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

Windber Hospital, INC.

Windber Hospital, INC. was paid $1.33M by Medicaid between Jan 2020 and Dec 2024, across 119 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.

33Billing provider infoWINDBER HOSPITAL, INC.
WINDBER, PA 15963
33aNPI1275620536assigned 10/06/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.33M
24GClaims61,948
24DCodes billed119
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#14 of 119
Median peer was paid$57K
This provider vs. median23×

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$50K$100K2018201920202021202220232024
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
20206,170$90K
202135,624$705K
20227,511$184K
20237,441$156K
2024incomplete5,202$197K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 32% 5,961 5,702 $428K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 15% 6,888 2,488 $195K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.6% 993 303 $61K
80050 General health panel 3.7% 986 964 $49K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 281 268 $43K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.1% 383 142 $41K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.8% 1,044 1,008 $37K
80053 Comprehensive metabolic panel 2.6% 3,898 3,505 $35K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.4% 868 834 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.3% 1,134 1,051 $31K
77067 Screening mammography, bilateral, including computer-aided detection 2.2% 355 353 $30K
80061 Lipid panel 2.1% 2,147 2,075 $28K
107 more codes
99284 Emergency room visit (serious) 1.9% 325 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 5,705 $25K
G0378 Hospital observation service, per hour 1.5% 45 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 297 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 62 $11K
84443 Thyroid stimulating hormone (TSH) <1% 702 $10K
70450 Computed tomography, head or brain; without contrast material <1% 179 $10K
0002A <1% 211 $9K
0001A <1% 243 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 366 $8K
97164 <1% 265 $8K
76642 <1% 195 $7K
97162 <1% 125 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 741 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 87 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 322 $5K
82607 <1% 388 $5K
84484 <1% 704 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 737 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 713 $5K
0003A <1% 100 $5K
81003 <1% 1,692 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 12 $4K
71046 Radiologic examination, chest; 2 views <1% 361 $4K
82553 <1% 584 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 163 $4K
83735 <1% 714 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 587 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 162 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 115 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 75 $4K
84703 <1% 444 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,024 $3K
84439 <1% 433 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 164 $3K
82746 <1% 274 $3K
82550 <1% 601 $3K
97163 <1% 75 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 33 $3K
71045 Radiologic examination, chest; single view <1% 384 $3K
76830 Ultrasound, transvaginal <1% 56 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 148 $2K
83605 <1% 387 $2K
83690 <1% 570 $2K
99285 Emergency room visit (most serious) <1% 25 $2K
77065 Tomosynthesis, mammo <1% 40 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 46 $2K
36415 Collection of venous blood by venipuncture <1% 8,386 $2K
85610 <1% 611 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 29 $2K
S9470 Nutritional counseling, dietitian visit <1% 54 $2K
82728 <1% 124 $2K
84466 <1% 88 $2K
73030 <1% 94 $1K
85379 <1% 152 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 286 $1K
87077 <1% 346 $1K
82150 <1% 314 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 270 $1K
87186 <1% 150 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 15 $1K
82043 <1% 138 $1K
83540 <1% 113 $945.45
83880 <1% 46 $934.63
77066 Tomosynthesis, mammo <1% 14 $893.03
96375 Therapeutic injection; each additional sequential IV push <1% 217 $889.76
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 48 $853.77
73562 <1% 64 $838.98
84100 <1% 104 $660.55
97161 <1% 12 $657.78
87040 <1% 45 $628.05
85651 <1% 209 $610.15
73610 <1% 32 $593.03
73630 <1% 48 $577.24
88342 <1% 24 $394.16
73110 <1% 33 $350.93
85730 <1% 61 $346.87
84550 <1% 62 $344.10
73080 <1% 31 $330.34
84153 <1% 12 $294.57
J2704 Injection, propofol, 10 mg <1% 502 $281.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 63 $238.15
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 17 $229.90
83615 <1% 34 $226.54
87070 <1% 31 $221.25
73560 <1% 15 $220.76
96361 Intravenous infusion, hydration; each additional hour <1% 80 $187.94
73130 <1% 14 $158.62
86140 <1% 51 $156.57
80076 <1% 16 $140.91
80346 <1% 34 $140.21
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 395 $85.72
84460 <1% 15 $85.03
84450 <1% 15 $75.88
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 29 $75.56
84436 <1% 19 $71.27
J3010 Injection, fentanyl citrate, 0.1 mg <1% 300 $50.45
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 394 $45.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 136 $41.84
J0690 Injection, cefazolin sodium, 500 mg <1% 78 $38.98
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 512 $35.03
J1170 Injection, hydromorphone, up to 4 mg <1% 17 $32.21
J7050 Infusion, normal saline solution, 250 cc <1% 145 $20.92
J1644 Injection, heparin sodium, per 1000 units <1% 19 $17.90
82962 <1% 20 $9.36
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 133 $6.78
88312 0% 13 $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 officialKURTZ, THOMAS (CEO)