.08
76536 <1% 12 $300.03
90723 <1% 110 $290.50
20610 <1% 12 $288.03
4010F <1% 128 $270.00
76642 <1% 13 $194.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 599 $183.38
90686 <1% 12 $174.65
73502 <1% 19 $166.39
93227 <1% 13 $166.36
73030 <1% 14 $149.25
86580 <1% 137 $141.21
83655 <1% 14 $115.96
3074F <1% 14 $90.00
3078F <1% 27 $40.00
93321 <1% 14 $25.63
93308 <1% 14 $15.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 145 $4.28
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 686 $0.03
90680 0% 24 $0.00
90651 0% 17 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 13 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 12 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 305 $0.00
90661 0% 25 $0.00
93325 0% 12 $0.00
90633 0% 12 $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 officialGIBBONS, DAVID (PRESIDENT)