Medicaid Provider Spending

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

NPI: 1265422901 · CLARION, PA 16214 · Clinic/Center · NPI assigned 10/25/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MADDEN, SCOTT controls 20+ related entities in our dataset. Read more

$2.09M
Total Medicaid Paid
92,419
Total Claims
80,159
Beneficiaries
167
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
NPI Enumeration Date10/25/2005

Related Entities

Other providers sharing the same authorized official: MADDEN, SCOTT

ProviderCityStateTotal Paid
BUTLER HEALTHCARE PROVIDERS BUTLER PA $10.40M
BUTLER HEALTHCARE PROVIDERS BUTLER PA $1.47M
CLARION HOSPITAL EMS CLARION PA $1.01M
BUTLER MEMORIAL HOSPITAL BUTLER PA $379K
BUTLER MEDICAL PROVIDERS BUTLER PA $345K
BUTLER MEDICAL PROVIDERS SENECA PA $208K
BUTLER MEDICAL PROVIDERS BUTLER PA $77K
BUTLER MEDICAL PROVIDERS BUTLER PA $33K
BUTLER MEDICAL PROVIDERS BUTLER PA $32K
BUTLER MEDICAL PROVIDERS NEW CASTLE PA $32K
BUTLER MEDICAL PROVIDERS BUTLER PA $28K
BUTLER MEDICAL PROVIDERS NEW CASTLE PA $20K
BUTLER MEDICAL PROVIDERS SLIPPERY ROCK PA $12K
BUTLER MEDICAL PROVIDERS BUTLER PA $11K
BUTLER MEDICAL PROVIDERS BUTLER PA $11K
BHS FASTER CARE PLLC BUTLER PA $2K
BUTLER MEDICAL PROVIDERS FAIRMOUNT CITY PA $2K
BUTLER MEDICAL PROVIDERS FORD CITY PA $595.87
BUTLER MEDICAL PROVIDERS BUTLER PA $595.26
BUTLER MEDICAL PROVIDERS BUTLER PA $486.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48 $6K
2019 85 $579.78
2020 12,721 $236K
2021 45,149 $1.00M
2022 10,387 $196K
2023 13,142 $227K
2024 10,887 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 4,222 4,009 $422K
T1015 Clinic visit/encounter, all-inclusive 5,947 1,562 $217K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,462 6,253 $202K
99283 Emergency department visit for the evaluation and management, moderate severity 1,948 1,837 $126K
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 1,242 1,178 $91K
80053 Comprehensive metabolic panel 9,824 8,504 $91K
G0378 Hospital observation service, per hour 301 217 $70K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 548 521 $63K
80050 General health panel 1,203 1,159 $54K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,014 1,919 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,600 9,076 $50K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,312 1,254 $46K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,199 1,158 $36K
74176 Computed tomography, abdomen and pelvis; without contrast material 453 438 $36K
80061 Lipid panel 2,244 2,209 $29K
70450 Computed tomography, head or brain; without contrast material 426 406 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,049 2,899 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,223 1,179 $23K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 91 90 $23K
74177 Computed tomography, abdomen and pelvis; with contrast material 141 135 $21K
87428 655 645 $19K
96375 Therapeutic injection; each additional sequential IV push 1,079 934 $17K
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 294 274 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 257 225 $15K
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 862 814 $15K
84443 Thyroid stimulating hormone (TSH) 730 711 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 641 154 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 368 364 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 212 211 $13K
96361 Intravenous infusion, hydration; each additional hour 1,218 1,108 $12K
81001 4,219 4,025 $11K
71045 Radiologic examination, chest; single view 1,514 1,456 $10K
97161 233 230 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 450 345 $9K
77067 Screening mammography, bilateral, including computer-aided detection 120 119 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 698 634 $9K
0001A 299 295 $8K
0002A 199 199 $8K
84484 1,044 956 $7K
87480 270 266 $6K
83735 968 672 $6K
71046 Radiologic examination, chest; 2 views 499 480 $6K
87086 Culture, bacterial; quantitative colony count, urine 850 808 $6K
80048 Basic metabolic panel (calcium, ionized) 708 608 $6K
86618 168 165 $5K
87660 266 262 $5K
83036 Hemoglobin; glycosylated (A1C) 679 668 $4K
84439 482 443 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 90 90 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 161 158 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 161 158 $4K
87486 92 91 $3K
83690 816 770 $3K
87510 211 207 $3K
82728 287 282 $3K
80305 304 279 $3K
72125 Computed tomography, cervical spine; without contrast material 45 44 $3K
87490 125 120 $3K
83540 317 311 $2K
87186 321 314 $2K
85027 402 362 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 94 91 $2K
83605 408 374 $2K
84702 141 121 $2K
73564 108 102 $2K
82043 272 268 $2K
82607 167 165 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 21 13 $2K
87631 12 12 $2K
82553 280 261 $2K
82550 370 337 $2K
0003A 44 44 $2K
73610 103 93 $2K
0011A 39 39 $2K
93971 28 27 $2K
73030 102 91 $2K
73630 153 144 $1K
87040 92 87 $1K
83655 131 130 $1K
84703 134 134 $1K
96523 110 96 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 48 48 $1K
87797 61 57 $1K
88164 172 172 $1K
82570 103 95 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15 14 $1K
82248 170 157 $1K
73130 95 90 $1K
0012A 24 24 $1K
87070 165 157 $1K
87088 156 152 $1K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 537 404 $1K
82565 167 151 $946.29
83880 59 58 $918.06
J7030 Infusion, normal saline solution , 1000 cc 965 754 $866.84
86140 296 263 $844.87
82150 198 191 $843.00
85652 265 242 $748.19
36415 Collection of venous blood by venipuncture 2,412 2,060 $738.43
83550 163 161 $723.14
72110 41 38 $698.07
81025 170 165 $644.51
85610 287 204 $626.86
0072A 14 14 $616.00
80076 68 64 $583.21
84146 25 24 $528.00
87077 77 74 $476.55
76705 Ultrasound, abdominal, real time with image documentation; limited 16 16 $448.00
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 58 41 $443.07
85007 155 132 $433.18
74018 49 44 $430.45
85651 142 129 $408.00
87400 39 34 $402.00
94761 247 240 $399.36
85730 75 70 $378.49
93000 17 17 $357.46
73110 34 28 $354.20
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 394 364 $349.94
J3490 Unclassified drugs 206 165 $342.76
84520 72 64 $319.77
85378 39 37 $312.67
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 16 16 $292.60
86803 16 16 $288.80
84481 14 14 $275.29
87205 65 62 $241.65
84460 33 29 $238.66
84450 33 29 $236.24
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 39 $235.62
88305 Level IV - Surgical pathology, gross and microscopic examination 28 26 $227.75
73502 16 13 $194.56
87075 12 12 $165.00
87340 13 13 $155.90
87081 30 30 $154.44
87581 50 49 $148.58
86900 52 50 $140.43
85379 14 14 $139.92
J2704 Injection, propofol, 10 mg 408 353 $134.72
G0463 Hospital outpatient clinic visit for assessment and management of a patient 104 88 $131.17
J1885 Injection, ketorolac tromethamine, per 15 mg 455 415 $129.26
96367 16 12 $126.96
84100 23 13 $115.36
81003 38 38 $114.15
82542 15 13 $106.00
84550 15 12 $102.90
87430 12 12 $83.16
J2270 Injection, morphine sulfate, up to 10 mg 77 65 $56.11
86901 26 25 $55.08
96376 18 13 $43.70
86592 12 12 $39.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 245 214 $36.38
82948 20 12 $32.80
J2405 Injection, ondansetron hydrochloride, per 1 mg 531 452 $32.29
J1170 Injection, hydromorphone, up to 4 mg 65 50 $31.13
J3010 Injection, fentanyl citrate, 0.1 mg 300 236 $22.88
J2360 Injection, orphenadrine citrate, up to 60 mg 12 12 $15.87
J0696 Injection, ceftriaxone sodium, per 250 mg 15 14 $12.45
J1644 Injection, heparin sodium, per 1000 units 70 55 $11.20
J2250 Injection, midazolam hydrochloride, per 1 mg 389 332 $5.19
J1200 Injection, diphenhydramine hcl, up to 50 mg 15 14 $4.74
J7060 5% dextrose/water (500 ml = 1 unit) 17 13 $3.76
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15 15 $0.36
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.16
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 19 12 $0.00
A0425 Ground mileage, per statute mile 19 12 $0.00
90715 13 13 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 66 57 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 78 48 $0.00