Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MONROEVILLE › UPMC EAST

UPMC EAST

NPI: 1225323983 · MONROEVILLE, PA 15146 · Clinic/Center · NPI assigned 06/10/2011

$5.77M
Total Medicaid Paid
206,869
Total Claims
181,091
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIMMONS, LAURENE (CFO)
Parent OrganizationUPMC
NPI Enumeration Date06/10/2011

Related Entities

Other providers sharing the same authorized official: TIMMONS, LAURENE

ProviderCityStateTotal Paid
UPMC MCKEESPORT MCKEESPORT PA $9.96M
UPMC MCKEESPORT MCKEESPORT PA $34.43

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $3K
2019 128 $4K
2020 17,595 $421K
2021 80,301 $2.23M
2022 36,825 $969K
2023 39,069 $1.15M
2024 32,883 $997K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 16,079 15,667 $2.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,777 4,638 $759K
99283 Emergency department visit for the evaluation and management, moderate severity 5,859 5,716 $549K
G0378 Hospital observation service, per hour 2,042 892 $391K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,324 1,298 $371K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,306 8,029 $154K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,006 981 $123K
45380 Colonoscopy, flexible; with biopsy, single or multiple 259 253 $86K
80053 Comprehensive metabolic panel 9,640 9,153 $73K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,951 17,294 $73K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,214 8,812 $63K
96375 Therapeutic injection; each additional sequential IV push 3,640 3,341 $46K
71275 Computed tomographic angiography, chest, with contrast material 308 302 $42K
84484 5,327 4,849 $37K
70450 Computed tomography, head or brain; without contrast material 840 809 $34K
80048 Basic metabolic panel (calcium, ionized) 6,036 5,341 $33K
71046 Radiologic examination, chest; 2 views 2,891 2,821 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 542 538 $30K
64415 105 104 $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 505 483 $26K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,161 2,067 $25K
84703 3,408 3,301 $23K
J3490 Unclassified drugs 6,603 4,407 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material 333 327 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 161 154 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 294 290 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 418 369 $15K
93971 283 276 $14K
83690 4,110 3,973 $13K
70551 Magnetic resonance imaging, brain; without contrast material 102 99 $13K
64721 54 52 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity 203 202 $11K
72125 Computed tomography, cervical spine; without contrast material 241 233 $10K
T1015 Clinic visit/encounter, all-inclusive 472 403 $10K
80050 General health panel 247 240 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 344 238 $9K
71045 Radiologic examination, chest; single view 1,938 1,848 $9K
82805 422 391 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 245 230 $8K
81001 4,002 3,891 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 180 180 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 20 20 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16 14 $6K
83880 307 296 $6K
83735 1,354 1,129 $6K
84443 Thyroid stimulating hormone (TSH) 322 314 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,586 4,202 $5K
85610 2,227 1,915 $5K
85730 1,179 1,135 $5K
93017 213 205 $5K
83605 885 812 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 156 153 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 580 457 $4K
62323 16 16 $4K
80061 Lipid panel 335 327 $4K
87086 Culture, bacterial; quantitative colony count, urine 782 748 $4K
80076 665 612 $3K
85379 448 437 $3K
88342 169 162 $3K
87040 324 213 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 210 204 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 210 204 $3K
70496 26 26 $3K
J1815 Injection, insulin, per 5 units 393 230 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 18 17 $3K
73610 199 193 $2K
96361 Intravenous infusion, hydration; each additional hour 238 175 $2K
93970 28 28 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 86 85 $2K
84100 524 437 $2K
72100 124 121 $2K
J1170 Injection, hydromorphone, up to 4 mg 4,648 2,450 $2K
73630 273 264 $2K
83036 Hemoglobin; glycosylated (A1C) 336 332 $2K
81003 791 779 $2K
73030 137 132 $1K
73130 173 166 $1K
85027 426 352 $1K
82607 164 157 $1K
82962 1,425 1,005 $1K
84702 94 83 $1K
J7030 Infusion, normal saline solution , 1000 cc 4,668 3,600 $1K
70498 14 14 $1K
76937 231 212 $1K
86850 230 218 $984.94
71250 24 24 $891.31
90715 198 185 $798.53
J7120 Ringers lactate infusion, up to 1000 cc 4,793 3,837 $794.84
97162 60 60 $785.78
87077 170 165 $782.63
82728 84 81 $769.92
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 19 14 $752.80
84439 116 110 $715.87
87480 55 54 $706.57
87660 55 54 $679.38
86140 319 284 $667.59
85651 310 276 $634.37
J3010 Injection, fentanyl citrate, 0.1 mg 4,794 3,460 $585.37
82565 158 153 $556.82
94726 27 27 $553.31
82746 82 79 $552.00
83540 98 91 $549.59
73562 62 60 $527.09
87186 119 115 $524.40
86901 238 225 $514.77
86900 238 225 $508.17
J8501 Aprepitant, oral, 5 mg 114 113 $499.07
73560 60 57 $498.56
76942 253 245 $479.05
J1885 Injection, ketorolac tromethamine, per 15 mg 5,561 4,690 $427.62
70486 12 12 $426.25
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,596 6,921 $405.53
77336 20 12 $402.52
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 44 27 $361.79
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 14 12 $335.70
94729 15 15 $333.84
83550 90 86 $308.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,661 3,051 $254.80
J2270 Injection, morphine sulfate, up to 10 mg 576 366 $248.49
J1644 Injection, heparin sodium, per 1000 units 1,087 512 $243.97
J0696 Injection, ceftriaxone sodium, per 250 mg 1,048 778 $238.91
82550 49 46 $226.94
97166 13 12 $203.70
88341 27 24 $179.89
J7050 Infusion, normal saline solution, 250 cc 2,585 1,780 $179.89
J0780 Injection, prochlorperazine, up to 10 mg 436 354 $174.85
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 204 173 $143.53
84134 12 12 $120.85
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 436 366 $113.02
73590 13 13 $108.08
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,332 1,163 $102.87
94060 14 14 $101.23
J2704 Injection, propofol, 10 mg 2,840 1,956 $95.48
87070 27 25 $91.08
J2250 Injection, midazolam hydrochloride, per 1 mg 3,995 3,537 $87.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 25 $76.23
97161 26 25 $69.97
80329 13 12 $65.31
80051 12 12 $53.90
J2060 Injection, lorazepam, 2 mg 273 213 $51.81
J0171 Injection, adrenalin, epinephrine, 0.1 mg 12 12 $47.43
84520 13 13 $47.30
96376 227 132 $38.69
J2765 Injection, metoclopramide hcl, up to 10 mg 228 198 $38.39
73110 12 12 $37.95
J0690 Injection, cefazolin sodium, 500 mg 232 172 $23.11
87081 12 12 $22.62
J7999 Compounded drug, not otherwise classified 1,384 866 $20.92
J3475 Injection, magnesium sulfate, per 500 mg 70 58 $18.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 734 605 $16.89
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 134 129 $15.00
88304 49 49 $14.30
J1650 Injection, enoxaparin sodium, 10 mg 35 12 $13.44
36415 Collection of venous blood by venipuncture 431 368 $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 594 413 $7.16
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 368 318 $5.34
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,249 1,154 $4.00
J1630 Injection, haloperidol, up to 5 mg 36 28 $3.71
J0330 Injection, succinylcholine chloride, up to 20 mg 102 87 $1.53
Q0243 Injection, casirivimab and imdevimab, 2400 mg 19 19 $0.04
J1596 Injection, glycopyrrolate, 0.1 mg 164 161 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 52 41 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 275 264 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 60 54 $0.00
J3370 Injection, vancomycin hcl, 500 mg 102 61 $0.00
J1171 Injection, hydromorphone, 0.1 mg 130 97 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 28 25 $0.00
S0028 Injection, famotidine, 20 mg 100 59 $0.00
J3535 Drug administered through a metered dose inhaler 13 13 $0.00
C1889 Implantable/insertable device, not otherwise classified 66 64 $0.00
J2785 Injection, regadenoson, 0.1 mg 28 28 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 75 68 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 53 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 75 54 $0.00
C1769 Guide wire 12 12 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 13 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 56 28 $0.00