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

Presbyterian Medical Center of the University of Pennsylvania Health S

Presbyterian Medical Center of the University of Pennsylvania Health S was paid $23.27M by Medicaid between Jan 2018 and Dec 2024, across 343 billing codes. Its largest line is 99284, emergency room visit (serious) — 17% of everything it billed.

33Billing provider infoPRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
PHILADELPHIA, PA 19104
33aNPI1245207521assigned 03/04/2006
28Total paid$23.27M
24GClaims501,397
24DCodes billed343
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#13 of 154
Median peer was paid$2.82M
This provider vs. median8.2×

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$1.0M$1.5M2018201920202021202220232024
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
2018444$4K
20193,072$26K
202088,896$3.59M
2021210,865$10.02M
202254,962$3.35M
202364,218$3.53M
2024incomplete78,940$2.75M
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 17% 20,024 19,074 $3.94M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 18,809 17,768 $3.72M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 18,666 17,721 $3.55M
G0378 Hospital observation service, per hour 11% 1,943 1,825 $2.45M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 5.0% 613 585 $1.17M
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 2.3% 7,925 7,443 $526K
G9012 Other specified case management service not elsewhere classified 2.1% 2,019 1,889 $486K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.0% 3,367 3,081 $477K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 1.6% 3,696 2,837 $365K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.5% 438 420 $350K
70450 Computed tomography, head or brain; without contrast material 1.5% 3,571 3,337 $344K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 2,109 2,028 $309K
331 more codes
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 395 $253K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 192 $216K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,239 $163K
72125 Computed tomography, cervical spine; without contrast material <1% 1,541 $158K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,578 $156K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,245 $150K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 163 $149K
36415 Collection of venous blood by venipuncture <1% 50,031 $148K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,824 $134K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 804 $134K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 383 $122K
73221 <1% 340 $102K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 877 $98K
80048 Basic metabolic panel (calcium, ionized) <1% 20,094 $95K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,003 $94K
87536 <1% 1,167 $91K
J9271 Injection, pembrolizumab, 1 mg <1% 28 $82K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 25,843 $82K
74183 <1% 167 $80K
73562 <1% 4,558 $75K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 439 $75K
73564 <1% 3,348 $74K
20610 <1% 444 $72K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 398 $72K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,579 $69K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,920 $68K
73610 <1% 3,058 $67K
72141 <1% 285 $67K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 259 $65K
70486 <1% 545 $61K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 129 $60K
72197 <1% 118 $58K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 669 $56K
70551 Magnetic resonance imaging, brain; without contrast material <1% 287 $56K
80053 Comprehensive metabolic panel <1% 11,456 $52K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 5,897 $52K
71250 <1% 638 $49K
73630 <1% 3,009 $43K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 243 $42K
76881 <1% 504 $41K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,805 $41K
71046 Radiologic examination, chest; 2 views <1% 2,602 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,357 $40K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,160 $39K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 403 $39K
80061 Lipid panel <1% 4,133 $36K
73030 <1% 1,977 $35K
H0047 Alcohol and/or other drug abuse services, not otherwise specified <1% 435 $34K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,734 $33K
93971 <1% 612 $33K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 431 $33K
73130 <1% 2,091 $33K
86360 <1% 732 $32K
J1756 Injection, iron sucrose, 1 mg <1% 2,060 $31K
84443 Thyroid stimulating hormone (TSH) <1% 2,816 $29K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,117 $26K
73502 <1% 1,231 $25K
86359 <1% 732 $25K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,003 $25K
83036 Hemoglobin; glycosylated (A1C) <1% 5,826 $24K
93356 <1% 230 $23K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 339 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 170 $21K
82803 <1% 1,903 $21K
97597 <1% 563 $21K
70498 <1% 161 $20K
93017 <1% 358 $19K
72110 <1% 625 $19K
96415 <1% 508 $18K
71045 Radiologic examination, chest; single view <1% 3,009 $18K
94729 <1% 484 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,035 $17K
83735 <1% 6,248 $17K
86480 <1% 331 $16K
73110 <1% 1,058 $16K
73700 <1% 201 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 739 $16K
83880 <1% 1,118 $15K
76830 Ultrasound, transvaginal <1% 294 $15K
72100 <1% 734 $15K
85027 <1% 3,871 $14K
J2785 Injection, regadenoson, 0.1 mg <1% 187 $14K
90832 Psychotherapy session, about 30 minutes <1% 2,487 $14K
84484 <1% 2,680 $14K
OP710 <1% 283 $14K
96361 Intravenous infusion, hydration; each additional hour <1% 1,900 $14K
86803 <1% 986 $14K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 701 $13K
70496 <1% 103 $13K
73590 <1% 774 $12K
82728 <1% 1,639 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 1,563 $12K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,160 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 299 $12K
74246 <1% 185 $11K
80076 <1% 3,099 $11K
76536 <1% 192 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 459 $11K
93970 <1% 160 $11K
85730 <1% 3,161 $11K
85610 <1% 4,370 $11K
96376 <1% 330 $10K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 754 $10K
86850 <1% 2,020 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,585 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 438 $10K
73521 <1% 440 $10K
20680 <1% 12 $10K
OP250 <1% 3,377 $10K
94010 <1% 732 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,972 $9K
70491 <1% 84 $9K
84466 <1% 1,394 $9K
93923 <1% 187 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 244 $9K
72040 <1% 412 $9K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,047 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,429 $8K
Q3014 Telehealth originating site facility fee <1% 2,276 $8K
84100 <1% 3,302 $8K
36902 <1% 31 $8K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 94 $7K
73552 <1% 399 $7K
83605 <1% 1,967 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,715 $7K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,619 $7K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 331 $7K
82607 <1% 899 $7K
83540 <1% 1,483 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 993 $6K
84153 <1% 450 $6K
80320 <1% 1,023 $6K
86900 <1% 2,177 $6K
84702 <1% 784 $6K
94726 <1% 213 $6K
76770 <1% 141 $6K
77002 <1% 185 $6K
81025 <1% 3,312 $6K
77080 <1% 115 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 34 $6K
86592 <1% 2,403 $5K
86901 <1% 2,078 $5K
76801 <1% 112 $5K
82570 <1% 1,338 $5K
83970 <1% 224 $5K
73080 <1% 417 $5K
87631 <1% 93 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 29 $5K
82962 <1% 5,170 $5K
87088 <1% 1,231 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 766 $4K
82043 <1% 981 $4K
87340 <1% 435 $4K
73560 <1% 441 $4K
86704 <1% 331 $4K
73200 <1% 52 $4K
83690 <1% 1,887 $4K
86706 <1% 460 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 845 $4K
90715 <1% 1,181 $4K
81003 <1% 2,800 $4K
76882 <1% 202 $4K
80050 General health panel <1% 118 $4K
73090 <1% 310 $3K
36591 <1% 93 $3K
72070 <1% 159 $3K
93226 <1% 66 $3K
72131 <1% 42 $3K
99214 Doctor's office visit, returning patient (more involved) <1% 234 $3K
74174 <1% 13 $3K
81001 <1% 1,953 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 306 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 64 $3K
73140 <1% 240 $3K
83883 <1% 82 $3K
87522 Neg quan hep c or qual rna <1% 124 $3K
82746 <1% 415 $3K
96367 <1% 157 $3K
82330 <1% 695 $2K
87077 <1% 645 $2K
C1769 Guide wire <1% 87 $2K
86682 <1% 44 $2K
93975 <1% 27 $2K
87040 <1% 259 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 14 $2K
73060 <1% 203 $2K
85384 <1% 454 $2K
80354 <1% 130 $2K
82378 <1% 224 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 138 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 194 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 57 $2K
P9016 Red blood cells, leukocytes reduced, each unit <1% 12 $2K
85379 <1% 413 $2K
87186 <1% 485 $2K
86140 <1% 961 $2K
85652 <1% 1,020 $2K
93225 <1% 68 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 7,561 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 13 $2K
85007 <1% 662 $1K
87467 <1% 122 $1K
72050 <1% 39 $1K
93926 <1% 16 $1K
72170 <1% 102 $1K
82550 <1% 375 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 16 $1K
74018 <1% 77 $1K
76000 <1% 286 $1K
84439 <1% 214 $917.30
87070 <1% 369 $907.77
73120 <1% 87 $893.14
J8540 Dexamethasone, oral, 0.25 mg <1% 2,166 $852.66
84165 <1% 118 $825.23
88342 <1% 310 $813.43
OP270 <1% 61 $730.48
86787 <1% 42 $730.21
94618 <1% 76 $705.14
84295 <1% 1,348 $684.25
82784 <1% 44 $674.57
84132 <1% 1,410 $666.86
87205 <1% 369 $639.60
82565 <1% 290 $639.54
84156 <1% 264 $622.91
J3010 Injection, fentanyl citrate, 0.1 mg <1% 6,873 $598.95
73600 <1% 67 $571.13
76937 <1% 137 $564.49
86593 <1% 128 $550.20
J2704 Injection, propofol, 10 mg <1% 8,169 $541.96
J1170 Injection, hydromorphone, up to 4 mg <1% 2,901 $533.48
G0239 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) <1% 47 $530.61
11043 <1% 16 $512.34
J2270 Injection, morphine sulfate, up to 10 mg <1% 603 $508.80
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 312 $505.06
92134 <1% 315 $477.15
85045 <1% 198 $471.23
81015 <1% 325 $465.03
36430 <1% 14 $464.38
94060 <1% 26 $454.00
84436 <1% 101 $452.55
73100 <1% 31 $440.66
84479 <1% 102 $426.87
82375 <1% 188 $411.06
67028 Intravitreal injection of a pharmacologic agent <1% 34 $407.57
84403 <1% 28 $403.65
82947 <1% 672 $361.01
S5000 Prescription drug, generic <1% 52 $359.65
87081 <1% 106 $342.30
73620 <1% 46 $308.21
82248 <1% 103 $305.73
86160 <1% 20 $297.78
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,570 $292.61
72190 <1% 14 $291.62
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 13 $268.97
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,632 $258.50
J1644 Injection, heparin sodium, per 1000 units <1% 2,338 $248.86
84550 <1% 78 $238.55
J3490 Unclassified drugs <1% 3,066 $210.69
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 563 $205.94
J0690 Injection, cefazolin sodium, 500 mg <1% 1,627 $204.62
85018 <1% 703 $202.84
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,458 $198.22
86038 <1% 29 $185.26
82105 <1% 13 $171.88
82010 <1% 89 $161.38
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 129 $151.23
90686 <1% 13 $150.34
83615 <1% 204 $143.31
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 543 $142.32
83050 <1% 188 $139.89
86762 <1% 12 $128.63
J3370 Injection, vancomycin hcl, 500 mg <1% 60 $106.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,034 $101.35
J1815 Injection, insulin, per 5 units <1% 591 $100.14
80197 <1% 111 $97.50
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 514 $68.90
G0008 Administration of influenza virus vaccine <1% 92 $68.30
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 817 $66.04
J2060 Injection, lorazepam, 2 mg <1% 417 $58.39
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 236 $57.92
80349 <1% 18 $53.83
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,047 $49.14
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,128 $48.19
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 768 $47.23
84425 <1% 26 $46.90
99213 Doctor's office visit, returning patient (routine) <1% 34 $35.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 176 $29.04
J3475 Injection, magnesium sulfate, per 500 mg <1% 753 $28.55
85008 <1% 130 $23.55
92133 <1% 16 $21.52
87015 <1% 13 $20.19
85014 <1% 49 $19.38
90662 <1% 12 $14.63
76376 <1% 15 $14.26
99201 <1% 101 $14.12
84460 <1% 17 $13.48
99152 <1% 14 $11.39
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 14 $10.44
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,827 $10.37
97161 <1% 13 $9.86
99153 Mod sedat endo service >5yrs <1% 14 $9.58
J1630 Injection, haloperidol, up to 5 mg <1% 167 $6.61
88304 <1% 41 $3.17
82247 <1% 16 $1.63
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 1,060 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 28 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 128 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 162 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 921 $0.00
S0028 Injection, famotidine, 20 mg 0% 445 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 94 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 271 $0.00
H0034 Medication training and support, per 15 minutes 0% 179 $0.00
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 0% 3,125 $0.00
87481 0% 28 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 166 $0.00
81513 0% 30 $0.00
84450 0% 15 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 15 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 13 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 38 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 365 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 423 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 1,066 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 194 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 38 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 269 $0.00
36000 0% 109 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 22 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 54 $0.00
V2632 Posterior chamber intraocular lens 0% 42 $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 officialMCCORMICK, THOMAS (AVP FINANCE)
Same official

Other billing entities under MCCORMICK, THOMAS

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