Hospital
Upmc Mckeesport
Upmc Mckeesport was paid $9.96M by Medicaid between Nov 2019 and Dec 2024, across 218 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
33Billing provider infoUPMC MCKEESPORT
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
33aNPI1194734798assigned 08/05/2006
33bProvider typeSubstance Use Disorder Rehabilitation Hospital Unit
28Total paid$9.96M
24GClaims323,113
24DCodes billed218
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Hospital Unit providers in Pennsylvania
Rank by total paid#1 of 6
Median peer was paid$744K
This provider vs. median13×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 563 | $5K | |
| 2020 | 29,399 | $676K | |
| 2021 | 120,758 | $3.32M | |
| 2022 | 58,680 | $1.87M | |
| 2023 | 62,313 | $2.16M | |
| 2024incomplete | 51,400 | $1.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 38% | 21,756 | 21,075 | $3.77M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 13,985 | 13,631 | $1.53M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 6,000 | 5,807 | $1.25M |
| G0378 | Hospital observation service, per hour | 5.8% | 2,434 | 937 | $581K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.6% | 13,626 | 11,988 | $361K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.0% | 10,746 | 10,226 | $196K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.9% | 3,242 | 3,202 | $191K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 1,023 | 1,007 | $129K |
| 80053 | Comprehensive metabolic panel | 1.2% | 15,526 | 14,163 | $122K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 31,253 | 26,226 | $119K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.2% | 1,775 | 1,087 | $118K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.2% | 2,842 | 2,701 | $117K |
206 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,806 | $90K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 6,472 | $84K |
| J9271 | Injection, pembrolizumab, 1 mg | <1% | 130 | $82K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 9,729 | $63K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 238 | $60K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,976 | $54K |
| 71045 | Radiologic examination, chest; single view | <1% | 8,804 | $47K |
| 84484 | <1% | 6,719 | $45K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 691 | $43K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 6,801 | $37K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 235 | $32K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 212 | $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 | <1% | 624 | $29K |
| 82805 | <1% | 1,105 | $28K | |
| 85730 | <1% | 6,013 | $26K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 198 | $25K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 442 | $25K |
| 80050 | General health panel | <1% | 609 | $25K |
| 83735 | <1% | 5,386 | $23K | |
| 83605 | <1% | 4,150 | $22K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 352 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,568 | $20K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 363 | $20K |
| 96367 | <1% | 1,010 | $17K | |
| 85610 | <1% | 7,496 | $17K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 505 | $17K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 77 | $16K |
| 71250 | <1% | 289 | $15K | |
| 96417 | <1% | 372 | $15K | |
| 83690 | <1% | 4,416 | $14K | |
| 80061 | Lipid panel | <1% | 1,126 | $13K |
| 73221 | <1% | 54 | $12K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 1,963 | $12K |
| 83880 | <1% | 546 | $12K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 657 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,084 | $11K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 444 | $11K |
| 81025 | <1% | 4,078 | $11K | |
| 80076 | <1% | 1,900 | $11K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 147 | $10K |
| J3490 | Unclassified drugs | <1% | 2,549 | $9K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,823 | $9K |
| 81001 | <1% | 4,639 | $9K | |
| 93971 | <1% | 171 | $9K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 604 | $9K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 600 | $8K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 778 | $8K |
| 87040 | <1% | 778 | $8K | |
| 84703 | <1% | 1,108 | $7K | |
| 70486 | <1% | 143 | $7K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 474 | $7K |
| Q3014 | Telehealth originating site facility fee | <1% | 464 | $7K |
| J1815 | Injection, insulin, per 5 units | <1% | 720 | $7K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 268 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,257 | $6K |
| 73630 | <1% | 724 | $6K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 240 | $6K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 4,596 | $6K |
| 73610 | <1% | 438 | $6K | |
| 93017 | <1% | 235 | $6K | |
| 86803 | <1% | 346 | $5K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 28 | $5K |
| 62323 | <1% | 25 | $5K | |
| 73564 | <1% | 355 | $5K | |
| 81003 | <1% | 2,464 | $5K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 13,001 | $5K |
| 73030 | <1% | 368 | $4K | |
| 72100 | <1% | 280 | $4K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 56 | $4K |
| 84100 | <1% | 977 | $4K | |
| 96523 | <1% | 288 | $4K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 117 | $4K |
| 73130 | <1% | 432 | $3K | |
| 90715 | <1% | 699 | $3K | |
| 84702 | <1% | 268 | $3K | |
| 72141 | <1% | 16 | $3K | |
| 82565 | <1% | 828 | $3K | |
| 84153 | <1% | 166 | $3K | |
| 85379 | <1% | 446 | $3K | |
| 73562 | <1% | 218 | $3K | |
| 96415 | <1% | 154 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 315 | $3K |
| 82607 | <1% | 307 | $3K | |
| 82728 | <1% | 338 | $3K | |
| 73502 | <1% | 207 | $3K | |
| 85027 | <1% | 690 | $3K | |
| 80051 | <1% | 644 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 577 | $3K |
| 80329 | <1% | 230 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 69 | $2K |
| 80305 | <1% | 362 | $2K | |
| 82550 | <1% | 398 | $2K | |
| 73110 | <1% | 262 | $2K | |
| 84520 | <1% | 648 | $2K | |
| J3535 | Drug administered through a metered dose inhaler | <1% | 519 | $2K |
| 83540 | <1% | 314 | $2K | |
| 76536 | <1% | 42 | $2K | |
| 82962 | <1% | 1,371 | $2K | |
| 70496 | <1% | 12 | $2K | |
| 87186 | <1% | 276 | $2K | |
| 86850 | <1% | 347 | $2K | |
| 87340 | <1% | 141 | $2K | |
| 93970 | <1% | 31 | $2K | |
| 87905 | <1% | 180 | $2K | |
| 82746 | <1% | 183 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 45 | $1K |
| 87808 | <1% | 187 | $1K | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 3,993 | $1K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 338 | $1K |
| 82043 | <1% | 228 | $1K | |
| 84439 | <1% | 195 | $1K | |
| 94644 | <1% | 91 | $1K | |
| 82947 | <1% | 646 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 26 | $1K |
| 87077 | <1% | 245 | $1K | |
| 82010 | <1% | 344 | $1K | |
| 74018 | <1% | 162 | $1K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 64 | $1K |
| 94729 | <1% | 55 | $1K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 148 | $1K |
| 83550 | <1% | 302 | $1K | |
| 85651 | <1% | 462 | $1K | |
| 76770 | <1% | 34 | $973.10 | |
| 87070 | <1% | 259 | $951.44 | |
| 88342 | <1% | 46 | $941.32 | |
| 87081 | <1% | 312 | $925.12 | |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | <1% | 322 | $920.10 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 3,936 | $908.55 |
| 94726 | <1% | 42 | $907.41 | |
| 82977 | <1% | 121 | $859.56 | |
| 86901 | <1% | 359 | $840.98 | |
| 93922 | <1% | 34 | $835.53 | |
| 86900 | <1% | 360 | $834.68 | |
| 93925 | <1% | 13 | $770.56 | |
| 87205 | <1% | 260 | $615.56 | |
| 86140 | <1% | 242 | $560.81 | |
| 86592 | <1% | 145 | $511.13 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 592 | $506.71 |
| 94060 | <1% | 66 | $502.96 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 5,341 | $494.58 |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 981 | $428.92 |
| 86706 | <1% | 41 | $393.89 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,551 | $364.80 |
| 73590 | <1% | 31 | $349.15 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 1,537 | $303.19 |
| 97161 | <1% | 13 | $279.88 | |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | <1% | 200 | $276.44 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 5,154 | $265.42 |
| 97162 | <1% | 60 | $259.72 | |
| 73080 | <1% | 30 | $238.70 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,745 | $236.97 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 2,593 | $227.46 |
| 80069 | <1% | 51 | $217.03 | |
| 96376 | <1% | 195 | $213.33 | |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | <1% | 184 | $209.04 |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 195 | $206.22 |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | <1% | 922 | $190.95 |
| 84550 | <1% | 30 | $189.48 | |
| 72050 | <1% | 13 | $185.10 | |
| J7999 | Compounded drug, not otherwise classified | <1% | 118 | $184.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 293 | $156.20 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,107 | $141.07 |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 673 | $123.69 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 166 | $123.63 |
| J1626 | Injection, granisetron hydrochloride, 100 mcg | <1% | 91 | $111.75 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 1,008 | $95.92 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 708 | $94.05 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,359 | $84.89 |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 624 | $71.79 |
| 82570 | <1% | 18 | $70.83 | |
| J3480 | Injection, potassium chloride, per 2 meq | <1% | 213 | $66.79 |
| 85018 | <1% | 30 | $60.35 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 14 | $57.69 |
| 83615 | <1% | 15 | $56.82 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 928 | $51.42 |
| 82140 | <1% | 13 | $38.50 | |
| 82150 | <1% | 12 | $38.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,157 | $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 | <1% | 2,207 | $28.35 |
| 94760 | <1% | 126 | $25.29 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 1,374 | $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 | <1% | 538 | $23.33 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 152 | $20.10 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 55 | $17.36 |
| J2704 | Injection, propofol, 10 mg | <1% | 308 | $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 | <1% | 19 | $16.56 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 165 | $8.94 |
| 36591 | <1% | 261 | $7.70 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 435 | $3.90 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 110 | $0.00 |
| J0692 | Injection, cefepime hydrochloride, 500 mg | 0% | 35 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 135 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 98 | $0.00 |
| Q9957 | Injection, perflutren lipid microspheres, per ml | 0% | 13 | $0.00 |
| J1953 | Injection, levetiracetam, 10 mg | 0% | 27 | $0.00 |
| J7510 | Prednisolone oral, per 5 mg | 0% | 12 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 1,136 | $0.00 |
| J2470 | Injection, pantoprazole sodium, 40 mg | 0% | 53 | $0.00 |
| J3411 | Injection, thiamine hcl, 100 mg | 0% | 14 | $0.00 |
| J2785 | Injection, regadenoson, 0.1 mg | 0% | 13 | $0.00 |
| J1630 | Injection, haloperidol, up to 5 mg | 0% | 35 | $0.00 |
| Q9963 | High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml | 0% | 25 | $0.00 |
| 97166 | 0% | 13 | $0.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 31 | $0.00 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 24 | $0.00 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 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 officialTIMMONS, LAURENE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Upmc East | Monroeville, PA | $5.77M |
| Upmc Mckeesport | Mckeesport, PA | $34.43 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.