Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPMC MCKEESPORT

NPI: 1194734798 · MCKEESPORT, PA 15132 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 08/05/2006

$9.96M
Total Medicaid Paid
323,113
Total Claims
278,816
Beneficiaries
218
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIMMONS, LAURENE (CFO)
NPI Enumeration Date08/05/2006

Related Entities

Other providers sharing the same authorized official: TIMMONS, LAURENE

ProviderCityStateTotal Paid
UPMC EAST MONROEVILLE PA $5.77M
UPMC MCKEESPORT MCKEESPORT PA $34.43

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 563 $5K
2020 29,399 $676K
2021 120,758 $3.32M
2022 58,680 $1.87M
2023 62,313 $2.16M
2024 51,400 $1.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 21,756 21,075 $3.77M
99283 Emergency department visit for the evaluation and management, moderate severity 13,985 13,631 $1.53M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,000 5,807 $1.25M
G0378 Hospital observation service, per hour 2,434 937 $581K
T1015 Clinic visit/encounter, all-inclusive 13,626 11,988 $361K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,746 10,226 $196K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,242 3,202 $191K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,023 1,007 $129K
80053 Comprehensive metabolic panel 15,526 14,163 $122K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,253 26,226 $119K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,775 1,087 $118K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,842 2,701 $117K
70450 Computed tomography, head or brain; without contrast material 1,806 1,763 $90K
96375 Therapeutic injection; each additional sequential IV push 6,472 5,950 $84K
J9271 Injection, pembrolizumab, 1 mg 130 98 $82K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,729 9,229 $63K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 238 233 $60K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,976 1,233 $54K
71045 Radiologic examination, chest; single view 8,804 8,495 $47K
84484 6,719 6,234 $45K
74176 Computed tomography, abdomen and pelvis; without contrast material 691 677 $43K
80048 Basic metabolic panel (calcium, ionized) 6,801 6,007 $37K
71275 Computed tomographic angiography, chest, with contrast material 235 231 $32K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 212 207 $32K
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 624 598 $29K
82805 1,105 1,018 $28K
85730 6,013 5,764 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 198 195 $25K
72125 Computed tomography, cervical spine; without contrast material 442 426 $25K
80050 General health panel 609 577 $25K
83735 5,386 4,826 $23K
83605 4,150 3,942 $22K
99282 Emergency department visit for the evaluation and management, low to moderate severity 352 343 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,568 2,142 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 363 353 $20K
96367 1,010 584 $17K
85610 7,496 6,600 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor 505 498 $17K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 77 74 $16K
71250 289 285 $15K
96417 372 245 $15K
83690 4,416 4,251 $14K
80061 Lipid panel 1,126 1,100 $13K
73221 54 54 $12K
J1756 Injection, iron sucrose, 1 mg 1,963 978 $12K
83880 546 485 $12K
84443 Thyroid stimulating hormone (TSH) 657 645 $11K
71046 Radiologic examination, chest; 2 views 1,084 1,063 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 444 437 $11K
81025 4,078 3,977 $11K
80076 1,900 1,855 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 147 145 $10K
J3490 Unclassified drugs 2,549 1,664 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,823 1,770 $9K
81001 4,639 4,505 $9K
93971 171 167 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 604 591 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 600 587 $8K
96361 Intravenous infusion, hydration; each additional hour 778 519 $8K
87040 778 511 $8K
84703 1,108 1,083 $7K
70486 143 137 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 474 302 $7K
Q3014 Telehealth originating site facility fee 464 459 $7K
J1815 Injection, insulin, per 5 units 720 330 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 268 265 $7K
83036 Hemoglobin; glycosylated (A1C) 1,257 1,227 $6K
73630 724 677 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 240 235 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,596 4,358 $6K
73610 438 416 $6K
93017 235 231 $6K
86803 346 338 $5K
70551 Magnetic resonance imaging, brain; without contrast material 28 27 $5K
62323 25 24 $5K
73564 355 347 $5K
81003 2,464 2,422 $5K
J7030 Infusion, normal saline solution , 1000 cc 13,001 6,924 $5K
73030 368 346 $4K
72100 280 273 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 56 46 $4K
84100 977 803 $4K
96523 288 248 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 117 107 $4K
73130 432 421 $3K
90715 699 684 $3K
84702 268 245 $3K
72141 16 15 $3K
82565 828 790 $3K
84153 166 157 $3K
85379 446 427 $3K
73562 218 208 $3K
96415 154 84 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 315 295 $3K
82607 307 303 $3K
82728 338 332 $3K
73502 207 202 $3K
85027 690 569 $3K
80051 644 610 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 577 571 $3K
80329 230 222 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69 68 $2K
80305 362 353 $2K
82550 398 377 $2K
73110 262 241 $2K
84520 648 615 $2K
J3535 Drug administered through a metered dose inhaler 519 498 $2K
83540 314 309 $2K
76536 42 42 $2K
82962 1,371 810 $2K
70496 12 12 $2K
87186 276 268 $2K
86850 347 327 $2K
87340 141 140 $2K
93970 31 29 $2K
87905 180 176 $2K
82746 183 181 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 45 39 $1K
87808 187 182 $1K
J1170 Injection, hydromorphone, up to 4 mg 3,993 2,051 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 338 237 $1K
82043 228 224 $1K
84439 195 191 $1K
94644 91 88 $1K
82947 646 625 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 26 26 $1K
87077 245 236 $1K
82010 344 287 $1K
74018 162 153 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 64 47 $1K
94729 55 54 $1K
J2469 Injection, palonosetron hcl, 25 mcg 148 72 $1K
83550 302 297 $1K
85651 462 421 $1K
76770 34 31 $973.10
87070 259 228 $951.44
88342 46 41 $941.32
87081 312 310 $925.12
A9577 Injection, gadobenate dimeglumine (multihance), per ml 322 314 $920.10
J7120 Ringers lactate infusion, up to 1000 cc 3,936 2,248 $908.55
94726 42 42 $907.41
82977 121 115 $859.56
86901 359 338 $840.98
93922 34 33 $835.53
86900 360 339 $834.68
93925 13 12 $770.56
87205 260 230 $615.56
86140 242 208 $560.81
86592 145 144 $511.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 592 546 $506.71
94060 66 66 $502.96
J1885 Injection, ketorolac tromethamine, per 15 mg 5,341 4,609 $494.58
J0780 Injection, prochlorperazine, up to 10 mg 981 852 $428.92
86706 41 39 $393.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,551 1,723 $364.80
73590 31 30 $349.15
J1644 Injection, heparin sodium, per 1000 units 1,537 565 $303.19
97161 13 13 $279.88
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 200 198 $276.44
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,154 4,279 $265.42
97162 60 59 $259.72
73080 30 29 $238.70
J0696 Injection, ceftriaxone sodium, per 250 mg 1,745 1,485 $236.97
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,593 1,961 $227.46
80069 51 41 $217.03
96376 195 109 $213.33
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 184 104 $209.04
J3370 Injection, vancomycin hcl, 500 mg 195 105 $206.22
J7060 5% dextrose/water (500 ml = 1 unit) 922 556 $190.95
84550 30 29 $189.48
72050 13 13 $185.10
J7999 Compounded drug, not otherwise classified 118 100 $184.00
J0690 Injection, cefazolin sodium, 500 mg 293 217 $156.20
J3010 Injection, fentanyl citrate, 0.1 mg 1,107 773 $141.07
J1650 Injection, enoxaparin sodium, 10 mg 673 224 $123.69
J2270 Injection, morphine sulfate, up to 10 mg 166 123 $123.63
J1626 Injection, granisetron hydrochloride, 100 mcg 91 54 $111.75
J2060 Injection, lorazepam, 2 mg 1,008 774 $95.92
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 708 543 $94.05
J7050 Infusion, normal saline solution, 250 cc 1,359 979 $84.89
J3475 Injection, magnesium sulfate, per 500 mg 624 502 $71.79
82570 18 14 $70.83
J3480 Injection, potassium chloride, per 2 meq 213 104 $66.79
85018 30 27 $60.35
J1040 Injection, methylprednisolone acetate, 80 mg 14 12 $57.69
83615 15 12 $56.82
J2250 Injection, midazolam hydrochloride, per 1 mg 928 795 $51.42
82140 13 13 $38.50
82150 12 12 $38.00
36415 Collection of venous blood by venipuncture 3,157 2,392 $32.18
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 2,207 1,488 $28.35
94760 126 115 $25.29
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,374 1,139 $24.26
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 538 260 $23.33
J2765 Injection, metoclopramide hcl, up to 10 mg 152 131 $20.10
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 55 27 $17.36
J2704 Injection, propofol, 10 mg 308 165 $17.02
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 19 18 $16.56
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 165 95 $8.94
36591 261 135 $7.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 435 333 $3.90
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 110 63 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 35 24 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 135 121 $0.00
J1171 Injection, hydromorphone, 0.1 mg 98 75 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 13 13 $0.00
J1953 Injection, levetiracetam, 10 mg 27 27 $0.00
J7510 Prednisolone oral, per 5 mg 12 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,136 1,052 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 53 44 $0.00
J3411 Injection, thiamine hcl, 100 mg 14 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 13 13 $0.00
J1630 Injection, haloperidol, up to 5 mg 35 25 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 25 25 $0.00
97166 13 12 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 31 27 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 24 22 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 12 12 $0.00