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

UPMC East

UPMC East was paid $5.77M by Medicaid between Jan 2018 and Dec 2024, across 177 billing codes. Its largest line is 99284, emergency room visit (serious) — 41% of everything it billed.

33Billing provider infoUPMC EAST
MONROEVILLE, PA 15146
33aNPI1225323983assigned 06/10/2011
33bProvider typeClinic/Center
28Total paid$5.77M
24GClaims206,869
24DCodes billed177
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#28 of 176
Median peer was paid$441K
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

$0$100K$200K$300K2018201920202021202220232024
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
201868$3K
2019128$4K
202017,595$421K
202180,301$2.23M
202236,825$969K
202339,069$1.15M
2024incomplete32,883$997K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 41% 16,079 15,667 $2.39M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 4,777 4,638 $759K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.5% 5,859 5,716 $549K
G0378 Hospital observation service, per hour 6.8% 2,042 892 $391K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6.4% 1,324 1,298 $371K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.7% 8,306 8,029 $154K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 1,006 981 $123K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.5% 259 253 $86K
80053 Comprehensive metabolic panel 1.3% 9,640 9,153 $73K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 18,951 17,294 $73K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.1% 9,214 8,812 $63K
96375 Therapeutic injection; each additional sequential IV push <1% 3,640 3,341 $46K
165 more codes
71275 Computed tomographic angiography, chest, with contrast material <1% 308 $42K
84484 <1% 5,327 $37K
70450 Computed tomography, head or brain; without contrast material <1% 840 $34K
80048 Basic metabolic panel (calcium, ionized) <1% 6,036 $33K
71046 Radiologic examination, chest; 2 views <1% 2,891 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 542 $30K
64415 <1% 105 $26K
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% 505 $26K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,161 $25K
84703 <1% 3,408 $23K
J3490 Unclassified drugs <1% 6,603 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 333 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 161 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 294 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 418 $15K
93971 <1% 283 $14K
83690 <1% 4,110 $13K
70551 Magnetic resonance imaging, brain; without contrast material <1% 102 $13K
64721 <1% 54 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 203 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 241 $10K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 472 $10K
80050 General health panel <1% 247 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 344 $9K
71045 Radiologic examination, chest; single view <1% 1,938 $9K
82805 <1% 422 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 245 $8K
81001 <1% 4,002 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 180 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 20 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 16 $6K
83880 <1% 307 $6K
83735 <1% 1,354 $6K
84443 Thyroid stimulating hormone (TSH) <1% 322 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,586 $5K
85610 <1% 2,227 $5K
85730 <1% 1,179 $5K
93017 <1% 213 $5K
83605 <1% 885 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 156 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 580 $4K
62323 <1% 16 $4K
80061 Lipid panel <1% 335 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 782 $4K
80076 <1% 665 $3K
85379 <1% 448 $3K
88342 <1% 169 $3K
87040 <1% 324 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 210 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 210 $3K
70496 <1% 26 $3K
J1815 Injection, insulin, per 5 units <1% 393 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 18 $3K
73610 <1% 199 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 238 $2K
93970 <1% 28 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 86 $2K
84100 <1% 524 $2K
72100 <1% 124 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 4,648 $2K
73630 <1% 273 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 336 $2K
81003 <1% 791 $2K
73030 <1% 137 $1K
73130 <1% 173 $1K
85027 <1% 426 $1K
82607 <1% 164 $1K
82962 <1% 1,425 $1K
84702 <1% 94 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,668 $1K
70498 <1% 14 $1K
76937 <1% 231 $1K
86850 <1% 230 $984.94
71250 <1% 24 $891.31
90715 <1% 198 $798.53
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,793 $794.84
97162 <1% 60 $785.78
87077 <1% 170 $782.63
82728 <1% 84 $769.92
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 19 $752.80
84439 <1% 116 $715.87
87480 <1% 55 $706.57
87660 <1% 55 $679.38
86140 <1% 319 $667.59
85651 <1% 310 $634.37
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,794 $585.37
82565 <1% 158 $556.82
94726 <1% 27 $553.31
82746 <1% 82 $552.00
83540 <1% 98 $549.59
73562 <1% 62 $527.09
87186 <1% 119 $524.40
86901 <1% 238 $514.77
86900 <1% 238 $508.17
J8501 Aprepitant, oral, 5 mg <1% 114 $499.07
73560 <1% 60 $498.56
76942 <1% 253 $479.05
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,561 $427.62
70486 <1% 12 $426.25
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,596 $405.53
77336 <1% 20 $402.52
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 44 $361.79
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 14 $335.70
94729 <1% 15 $333.84
83550 <1% 90 $308.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,661 $254.80
J2270 Injection, morphine sulfate, up to 10 mg <1% 576 $248.49
J1644 Injection, heparin sodium, per 1000 units <1% 1,087 $243.97
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,048 $238.91
82550 <1% 49 $226.94
97166 <1% 13 $203.70
88341 <1% 27 $179.89
J7050 Infusion, normal saline solution, 250 cc <1% 2,585 $179.89
J0780 Injection, prochlorperazine, up to 10 mg <1% 436 $174.85
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 204 $143.53
84134 <1% 12 $120.85
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 436 $113.02
73590 <1% 13 $108.08
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,332 $102.87
94060 <1% 14 $101.23
J2704 Injection, propofol, 10 mg <1% 2,840 $95.48
87070 <1% 27 $91.08
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,995 $87.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 27 $76.23
97161 <1% 26 $69.97
80329 <1% 13 $65.31
80051 <1% 12 $53.90
J2060 Injection, lorazepam, 2 mg <1% 273 $51.81
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 12 $47.43
84520 <1% 13 $47.30
96376 <1% 227 $38.69
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 228 $38.39
73110 <1% 12 $37.95
J0690 Injection, cefazolin sodium, 500 mg <1% 232 $23.11
87081 <1% 12 $22.62
J7999 Compounded drug, not otherwise classified <1% 1,384 $20.92
J3475 Injection, magnesium sulfate, per 500 mg <1% 70 $18.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 734 $16.89
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 134 $15.00
88304 <1% 49 $14.30
J1650 Injection, enoxaparin sodium, 10 mg <1% 35 $13.44
36415 Collection of venous blood by venipuncture <1% 431 $8.28
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% 594 $7.16
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 368 $5.34
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,249 $4.00
J1630 Injection, haloperidol, up to 5 mg <1% 36 $3.71
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 102 $1.53
Q0243 Injection, casirivimab and imdevimab, 2400 mg <1% 19 $0.04
J1596 Injection, glycopyrrolate, 0.1 mg 0% 164 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 52 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 275 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 0% 60 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 102 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 130 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 28 $0.00
S0028 Injection, famotidine, 20 mg 0% 100 $0.00
J3535 Drug administered through a metered dose inhaler 0% 13 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 66 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 28 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 75 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 53 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 75 $0.00
C1769 Guide wire 0% 12 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 13 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 56 $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)
Parent organizationUPMC
Same official

Other billing entities under TIMMONS, LAURENE

Full network →
ProviderLocationPaid
UPMC MckeesportMckeesport, PA$9.96M
UPMC MckeesportMckeesport, PA$34.43

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