Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PITTSBURGH › WEST PENN ALLEGHENY HEALTH SYSTEM INC.

WEST PENN ALLEGHENY HEALTH SYSTEM INC.

NPI: 1285667493 · PITTSBURGH, PA 15212 · Non-Surgical Family Planning Clinic/Center · NPI assigned 07/09/2006

$10.81M
Total Medicaid Paid
379,040
Total Claims
299,526
Beneficiaries
306
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, RICK (VP FINANCE)
Parent OrganizationWEST PENN ALLEGHENY HEALTH SYSTEM INC.
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: FRIES, RICK

ProviderCityStateTotal Paid
JEFFERSON REGIONAL MEDICAL CENTER CLAIRTON PA $12.73M
WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH PA $12.69M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. MONROEVILLE PA $8.24M
ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS PA $6.09M
CANONSBURG GENERAL HOSPITAL CANONSBURG PA $2.97M
GROVE CITY MEDICAL CENTER GROVE CITY PA $2.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 295 $8K
2019 1,860 $38K
2020 57,906 $1.35M
2021 193,784 $5.43M
2022 49,183 $1.49M
2023 45,774 $1.47M
2024 30,238 $1.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,551 13,623 $2.20M
G0378 Hospital observation service, per hour 1,698 1,546 $1.50M
99284 Emergency department visit for the evaluation and management, high severity 9,740 9,393 $1.48M
99283 Emergency department visit for the evaluation and management, moderate severity 8,969 8,649 $1.22M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 126 120 $374K
T1015 Clinic visit/encounter, all-inclusive 7,149 3,409 $324K
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 3,855 3,676 $308K
87536 1,257 1,236 $168K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,571 1,513 $157K
0002A 3,091 3,065 $131K
0001A 3,274 3,257 $117K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,836 2,745 $115K
80053 Comprehensive metabolic panel 14,517 12,863 $111K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,011 3,841 $106K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,843 3,680 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,535 23,115 $93K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,190 6,754 $90K
A0436 Rotary wing air mileage, per statute mile 130 125 $86K
70450 Computed tomography, head or brain; without contrast material 1,838 1,742 $65K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,990 1,341 $64K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 243 234 $54K
84443 Thyroid stimulating hormone (TSH) 2,019 1,939 $49K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 719 691 $47K
99282 Emergency department visit for the evaluation and management, low to moderate severity 392 377 $46K
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 2,465 2,336 $45K
80048 Basic metabolic panel (calcium, ionized) 8,958 7,816 $45K
71275 Computed tomographic angiography, chest, with contrast material 471 453 $45K
80050 General health panel 827 798 $44K
80061 Lipid panel 2,770 2,681 $43K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,691 1,649 $42K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,619 7,940 $41K
77067 Screening mammography, bilateral, including computer-aided detection 419 408 $41K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,096 1,010 $40K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 985 977 $39K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 706 679 $39K
97161 966 900 $34K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 684 677 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 869 850 $32K
71260 Computed tomography, thorax, diagnostic; with contrast material 556 543 $32K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 116 114 $31K
88184 743 733 $31K
0225U 186 181 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 622 604 $30K
88185 950 704 $28K
70496 312 295 $27K
72125 Computed tomography, cervical spine; without contrast material 661 634 $27K
87481 526 514 $26K
86803 1,501 1,465 $25K
29581 1,667 447 $25K
96375 Therapeutic injection; each additional sequential IV push 2,678 2,408 $23K
0031A 644 641 $23K
99281 Emergency department visit for the evaluation and management, self-limited or minor 199 186 $22K
70498 289 278 $21K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 140 132 $21K
84484 3,500 3,013 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,388 1,290 $18K
84702 2,235 2,060 $17K
71250 302 294 $16K
83036 Hemoglobin; glycosylated (A1C) 2,211 2,146 $16K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 55 55 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 903 324 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 587 568 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 101 100 $15K
71045 Radiologic examination, chest; single view 4,080 3,794 $15K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 214 211 $14K
86780 766 719 $13K
83735 2,647 1,869 $13K
93971 262 252 $13K
71046 Radiologic examination, chest; 2 views 1,408 1,347 $13K
87522 Neg quan hep c or qual rna 296 279 $12K
76642 261 218 $12K
97165 539 494 $12K
86834 42 36 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 267 256 $11K
83880 622 583 $11K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 682 641 $11K
86835 42 36 $10K
84466 632 596 $10K
84439 1,034 987 $9K
36415 Collection of venous blood by venipuncture 10,133 8,715 $9K
85610 3,469 2,837 $9K
72141 40 39 $9K
87340 527 513 $9K
85027 1,440 1,284 $9K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 60 55 $9K
96361 Intravenous infusion, hydration; each additional hour 1,189 1,072 $9K
77063 Screening digital breast tomosynthesis, bilateral 335 327 $9K
82607 807 780 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 304 299 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,243 1,163 $8K
95886 148 145 $8K
80076 1,185 1,107 $8K
93970 129 120 $8K
87205 1,518 1,456 $7K
70486 177 174 $7K
84153 280 266 $7K
84403 207 198 $7K
82728 627 590 $7K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 46 43 $6K
86850 1,105 1,059 $6K
97162 261 248 $6K
83970 136 128 $6K
0100U 161 153 $6K
84100 1,314 882 $5K
82570 671 646 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 57 55 $5K
86360 77 77 $5K
83540 650 617 $5K
87040 403 384 $5K
82043 499 488 $5K
85730 1,511 1,382 $5K
83690 1,957 1,791 $5K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 212 209 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 64 62 $4K
96376 752 609 $4K
82784 173 161 $4K
77336 97 54 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 328 311 $4K
81001 2,491 2,369 $4K
70551 Magnetic resonance imaging, brain; without contrast material 42 42 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 36 34 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,314 979 $4K
80299 236 228 $4K
82805 252 232 $4K
86359 77 77 $4K
73610 336 311 $4K
83615 659 457 $4K
82550 777 647 $4K
87070 639 604 $4K
88342 110 103 $4K
74174 15 14 $3K
86357 77 77 $3K
73030 350 325 $3K
86355 77 77 $3K
73560 441 410 $3K
90715 1,050 962 $3K
87186 506 482 $3K
86706 221 212 $3K
93975 41 40 $3K
86900 1,110 1,062 $3K
86901 1,105 1,058 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 317 271 $3K
84999 788 728 $3K
73130 373 330 $3K
73630 440 384 $3K
86038 153 148 $3K
83605 834 728 $3K
0202U Oncology (prostate), multianalyte, gene expression profiling 24 23 $3K
86762 102 102 $3K
87081 560 544 $3K
85379 559 533 $3K
84550 444 298 $3K
81003 1,177 1,128 $2K
83001 99 98 $2K
87075 309 287 $2K
80197 223 143 $2K
0003A 109 106 $2K
77066 Tomosynthesis, mammo 33 33 $2K
86140 876 810 $2K
72100 137 132 $2K
77334 23 14 $2K
86480 26 26 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 61 59 $2K
86255 79 74 $2K
76536 39 38 $2K
76830 Ultrasound, transvaginal 42 41 $2K
84402 61 59 $2K
93922 76 71 $2K
86592 401 390 $2K
70491 43 42 $2K
86704 102 97 $2K
J2704 Injection, propofol, 10 mg 7,055 4,422 $2K
85652 782 729 $2K
93017 118 117 $2K
87077 325 312 $2K
J3490 Unclassified drugs 4,602 3,360 $2K
73502 174 157 $2K
72040 127 125 $2K
J7030 Infusion, normal saline solution , 1000 cc 9,127 6,569 $2K
82565 295 283 $2K
62323 13 13 $2K
82746 183 172 $2K
76942 138 126 $1K
73590 184 169 $1K
72131 42 41 $1K
73110 201 185 $1K
82962 1,720 1,190 $1K
86618 56 54 $1K
80320 208 198 $1K
88341 16 13 $1K
74018 173 162 $1K
84146 41 40 $1K
80348 23 21 $1K
81025 744 715 $1K
A9270 Non-covered item or service 34,581 10,164 $1K
C1769 Guide wire 252 224 $992.87
97164 27 26 $971.68
J2270 Injection, morphine sulfate, up to 10 mg 2,747 1,654 $961.56
97597 28 13 $955.73
84145 150 131 $934.35
82553 228 212 $890.65
76775 26 25 $841.85
83516 71 70 $816.19
72128 24 24 $791.71
87147 271 252 $786.93
J7120 Ringers lactate infusion, up to 1000 cc 6,363 5,005 $753.30
88312 15 14 $723.85
87486 46 43 $683.23
88142 30 30 $680.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 306 292 $636.15
J2785 Injection, regadenoson, 0.1 mg 17 12 $632.26
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 12 12 $627.21
82533 40 36 $617.82
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 83 26 $607.79
76937 129 119 $558.52
J3010 Injection, fentanyl citrate, 0.1 mg 7,422 5,180 $556.99
82248 98 93 $556.20
77300 15 12 $542.89
84156 110 101 $537.62
A0425 Ground mileage, per statute mile 378 364 $535.33
J0690 Injection, cefazolin sodium, 500 mg 3,104 2,014 $505.96
87631 13 13 $500.09
86708 26 26 $493.36
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 261 145 $488.56
99152 164 156 $431.11
73090 65 60 $419.58
84480 53 52 $411.02
99153 Mod sedat endo service >5yrs 148 133 $400.51
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 204 189 $384.78
77062 13 13 $378.59
0296T 14 14 $352.28
84481 12 12 $348.59
J1644 Injection, heparin sodium, per 1000 units 4,408 1,875 $336.29
82950 41 38 $326.95
J1040 Injection, methylprednisolone acetate, 80 mg 27 27 $320.61
86160 14 14 $307.06
J3370 Injection, vancomycin hcl, 500 mg 605 334 $302.87
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 140 134 $300.65
J0780 Injection, prochlorperazine, up to 10 mg 621 438 $288.47
84134 28 26 $282.17
83002 12 12 $266.93
86787 14 13 $266.31
J1885 Injection, ketorolac tromethamine, per 15 mg 6,823 4,626 $261.35
88304 70 64 $260.09
97166 28 25 $258.01
J0696 Injection, ceftriaxone sodium, per 250 mg 1,371 1,013 $255.75
93246 13 13 $255.47
87088 45 40 $235.70
84165 13 12 $221.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,596 2,848 $213.30
J1650 Injection, enoxaparin sodium, 10 mg 1,704 790 $199.10
86593 24 24 $193.86
82947 39 37 $184.05
J1815 Injection, insulin, per 5 units 1,614 589 $182.14
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,723 5,731 $176.14
73562 25 25 $173.44
85045 40 29 $162.61
J1030 Injection, methylprednisolone acetate, 40 mg 25 25 $150.42
83525 13 13 $147.62
80349 13 13 $142.60
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 159 98 $141.35
0064A 43 43 $137.50
87581 46 43 $132.24
84425 12 12 $120.24
86431 12 12 $112.68
80329 20 20 $112.44
84436 14 14 $107.89
88307 29 26 $107.22
82977 14 12 $107.02
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 853 621 $103.28
82150 16 13 $94.45
73070 13 13 $92.52
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 456 269 $88.95
J7999 Compounded drug, not otherwise classified 795 690 $87.93
85396 12 12 $83.55
82010 46 41 $82.73
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,655 1,220 $75.63
J0330 Injection, succinylcholine chloride, up to 20 mg 606 454 $69.61
97116 25 12 $68.60
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 42 40 $67.20
J2060 Injection, lorazepam, 2 mg 404 254 $62.08
J2250 Injection, midazolam hydrochloride, per 1 mg 4,416 3,673 $53.89
89051 19 14 $47.96
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 314 273 $39.19
A9585 Injection, gadobutrol, 0.1 ml 24 24 $38.39
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,627 3,013 $36.70
J2765 Injection, metoclopramide hcl, up to 10 mg 302 223 $34.23
J3475 Injection, magnesium sulfate, per 500 mg 560 436 $33.09
J1170 Injection, hydromorphone, up to 4 mg 90 67 $31.59
G0463 Hospital outpatient clinic visit for assessment and management of a patient 540 425 $28.16
J2795 Injection, ropivacaine hydrochloride, 1 mg 50 39 $26.40
82077 28 24 $24.64
C9113 Injection, pantoprazole sodium, per vial 152 82 $17.04
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 39 25 $5.45
J7050 Infusion, normal saline solution, 250 cc 206 156 $4.68
81002 18 17 $3.87
J0360 Injection, hydralazine hcl, up to 20 mg 58 49 $1.68
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,996 2,370 $0.11
J2370 Injection, phenylephrine hcl, up to 1 ml 200 137 $0.00
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 12 12 $0.00
0051A 21 21 $0.00
0052A 13 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 309 267 $0.00
0071A 34 34 $0.00
0004A 27 27 $0.00
0054A 31 31 $0.00