Medicaid Provider Spending

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

PUNXSUTAWNEY AREA HOSPITAL INC

NPI: 1265449870 · PUNXSUTAWNEY, PA 15767 · General Acute Care Hospital · NPI assigned 08/03/2006

$2.82M
Total Medicaid Paid
135,430
Total Claims
124,150
Beneficiaries
157
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, T. CLARK (PRESIDENT)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: SIMPSON, T. CLARK

ProviderCityStateTotal Paid
PUNXSUTAWNEY AREA HOSPITAL INC PUNXSUTAWNEY PA $50K
PUNXSUTAWNEY AREA HOSPITAL INC. PUNXSUTAWNEY PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 446 $3K
2019 889 $3K
2020 9,446 $161K
2021 57,057 $1.18M
2022 20,075 $492K
2023 27,298 $592K
2024 20,219 $394K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 6,252 5,940 $703K
99284 5,185 4,962 $476K
99283 5,119 4,912 $342K
T1015 Clinic visit/encounter, all-inclusive 3,138 1,960 $130K
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 1,302 1,247 $109K
87426 2,235 2,128 $70K
G0378 Hospital observation service, per hour 308 181 $61K
80048 7,977 7,103 $55K
85025 10,401 9,085 $48K
80050 939 931 $44K
74177 260 254 $43K
87804 1,793 1,760 $40K
96374 1,464 1,348 $32K
84450 5,944 5,603 $31K
83615 5,751 5,402 $31K
82306 894 887 $31K
93976 453 439 $30K
82247 5,730 5,371 $29K
83735 4,823 4,378 $26K
82150 5,737 5,396 $22K
84075 4,789 4,508 $22K
80061 1,571 1,553 $21K
77067 258 256 $20K
80053 1,596 1,389 $16K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 41 41 $16K
93005 2,057 1,859 $15K
84443 785 762 $15K
83690 3,405 3,193 $13K
70450 226 220 $12K
84484 1,842 1,531 $12K
93306 196 189 $12K
87086 1,733 1,606 $11K
70553 58 58 $11K
84460 1,906 1,833 $11K
71045 1,522 1,407 $11K
87491 465 454 $11K
42820 13 13 $11K
87591 465 454 $11K
85730 1,688 1,582 $9K
87635 238 232 $9K
87476 242 232 $9K
82607 735 727 $9K
82550 1,763 1,585 $9K
96375 548 421 $8K
87040 441 409 $8K
88175 239 234 $7K
83036 944 933 $6K
84439 827 819 $6K
74176 94 93 $6K
85610 2,098 1,889 $6K
77063 246 244 $5K
82746 441 441 $5K
81001 2,043 1,911 $5K
71046 382 373 $5K
76536 92 91 $4K
86780 272 271 $4K
84145 198 188 $4K
83605 626 557 $4K
76805 75 70 $4K
80307 81 77 $3K
82728 276 271 $3K
96372 322 257 $3K
87389 99 98 $3K
83540 320 313 $3K
82043 308 306 $2K
84702 152 104 $2K
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 49 49 $2K
73630 243 228 $2K
81003 843 782 $2K
97161 66 61 $2K
83880 84 76 $2K
76856 52 52 $2K
80076 247 233 $2K
72148 12 12 $2K
73610 122 120 $2K
81025 550 522 $2K
85378 220 211 $2K
87430 290 281 $2K
87070 308 295 $2K
86140 688 640 $2K
84436 197 194 $2K
87186 218 204 $2K
76817 32 26 $2K
93010 833 622 $2K
86850 213 198 $2K
76830 41 40 $2K
88305 226 214 $2K
87807 113 109 $1K
87340 96 96 $1K
80305 160 151 $1K
86038 88 86 $1K
84479 153 152 $1K
85651 430 409 $1K
72110 73 72 $1K
83550 241 235 $1K
73130 82 75 $932.36
76705 28 28 $902.63
86901 214 199 $784.74
86900 214 199 $779.20
82565 151 145 $767.79
86803 38 38 $731.01
73030 65 59 $722.38
87088 117 111 $717.79
96365 32 27 $690.50
82553 77 68 $646.74
87081 104 104 $621.36
82248 86 86 $603.42
94729 28 28 $580.90
87077 94 89 $490.08
84550 83 78 $467.41
84153 17 17 $425.63
86617 14 14 $400.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,263 1,102 $385.87
84403 14 13 $385.29
82951 27 26 $369.26
86762 17 17 $365.21
94727 26 26 $360.65
74019 24 24 $341.82
94060 42 42 $324.36
86787 15 15 $270.17
82784 14 12 $238.82
94664 27 26 $227.63
85027 32 27 $214.27
36415 1,796 1,467 $212.56
83001 12 12 $211.75
84100 32 29 $194.24
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 767 753 $193.40
74018 14 14 $181.38
84165 12 12 $163.36
73560 16 14 $161.88
G0463 Hospital outpatient clinic visit for assessment and management of a patient 45 36 $145.47
85007 33 27 $128.25
73502 12 12 $108.27
86376 14 13 $102.34
J3490 Unclassified drugs 223 192 $99.50
84703 12 12 $90.01
86431 13 12 $84.77
87880 14 14 $83.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,756 1,462 $68.36
84520 14 13 $62.94
87205 13 12 $33.53
J2704 Injection, propofol, 10 mg 1,194 1,136 $28.80
J1885 Injection, ketorolac tromethamine, per 15 mg 935 833 $8.19
J0690 Injection, cefazolin sodium, 500 mg 583 508 $6.48
J3010 Injection, fentanyl citrate, 0.1 mg 1,312 1,028 $5.93
J2250 Injection, midazolam hydrochloride, per 1 mg 987 857 $1.48
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 901 833 $0.60
J0330 Injection, succinylcholine chloride, up to 20 mg 31 28 $0.00
3052F 13 13 $0.00
88304 39 39 $0.00
3044F 161 158 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 13 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 117 116 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 33 25 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 17 12 $0.00
3051F 27 27 $0.00