Medicaid Provider Spending

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

UPMC PASSAVANT

NPI: 1225047699 · PITTSBURGH, PA 15237 · General Acute Care Hospital · NPI assigned 08/05/2006

$5.15M
Total Medicaid Paid
206,096
Total Claims
178,409
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILL, NAFIS (CFO)
NPI Enumeration Date08/05/2006

Related Entities

Other providers sharing the same authorized official: HILL, NAFIS

ProviderCityStateTotal Paid
UPMC PASSAVANT PITTSBURGH PA $465.78

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 248 $15K
2019 179 $9K
2020 21,366 $479K
2021 101,955 $2.52M
2022 31,995 $630K
2023 32,301 $847K
2024 18,052 $642K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,334 14,892 $2.11M
G0378 Hospital observation service, per hour 2,353 888 $446K
99283 Emergency department visit for the evaluation and management, moderate severity 4,722 4,598 $430K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,467 2,386 $410K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,175 1,149 $160K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,717 5,441 $111K
T1015 Clinic visit/encounter, all-inclusive 3,456 3,169 $97K
80053 Comprehensive metabolic panel 9,204 8,493 $72K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,469 14,843 $67K
70551 Magnetic resonance imaging, brain; without contrast material 250 245 $51K
71275 Computed tomographic angiography, chest, with contrast material 315 313 $47K
96375 Therapeutic injection; each additional sequential IV push 3,298 2,903 $45K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 660 651 $43K
70450 Computed tomography, head or brain; without contrast material 946 912 $42K
64415 125 125 $37K
80050 General health panel 851 844 $37K
74176 Computed tomography, abdomen and pelvis; without contrast material 573 556 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 279 276 $34K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 515 503 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 196 193 $28K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 137 134 $28K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 118 116 $27K
72141 117 116 $26K
93975 280 271 $26K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,628 3,431 $26K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 690 684 $21K
80048 Basic metabolic panel (calcium, ionized) 3,978 3,301 $21K
71260 Computed tomography, thorax, diagnostic; with contrast material 357 352 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 108 108 $20K
84443 Thyroid stimulating hormone (TSH) 967 946 $19K
J3490 Unclassified drugs 4,328 3,014 $18K
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 310 302 $18K
71046 Radiologic examination, chest; 2 views 1,268 1,224 $16K
80061 Lipid panel 1,267 1,256 $16K
93971 298 287 $16K
71250 291 282 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 527 442 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 99 99 $14K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 112 110 $13K
76536 271 265 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 307 292 $12K
84484 1,817 1,648 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 357 353 $11K
72125 Computed tomography, cervical spine; without contrast material 258 251 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 27 26 $11K
71045 Radiologic examination, chest; single view 2,169 2,064 $11K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 266 259 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 215 210 $11K
83605 2,026 1,916 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 44 $10K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 105 81 $10K
96361 Intravenous infusion, hydration; each additional hour 826 625 $9K
85730 1,948 1,867 $9K
83735 2,062 1,649 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,945 5,521 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 216 167 $8K
83690 2,313 2,169 $8K
76770 184 179 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 845 824 $7K
85610 2,920 2,544 $7K
83880 318 306 $7K
84439 915 900 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 226 223 $6K
82607 551 545 $6K
87040 499 312 $6K
83036 Hemoglobin; glycosylated (A1C) 967 954 $6K
72100 355 347 $6K
80076 859 816 $5K
78815 Positron emission tomography (PET) for limited area imaging 12 12 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 188 180 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 831 584 $5K
93017 169 165 $5K
82728 462 448 $5K
84702 534 490 $5K
86803 276 276 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 140 136 $5K
87086 Culture, bacterial; quantitative colony count, urine 798 758 $4K
81025 1,532 1,382 $4K
62323 69 67 $4K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,001 977 $4K
73610 267 262 $4K
85379 454 445 $4K
Q3014 Telehealth originating site facility fee 233 221 $4K
86618 198 194 $4K
85027 967 785 $3K
J7030 Infusion, normal saline solution , 1000 cc 8,915 5,793 $3K
83540 439 433 $3K
73564 194 192 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 135 131 $3K
J1170 Injection, hydromorphone, up to 4 mg 6,777 3,315 $3K
73630 365 359 $3K
72158 12 12 $3K
81001 1,268 1,211 $3K
73502 174 167 $3K
73030 235 229 $2K
87077 417 407 $2K
85652 969 920 $2K
81003 968 928 $2K
82565 495 472 $2K
90715 217 213 $2K
J1815 Injection, insulin, per 5 units 209 96 $2K
86140 889 835 $2K
84100 476 381 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 160 98 $2K
86038 157 153 $2K
74018 233 215 $2K
84153 81 81 $2K
76830 Ultrasound, transvaginal 59 58 $2K
73130 214 208 $2K
J7120 Ringers lactate infusion, up to 1000 cc 5,452 4,890 $2K
93226 63 59 $2K
87186 320 310 $2K
72110 93 93 $2K
83550 402 396 $2K
86850 415 396 $2K
82043 219 219 $2K
82550 281 270 $2K
82977 190 166 $1K
82746 128 124 $1K
73110 137 134 $1K
93970 25 25 $1K
72040 101 100 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 135 132 $1K
82962 1,132 691 $1K
84403 46 45 $1K
84703 247 241 $1K
82784 50 50 $956.93
87070 285 269 $939.89
83615 142 101 $894.50
72050 37 37 $876.35
86901 427 408 $834.42
86900 428 409 $828.25
J2795 Injection, ropivacaine hydrochloride, 1 mg 305 273 $817.60
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 44 42 $760.66
J1885 Injection, ketorolac tromethamine, per 15 mg 6,401 5,323 $753.23
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 44 42 $744.74
C9399 Unclassified drugs or biologicals 182 170 $740.09
J0690 Injection, cefazolin sodium, 500 mg 1,654 1,182 $737.84
93225 46 44 $689.63
70486 12 12 $682.00
82805 26 24 $678.16
J3010 Injection, fentanyl citrate, 0.1 mg 3,287 2,641 $645.44
86617 24 24 $638.36
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,738 6,939 $633.94
87340 47 47 $630.96
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 495 489 $608.96
87205 288 271 $603.75
82330 74 66 $579.22
84550 102 91 $552.40
82150 145 142 $517.76
87081 140 137 $509.30
85014 234 206 $486.28
88342 28 28 $481.51
83970 13 12 $475.06
84520 108 97 $467.35
85018 217 190 $463.11
88313 25 25 $453.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,102 2,781 $453.10
84450 70 63 $448.09
76942 224 223 $435.72
86706 33 33 $418.91
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 15 15 $393.94
84460 65 62 $388.94
72072 24 24 $379.65
J0696 Injection, ceftriaxone sodium, per 250 mg 852 716 $377.70
87430 78 77 $373.05
J1644 Injection, heparin sodium, per 1000 units 1,436 571 $354.85
80329 24 24 $337.69
93296 25 25 $328.23
J3535 Drug administered through a metered dose inhaler 57 54 $302.75
88304 164 161 $299.26
73590 29 28 $294.12
96415 13 12 $293.90
J8501 Aprepitant, oral, 5 mg 13 13 $266.24
73080 29 28 $263.85
86431 31 30 $223.79
G0463 Hospital outpatient clinic visit for assessment and management of a patient 56 39 $211.25
J0694 Injection, cefoxitin sodium, 1 gm 35 25 $201.66
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 961 761 $173.77
82570 28 25 $168.55
J0780 Injection, prochlorperazine, up to 10 mg 449 368 $167.43
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,576 1,360 $152.50
97162 12 12 $137.94
86592 30 30 $124.44
88307 82 82 $116.50
73090 14 13 $112.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 149 138 $107.38
J2250 Injection, midazolam hydrochloride, per 1 mg 2,854 2,431 $106.00
J7050 Infusion, normal saline solution, 250 cc 968 593 $96.30
86376 12 12 $88.82
96376 97 53 $87.13
J2270 Injection, morphine sulfate, up to 10 mg 180 129 $82.67
73562 15 13 $80.10
73140 14 14 $76.40
J2765 Injection, metoclopramide hcl, up to 10 mg 733 632 $74.78
36415 Collection of venous blood by venipuncture 721 565 $69.86
97161 17 16 $67.97
97165 15 14 $67.90
86308 14 13 $64.24
84156 15 12 $64.08
J2704 Injection, propofol, 10 mg 2,898 2,684 $52.91
J3370 Injection, vancomycin hcl, 500 mg 28 26 $52.46
82947 27 27 $48.00
J2060 Injection, lorazepam, 2 mg 464 362 $46.87
J3480 Injection, potassium chloride, per 2 meq 78 37 $30.50
S0028 Injection, famotidine, 20 mg 172 140 $10.82
94761 15 12 $9.87
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 398 333 $9.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 366 236 $6.58
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 41 24 $3.56
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 32 25 $0.84
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 165 144 $0.00
J1171 Injection, hydromorphone, 0.1 mg 128 100 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 32 30 $0.00
76937 12 12 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 16 13 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 959 832 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 289 267 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 336 329 $0.00
J7999 Compounded drug, not otherwise classified 1,000 816 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 41 39 $0.00
J2785 Injection, regadenoson, 0.1 mg 12 12 $0.00
99153 Mod sedat endo service >5yrs 13 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 12 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 12 12 $0.00