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

West Penn Allegheny Health System INC

West Penn Allegheny Health System INC was paid $12.69M by Medicaid between Jun 2019 and Dec 2024, across 274 billing codes. Its largest line is J9271, Injection, pembrolizumab, 1 mg — 18% of everything it billed.

33Billing provider infoWEST PENN ALLEGHENY HEALTH SYSTEM INC
PITTSBURGH, PA 15224
33aNPI1194744805assigned 07/19/2006
28Total paid$12.69M
24GClaims355,433
24DCodes billed274
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#26 of 154
Median peer was paid$2.82M
This provider vs. median4.5×

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$500K$1.0M2018201920202021202220232024
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
2019989$15K
202047,083$2.29M
2021158,157$6.50M
202252,932$1.44M
202360,147$1.47M
2024incomplete36,125$988K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J9271 Injection, pembrolizumab, 1 mg 18% 1,127 876 $2.32M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 9,232 8,900 $1.52M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 8,949 8,668 $1.40M
G0378 Hospital observation service, per hour 8.8% 1,936 1,695 $1.12M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.6% 7,741 7,509 $1.09M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 7.6% 14,246 12,681 $960K
J9035 Injection, bevacizumab, 10 mg 4.8% 325 110 $603K
J9299 Injection, nivolumab, 1 mg 3.4% 313 171 $430K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2.8% 3,466 2,080 $354K
J2505 Injection, pegfilgrastim, 6 mg 1.8% 109 76 $234K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 1.8% 83 62 $224K
J0897 Injection, denosumab, 1 mg 1.2% 420 385 $153K
262 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 7,983 $139K
80053 Comprehensive metabolic panel <1% 15,424 $109K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 29 $103K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,024 $101K
96375 Therapeutic injection; each additional sequential IV push <1% 5,945 $91K
96417 <1% 1,083 $83K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 23,495 $80K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 170 $77K
J0185 Injection, aprepitant, 1 mg <1% 976 $53K
96416 <1% 335 $49K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 297 $43K
J1756 Injection, iron sucrose, 1 mg <1% 4,739 $39K
J9202 Goserelin acetate implant, per 3.6 mg <1% 111 $38K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,471 $38K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 176 $35K
96415 <1% 740 $32K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,176 $32K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 292 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,503 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 503 $30K
71275 Computed tomographic angiography, chest, with contrast material <1% 250 $30K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 446 $28K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,457 $28K
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% 563 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,747 $25K
J2469 Injection, palonosetron hcl, 25 mcg <1% 3,189 $25K
96411 <1% 420 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,741 $21K
96361 Intravenous infusion, hydration; each additional hour <1% 2,150 $20K
77067 Screening mammography, bilateral, including computer-aided detection <1% 231 $20K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 278 $19K
80048 Basic metabolic panel (calcium, ionized) <1% 4,334 $19K
86803 <1% 998 $18K
84443 Thyroid stimulating hormone (TSH) <1% 905 $18K
84702 <1% 1,926 $18K
83735 <1% 3,387 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 309 $17K
70450 Computed tomography, head or brain; without contrast material <1% 432 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 442 $16K
84466 <1% 1,139 $15K
96367 <1% 785 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 279 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 342 $13K
80050 General health panel <1% 342 $13K
76830 Ultrasound, transvaginal <1% 345 $13K
84484 <1% 2,357 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 211 $12K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 887 $12K
82728 <1% 1,206 $12K
J1453 Injection, fosaprepitant, 1 mg <1% 377 $12K
49452 <1% 525 $11K
71046 Radiologic examination, chest; 2 views <1% 1,324 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 543 $11K
J0640 Injection, leucovorin calcium, per 50 mg <1% 1,423 $11K
86780 <1% 571 $10K
80061 Lipid panel <1% 775 $10K
87340 <1% 621 $10K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 342 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 272 $9K
83615 <1% 1,545 $9K
88185 <1% 46 $9K
G0379 Direct admission of patient for hospital observation care <1% 72 $9K
86762 <1% 391 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,346 $9K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 244 $9K
82784 <1% 465 $9K
86850 <1% 1,354 $8K
0002A <1% 172 $8K
96402 <1% 281 $8K
85027 <1% 1,172 $8K
83540 <1% 1,135 $8K
83690 <1% 2,848 $7K
0001A <1% 160 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,102 $7K
82607 <1% 645 $7K
81001 <1% 3,868 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 160 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 156 $6K
36591 <1% 218 $6K
J2997 Injection, alteplase recombinant, 1 mg <1% 79 $6K
86300 <1% 325 $6K
J9045 Injection, carboplatin, 50 mg <1% 774 $6K
58571 <1% 12 $5K
77063 Screening digital breast tomosynthesis, bilateral <1% 231 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 836 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 617 $5K
84100 <1% 1,218 $5K
59025 Fetal non-stress test <1% 1,088 $5K
J3490 Unclassified drugs <1% 5,514 $5K
71250 <1% 74 $5K
86334 <1% 217 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 150 $5K
96401 <1% 267 $5K
84550 <1% 898 $5K
83880 <1% 312 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $4K
86900 <1% 1,397 $4K
93971 <1% 100 $4K
96376 <1% 605 $4K
86901 <1% 1,389 $4K
81025 <1% 2,484 $4K
36415 Collection of venous blood by venipuncture <1% 6,221 $4K
80076 <1% 796 $4K
76801 <1% 143 $4K
82570 <1% 552 $4K
71045 Radiologic examination, chest; single view <1% 987 $4K
84439 <1% 507 $4K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 76 $3K
93975 <1% 39 $3K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 325 $3K
82378 <1% 253 $3K
82746 <1% 345 $3K
83605 <1% 773 $3K
J9267 Injection, paclitaxel, 1 mg <1% 329 $3K
89060 <1% 536 $3K
36430 <1% 119 $3K
87905 <1% 360 $3K
87808 <1% 399 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,135 $3K
84165 <1% 222 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $3K
85379 <1% 422 $3K
88342 <1% 136 $2K
70496 <1% 29 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 39 $2K
43235 <1% 12 $2K
85610 <1% 1,049 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,195 $2K
87210 <1% 523 $2K
82950 <1% 268 $2K
83883 <1% 226 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 11,484 $2K
76642 <1% 43 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 13 $2K
73630 <1% 204 $2K
85045 <1% 550 $2K
70498 <1% 16 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,600 $2K
87081 <1% 382 $2K
85730 <1% 466 $2K
J2704 Injection, propofol, 10 mg <1% 8,250 $2K
83010 <1% 156 $1K
81003 <1% 760 $1K
87186 <1% 256 $1K
84156 <1% 423 $1K
73130 <1% 172 $1K
86140 <1% 569 $1K
88184 <1% 46 $1K
84153 <1% 56 $1K
83021 <1% 52 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $1K
96523 <1% 89 $1K
36593 <1% 49 $1K
82043 <1% 125 $1K
84145 <1% 152 $1K
86592 <1% 217 $981.00
87481 <1% 25 $951.69
82550 <1% 253 $942.70
J7050 Infusion, normal saline solution, 250 cc <1% 6,960 $921.43
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 4,699 $915.18
87077 <1% 189 $889.06
96377 <1% 74 $882.38
85652 <1% 378 $876.04
77066 Tomosynthesis, mammo <1% 12 $831.69
87040 <1% 95 $828.71
70486 <1% 12 $825.15
86038 <1% 50 $820.26
73610 <1% 73 $745.03
83986 <1% 510 $742.80
87070 <1% 109 $720.41
72125 Computed tomography, cervical spine; without contrast material <1% 26 $711.10
81002 <1% 292 $700.67
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 18 $693.87
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,204 $691.24
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 16 $690.28
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 44 $688.96
J9263 Injection, oxaliplatin, 0.5 mg <1% 39 $676.72
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,286 $632.86
82962 <1% 946 $597.52
84163 <1% 29 $586.37
73562 <1% 59 $546.50
16020 <1% 20 $519.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,264 $500.17
87205 <1% 107 $463.21
J7120 Ringers lactate infusion, up to 1000 cc <1% 6,917 $455.14
J9190 Injection, fluorouracil, 500 mg <1% 204 $445.85
J7060 5% dextrose/water (500 ml = 1 unit) <1% 919 $411.96
82565 <1% 89 $389.48
J1170 Injection, hydromorphone, up to 4 mg <1% 2,707 $389.01
73030 <1% 39 $357.02
84403 <1% 12 $346.42
99195 <1% 40 $339.10
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,062 $328.17
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,630 $316.64
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,704 $279.55
C1769 Guide wire <1% 220 $271.79
88142 <1% 13 $265.86
87147 <1% 95 $264.70
84999 <1% 136 $259.44
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,274 $250.73
J0690 Injection, cefazolin sodium, 500 mg <1% 2,233 $248.24
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 416 $238.19
93017 <1% 15 $225.29
90715 <1% 81 $224.21
86255 <1% 12 $215.69
86923 <1% 32 $214.20
86706 <1% 15 $213.92
J1644 Injection, heparin sodium, per 1000 units <1% 2,400 $204.93
76937 <1% 30 $203.70
88307 <1% 97 $198.32
82977 <1% 39 $186.53
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 33 $176.99
72100 <1% 14 $170.11
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 302 $155.99
80320 <1% 18 $131.09
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 38 $129.43
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 991 $116.16
C9113 Injection, pantoprazole sodium, per vial <1% 630 $106.02
86431 <1% 12 $102.65
97161 <1% 143 $95.42
97165 <1% 90 $92.60
87486 <1% 18 $87.50
99153 Mod sedat endo service >5yrs <1% 18 $83.49
85018 <1% 26 $76.52
J3480 Injection, potassium chloride, per 2 meq <1% 300 $74.45
J1815 Injection, insulin, per 5 units <1% 437 $74.33
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,091 $69.66
88304 <1% 29 $57.72
87088 <1% 12 $51.68
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,603 $42.02
88311 <1% 12 $39.99
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 42 $35.98
J1650 Injection, enoxaparin sodium, 10 mg <1% 358 $33.39
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 15 $30.45
74018 <1% 12 $30.31
J2060 Injection, lorazepam, 2 mg <1% 116 $22.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 84 $21.67
J3370 Injection, vancomycin hcl, 500 mg <1% 213 $18.46
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 358 $14.30
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,889 $11.92
S0030 Injection, metronidazole, 500 mg <1% 113 $6.26
A9270 Non-covered item or service <1% 26,405 $0.31
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,544 $0.01
J2470 Injection, pantoprazole sodium, 40 mg 0% 19 $0.00
J7999 Compounded drug, not otherwise classified 0% 368 $0.00
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 0% 178 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 14 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 16 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 52 $0.00
J1836 Injection, metronidazole, 10 mg 0% 138 $0.00
87581 0% 18 $0.00
J9312 Injection, rituximab, 10 mg 0% 20 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 18 $0.00
J1750 Injection, iron dextran, 50 mg 0% 194 $0.00
J3380 Injection, vedolizumab, intravenous, 1 mg 0% 146 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 113 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 49 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 392 $0.00
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 0% 24 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 15 $0.00
J3489 Injection, zoledronic acid, 1 mg 0% 17 $0.00
0100U 0% 15 $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 officialFRIES, RICK (VICE PRESIDENT, FINANCE)
Same official

Other billing entities under FRIES, RICK

Full network →
ProviderLocationPaid
Jefferson Regional Medical CenterClairton, PA$12.73M
West Penn Allegheny Health System INC.Pittsburgh, PA$10.81M
West Penn Allegheny Health System INC.Monroeville, PA$8.24M
Alle-Kiski Medical CenterNatrona Heights, PA$6.09M
Canonsburg General HospitalCanonsburg, PA$2.97M
Grove City Medical CenterGrove City, PA$2.17M

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