Medicaid Provider Spending

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

WEST PENN ALLEGHENY HEALTH SYSTEM INC

NPI: 1194744805 · PITTSBURGH, PA 15224 · General Acute Care Hospital · NPI assigned 07/19/2006

$12.69M
Total Medicaid Paid
355,433
Total Claims
272,780
Beneficiaries
274
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, RICK (VICE PRESIDENT, FINANCE)
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: FRIES, RICK

ProviderCityStateTotal Paid
JEFFERSON REGIONAL MEDICAL CENTER CLAIRTON 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 CENTER NATRONA HEIGHTS PA $6.09M
CANONSBURG GENERAL HOSPITAL CANONSBURG PA $2.97M
GROVE CITY MEDICAL CENTER GROVE CITY PA $2.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 989 $15K
2020 47,083 $2.29M
2021 158,157 $6.50M
2022 52,932 $1.44M
2023 60,147 $1.47M
2024 36,125 $988K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J9271 Injection, pembrolizumab, 1 mg 1,127 876 $2.32M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,232 8,900 $1.52M
99284 Emergency department visit for the evaluation and management, high severity 8,949 8,668 $1.40M
G0378 Hospital observation service, per hour 1,936 1,695 $1.12M
99283 Emergency department visit for the evaluation and management, moderate severity 7,741 7,509 $1.09M
T1015 Clinic visit/encounter, all-inclusive 14,246 12,681 $960K
J9035 Injection, bevacizumab, 10 mg 325 110 $603K
J9299 Injection, nivolumab, 1 mg 313 171 $430K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,466 2,080 $354K
J2505 Injection, pegfilgrastim, 6 mg 109 76 $234K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 83 62 $224K
J0897 Injection, denosumab, 1 mg 420 385 $153K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,983 6,855 $139K
80053 Comprehensive metabolic panel 15,424 13,258 $109K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 29 26 $103K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,024 996 $101K
96375 Therapeutic injection; each additional sequential IV push 5,945 4,604 $91K
96417 1,083 713 $83K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,495 19,643 $80K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 170 62 $77K
J0185 Injection, aprepitant, 1 mg 976 672 $53K
96416 335 203 $49K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 297 291 $43K
J1756 Injection, iron sucrose, 1 mg 4,739 1,605 $39K
J9202 Goserelin acetate implant, per 3.6 mg 111 105 $38K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,471 1,064 $38K
J1439 Injection, ferric carboxymaltose, 1 mg 176 121 $35K
96415 740 445 $32K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,176 1,163 $32K
99282 Emergency department visit for the evaluation and management, low to moderate severity 292 279 $32K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,503 1,482 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 503 495 $30K
71275 Computed tomographic angiography, chest, with contrast material 250 240 $30K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 446 439 $28K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,457 1,437 $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 563 550 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,747 4,439 $25K
J2469 Injection, palonosetron hcl, 25 mcg 3,189 1,894 $25K
96411 420 280 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,741 2,076 $21K
96361 Intravenous infusion, hydration; each additional hour 2,150 1,697 $20K
77067 Screening mammography, bilateral, including computer-aided detection 231 229 $20K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 278 278 $19K
80048 Basic metabolic panel (calcium, ionized) 4,334 3,754 $19K
86803 998 987 $18K
84443 Thyroid stimulating hormone (TSH) 905 877 $18K
84702 1,926 1,710 $18K
83735 3,387 2,156 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 309 304 $17K
70450 Computed tomography, head or brain; without contrast material 432 408 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 442 376 $16K
84466 1,139 1,114 $15K
96367 785 532 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 279 268 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 342 331 $13K
80050 General health panel 342 331 $13K
76830 Ultrasound, transvaginal 345 334 $13K
84484 2,357 2,099 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 211 207 $12K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 887 568 $12K
82728 1,206 1,157 $12K
J1453 Injection, fosaprepitant, 1 mg 377 251 $12K
49452 525 456 $11K
71046 Radiologic examination, chest; 2 views 1,324 1,274 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 543 393 $11K
J0640 Injection, leucovorin calcium, per 50 mg 1,423 331 $11K
86780 571 565 $10K
80061 Lipid panel 775 751 $10K
87340 621 615 $10K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 342 315 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 272 270 $9K
83615 1,545 1,106 $9K
88185 46 44 $9K
G0379 Direct admission of patient for hospital observation care 72 70 $9K
86762 391 388 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,346 1,281 $9K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 244 240 $9K
82784 465 375 $9K
86850 1,354 1,263 $8K
0002A 172 172 $8K
96402 281 257 $8K
85027 1,172 1,092 $8K
83540 1,135 1,113 $8K
83690 2,848 2,696 $7K
0001A 160 160 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,102 1,000 $7K
82607 645 633 $7K
81001 3,868 3,698 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 160 148 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 156 155 $6K
36591 218 147 $6K
J2997 Injection, alteplase recombinant, 1 mg 79 70 $6K
86300 325 285 $6K
J9045 Injection, carboplatin, 50 mg 774 502 $6K
58571 12 12 $5K
77063 Screening digital breast tomosynthesis, bilateral 231 229 $5K
83036 Hemoglobin; glycosylated (A1C) 836 815 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 617 543 $5K
84100 1,218 779 $5K
59025 Fetal non-stress test 1,088 825 $5K
J3490 Unclassified drugs 5,514 4,017 $5K
71250 74 74 $5K
86334 217 212 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 150 146 $5K
96401 267 156 $5K
84550 898 625 $5K
83880 312 294 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $4K
86900 1,397 1,297 $4K
93971 100 97 $4K
96376 605 448 $4K
86901 1,389 1,290 $4K
81025 2,484 2,392 $4K
36415 Collection of venous blood by venipuncture 6,221 5,186 $4K
80076 796 772 $4K
76801 143 134 $4K
82570 552 518 $4K
71045 Radiologic examination, chest; single view 987 939 $4K
84439 507 481 $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 76 75 $3K
93975 39 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 325 319 $3K
82378 253 232 $3K
82746 345 336 $3K
83605 773 682 $3K
J9267 Injection, paclitaxel, 1 mg 329 149 $3K
89060 536 484 $3K
36430 119 86 $3K
87905 360 354 $3K
87808 399 393 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,135 1,935 $3K
84165 222 219 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $3K
85379 422 400 $3K
88342 136 131 $2K
70496 29 26 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 39 39 $2K
43235 12 12 $2K
85610 1,049 801 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,195 5,501 $2K
87210 523 472 $2K
82950 268 266 $2K
83883 226 216 $2K
J7030 Infusion, normal saline solution , 1000 cc 11,484 8,123 $2K
76642 43 40 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $2K
73630 204 181 $2K
85045 550 390 $2K
70498 16 15 $2K
J3475 Injection, magnesium sulfate, per 500 mg 2,600 1,726 $2K
87081 382 380 $2K
85730 466 417 $2K
J2704 Injection, propofol, 10 mg 8,250 5,070 $2K
83010 156 123 $1K
81003 760 729 $1K
87186 256 247 $1K
84156 423 369 $1K
73130 172 139 $1K
86140 569 507 $1K
88184 46 44 $1K
84153 56 53 $1K
83021 52 52 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $1K
96523 89 83 $1K
36593 49 48 $1K
82043 125 124 $1K
84145 152 138 $1K
86592 217 215 $981.00
87481 25 25 $951.69
82550 253 210 $942.70
J7050 Infusion, normal saline solution, 250 cc 6,960 3,953 $921.43
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,699 2,713 $915.18
87077 189 180 $889.06
96377 74 56 $882.38
85652 378 368 $876.04
77066 Tomosynthesis, mammo 12 12 $831.69
87040 95 91 $828.71
70486 12 12 $825.15
86038 50 50 $820.26
73610 73 67 $745.03
83986 510 464 $742.80
87070 109 102 $720.41
72125 Computed tomography, cervical spine; without contrast material 26 25 $711.10
81002 292 285 $700.67
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 18 18 $693.87
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,204 3,390 $691.24
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 16 15 $690.28
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 44 43 $688.96
J9263 Injection, oxaliplatin, 0.5 mg 39 12 $676.72
J2270 Injection, morphine sulfate, up to 10 mg 3,286 2,140 $632.86
82962 946 596 $597.52
84163 29 29 $586.37
73562 59 56 $546.50
16020 20 14 $519.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,264 1,047 $500.17
87205 107 100 $463.21
J7120 Ringers lactate infusion, up to 1000 cc 6,917 5,609 $455.14
J9190 Injection, fluorouracil, 500 mg 204 115 $445.85
J7060 5% dextrose/water (500 ml = 1 unit) 919 551 $411.96
82565 89 84 $389.48
J1170 Injection, hydromorphone, up to 4 mg 2,707 1,721 $389.01
73030 39 37 $357.02
84403 12 12 $346.42
99195 40 37 $339.10
J0780 Injection, prochlorperazine, up to 10 mg 1,062 813 $328.17
J3010 Injection, fentanyl citrate, 0.1 mg 5,630 3,968 $316.64
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,704 6,873 $279.55
C1769 Guide wire 220 201 $271.79
88142 13 13 $265.86
87147 95 91 $264.70
84999 136 124 $259.44
J1885 Injection, ketorolac tromethamine, per 15 mg 6,274 5,048 $250.73
J0690 Injection, cefazolin sodium, 500 mg 2,233 1,719 $248.24
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 416 332 $238.19
93017 15 15 $225.29
90715 81 76 $224.21
86255 12 12 $215.69
86923 32 26 $214.20
86706 15 15 $213.92
J1644 Injection, heparin sodium, per 1000 units 2,400 1,182 $204.93
76937 30 28 $203.70
88307 97 91 $198.32
82977 39 26 $186.53
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 33 28 $176.99
72100 14 12 $170.11
J0330 Injection, succinylcholine chloride, up to 20 mg 302 232 $155.99
80320 18 18 $131.09
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 38 38 $129.43
J0696 Injection, ceftriaxone sodium, per 250 mg 991 780 $116.16
C9113 Injection, pantoprazole sodium, per vial 630 385 $106.02
86431 12 12 $102.65
97161 143 131 $95.42
97165 90 83 $92.60
87486 18 18 $87.50
99153 Mod sedat endo service >5yrs 18 13 $83.49
85018 26 26 $76.52
J3480 Injection, potassium chloride, per 2 meq 300 144 $74.45
J1815 Injection, insulin, per 5 units 437 148 $74.33
J2765 Injection, metoclopramide hcl, up to 10 mg 1,091 833 $69.66
88304 29 29 $57.72
87088 12 12 $51.68
J2250 Injection, midazolam hydrochloride, per 1 mg 4,603 3,835 $42.02
88311 12 12 $39.99
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 42 41 $35.98
J1650 Injection, enoxaparin sodium, 10 mg 358 196 $33.39
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $30.45
74018 12 12 $30.31
J2060 Injection, lorazepam, 2 mg 116 82 $22.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 84 75 $21.67
J3370 Injection, vancomycin hcl, 500 mg 213 97 $18.46
J2370 Injection, phenylephrine hcl, up to 1 ml 358 247 $14.30
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,889 2,219 $11.92
S0030 Injection, metronidazole, 500 mg 113 74 $6.26
A9270 Non-covered item or service 26,405 9,980 $0.31
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,544 1,337 $0.01
J2470 Injection, pantoprazole sodium, 40 mg 19 14 $0.00
J7999 Compounded drug, not otherwise classified 368 320 $0.00
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 178 135 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 13 $0.00
C1726 Catheter, balloon dilatation, non-vascular 16 12 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 52 46 $0.00
J1836 Injection, metronidazole, 10 mg 138 118 $0.00
87581 18 18 $0.00
J9312 Injection, rituximab, 10 mg 20 13 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 18 13 $0.00
J1750 Injection, iron dextran, 50 mg 194 152 $0.00
J3380 Injection, vedolizumab, intravenous, 1 mg 146 140 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 113 95 $0.00
J1171 Injection, hydromorphone, 0.1 mg 49 33 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 392 351 $0.00
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 24 14 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 15 12 $0.00
J3489 Injection, zoledronic acid, 1 mg 17 16 $0.00
0100U 15 15 $0.00