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

UPMC Bedford Memorial

UPMC Bedford Memorial was paid $3.80M by Medicaid between Jan 2018 and Dec 2024, across 183 billing codes. Its largest line is 99284, emergency room visit (serious) — 36% of everything it billed.

33Billing provider infoUPMC BEDFORD MEMORIAL
EVERETT, PA 15537
33aNPI1295724193assigned 10/14/2005
33bProvider typeEmergency Care Clinic/Center
28Total paid$3.80M
24GClaims149,627
24DCodes billed183
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Care Clinic/Center providers in Pennsylvania

Rank by total paid#1 of 6
Median peer was paid$4K
This provider vs. median956×

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$100K$150K2018201920202021202220232024
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
2018550$12K
2019310$5K
202011,081$213K
202167,964$1.49M
202224,462$683K
202326,824$831K
2024incomplete18,436$562K
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 36% 10,872 10,431 $1.35M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 5,981 5,844 $499K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.9% 2,313 2,209 $374K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.0% 1,478 1,460 $113K
80050 General health panel 3.0% 2,422 2,396 $113K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.8% 4,604 4,357 $107K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.5% 659 635 $97K
80053 Comprehensive metabolic panel 2.4% 9,291 8,565 $91K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.3% 2,902 2,690 $86K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.7% 13,747 12,058 $66K
80061 Lipid panel 1.5% 4,973 4,927 $59K
96375 Therapeutic injection; each additional sequential IV push 1.3% 2,921 2,695 $50K
171 more codes
G0378 Hospital observation service, per hour <1% 176 $34K
77067 Screening mammography, bilateral, including computer-aided detection <1% 399 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,141 $28K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 859 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,111 $25K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 335 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,068 $23K
76830 Ultrasound, transvaginal <1% 517 $23K
71046 Radiologic examination, chest; 2 views <1% 1,653 $22K
84443 Thyroid stimulating hormone (TSH) <1% 952 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 490 $21K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 538 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,687 $20K
70450 Computed tomography, head or brain; without contrast material <1% 437 $20K
71275 Computed tomographic angiography, chest, with contrast material <1% 128 $19K
20610 <1% 641 $17K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,321 $16K
80048 Basic metabolic panel (calcium, ionized) <1% 2,343 $16K
87070 <1% 1,897 $14K
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% 198 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 2,186 $13K
84484 <1% 1,775 $13K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 258 $12K
71045 Radiologic examination, chest; single view <1% 1,946 $11K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 420 $9K
84702 <1% 541 $9K
83880 <1% 452 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 266 $9K
82607 <1% 828 $8K
77063 Screening digital breast tomosynthesis, bilateral <1% 399 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 634 $8K
J3490 Unclassified drugs <1% 1,512 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 115 $7K
81001 <1% 2,857 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 182 $6K
84439 <1% 859 $6K
93971 <1% 113 $6K
72110 <1% 312 $6K
83735 <1% 1,245 $6K
82728 <1% 532 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,957 $6K
87077 <1% 823 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 225 $5K
83605 <1% 851 $5K
83690 <1% 1,315 $5K
73610 <1% 293 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 143 $5K
76801 <1% 118 $5K
86618 <1% 180 $4K
83540 <1% 585 $4K
73630 <1% 405 $4K
80076 <1% 536 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 28 $4K
87040 <1% 339 $4K
86803 <1% 207 $4K
96361 Intravenous infusion, hydration; each additional hour <1% 283 $4K
73562 <1% 261 $4K
87186 <1% 478 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 151 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 338 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 32 $3K
85610 <1% 1,138 $3K
73130 <1% 253 $3K
82043 <1% 371 $3K
76770 <1% 74 $3K
71250 <1% 47 $3K
93017 <1% 63 $3K
73030 <1% 192 $3K
82803 <1% 99 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 90 $3K
85379 <1% 306 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 57 $2K
73110 <1% 212 $2K
80081 <1% 29 $2K
85730 <1% 410 $2K
82746 <1% 238 $2K
76536 <1% 41 $2K
80329 <1% 151 $2K
93976 <1% 26 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 56 $2K
84100 <1% 316 $2K
36415 Collection of venous blood by venipuncture <1% 2,076 $2K
73564 <1% 100 $2K
73502 <1% 121 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,042 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 17 $1K
83550 <1% 342 $1K
81003 <1% 500 $1K
82784 <1% 75 $1K
83615 <1% 216 $1K
84153 <1% 54 $1K
86038 <1% 77 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 71 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 182 $1K
84550 <1% 194 $1K
83970 <1% 27 $1K
85652 <1% 414 $1K
86140 <1% 464 $1K
86850 <1% 161 $977.76
84703 <1% 106 $969.89
J1170 Injection, hydromorphone, up to 4 mg <1% 1,912 $966.13
J3535 Drug administered through a metered dose inhaler <1% 55 $950.65
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 15 $949.39
72050 <1% 36 $824.22
76642 <1% 25 $803.57
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 13 $787.48
80074 <1% 15 $727.88
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,040 $722.47
86592 <1% 170 $669.38
82962 <1% 424 $667.45
87522 Neg quan hep c or qual rna <1% 14 $636.80
86376 <1% 77 $597.27
82950 <1% 95 $584.86
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,127 $582.37
87088 <1% 87 $581.90
86901 <1% 179 $552.24
86900 <1% 179 $551.59
86617 <1% 13 $533.35
74018 <1% 57 $504.59
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 26 $439.30
81025 <1% 151 $425.29
82550 <1% 66 $391.28
84403 <1% 13 $388.80
86800 <1% 24 $383.85
84146 <1% 15 $331.37
90715 <1% 27 $330.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,334 $327.68
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 45 $299.09
82565 <1% 65 $288.55
72072 <1% 14 $286.61
94664 <1% 25 $249.28
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,304 $237.48
82570 <1% 41 $199.89
87205 <1% 54 $195.81
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,072 $189.01
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 695 $188.64
73140 <1% 27 $188.55
J2270 Injection, morphine sulfate, up to 10 mg <1% 371 $183.23
J1030 Injection, methylprednisolone acetate, 40 mg <1% 53 $146.62
82248 <1% 19 $144.79
J7999 Compounded drug, not otherwise classified <1% 176 $119.20
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 848 $112.57
82977 <1% 21 $111.89
80069 <1% 15 $107.19
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 124 $105.73
87081 <1% 87 $104.70
J7120 Ringers lactate infusion, up to 1000 cc <1% 528 $78.38
84520 <1% 13 $58.72
82150 <1% 16 $54.50
84156 <1% 15 $53.72
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 282 $43.68
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,257 $39.93
J2060 Injection, lorazepam, 2 mg <1% 156 $34.90
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 512 $23.25
J0690 Injection, cefazolin sodium, 500 mg <1% 15 $23.03
J1630 Injection, haloperidol, up to 5 mg <1% 37 $13.85
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 26 $9.63
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 323 $9.56
J2704 Injection, propofol, 10 mg <1% 264 $9.30
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 403 $7.84
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 366 $5.00
J7050 Infusion, normal saline solution, 250 cc <1% 344 $4.59
83986 <1% 13 $2.88
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 73 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 140 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 17 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 19 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 54 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 13 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 41 $0.00
84311 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 officialKLATT, MONICA (CFO)
Same official

Other billing entities under KLATT, MONICA

Full network →
ProviderLocationPaid
UPMC AltoonaAltoona, PA$19.67M

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