Hospital
Dubois Regional Medical Center
Dubois Regional Medical Center was paid $1.79M by Medicaid between Jul 2021 and Dec 2024, across 85 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.
33Billing provider infoDUBOIS REGIONAL MEDICAL CENTER
CLEARFIELD, PA 16830
CLEARFIELD, PA 16830
33aNPI1316537228assigned 01/25/2021
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.79M
24GClaims45,788
24DCodes billed85
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#93 of 154
Median peer was paid$2.82M
This provider vs. median0.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STRISHOCK, JOURDAN controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,905 | $78K | |
| 2022 | 15,284 | $713K | |
| 2023 | 16,256 | $564K | |
| 2024incomplete | 12,343 | $435K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 4,027 | 3,901 | $488K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 5,555 | 5,419 | $458K |
| 87631 | 10% | 1,252 | 1,246 | $188K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.6% | 968 | 921 | $171K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 5.2% | 720 | 713 | $93K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.6% | 1,510 | 1,492 | $46K |
| 80053 | Comprehensive metabolic panel | 2.0% | 3,147 | 3,002 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 5,445 | 5,117 | $31K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.7% | 100 | 100 | $31K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.6% | 674 | 667 | $28K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.3% | 761 | 750 | $23K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 408 | 402 | $16K |
73 more codes
| 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% | 178 | $15K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,354 | $14K |
| 80061 | Lipid panel | <1% | 982 | $14K |
| 80050 | General health panel | <1% | 273 | $13K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 241 | $12K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 220 | $9K |
| 71045 | Radiologic examination, chest; single view | <1% | 915 | $8K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 403 | $7K |
| 87081 | <1% | 1,029 | $6K | |
| 83735 | <1% | 857 | $6K | |
| 81001 | <1% | 1,906 | $6K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 181 | $6K |
| 82728 | <1% | 484 | $5K | |
| 83615 | <1% | 732 | $5K | |
| 87797 | <1% | 169 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 435 | $4K |
| 84484 | <1% | 408 | $4K | |
| 82607 | <1% | 273 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 134 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 134 | $3K |
| 84439 | <1% | 412 | $3K | |
| 82746 | <1% | 255 | $3K | |
| 87480 | <1% | 116 | $3K | |
| 87660 | <1% | 116 | $3K | |
| 83690 | <1% | 395 | $2K | |
| 87510 | <1% | 116 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 100 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 78 | $2K |
| 85730 | <1% | 202 | $1K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 34 | $1K |
| 83605 | <1% | 141 | $1K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 35 | $1K |
| 84703 | <1% | 99 | $1K | |
| 80076 | <1% | 104 | $982.55 | |
| 83540 | <1% | 125 | $914.34 | |
| 85610 | <1% | 246 | $908.60 | |
| 83721 | <1% | 78 | $853.73 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 94 | $757.41 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 54 | $702.00 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $647.40 |
| 84100 | <1% | 91 | $581.00 | |
| 83550 | <1% | 124 | $535.23 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 32 | $514.89 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 69 | $434.70 |
| 84481 | <1% | 13 | $334.75 | |
| 84460 | <1% | 38 | $285.12 | |
| 84450 | <1% | 38 | $282.24 | |
| 82565 | <1% | 37 | $246.75 | |
| 87581 | <1% | 37 | $245.63 | |
| 85652 | <1% | 67 | $198.56 | |
| 86140 | <1% | 67 | $185.36 | |
| 81025 | <1% | 27 | $139.32 | |
| 85027 | <1% | 18 | $123.99 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 19 | $119.66 |
| 82043 | <1% | 13 | $114.40 | |
| 82570 | <1% | 13 | $102.31 | |
| 87077 | <1% | 13 | $95.60 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 848 | $66.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,787 | $37.57 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,363 | $6.96 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 663 | $6.91 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 817 | $4.36 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 67 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 177 | $0.00 |
| 0353U | 0% | 22 | $0.00 | |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 25 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 12 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 358 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 157 | $0.00 |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 25 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 39 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 13 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 0% | 12 | $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 officialSTRISHOCK, JOURDAN (ENROLLMENT DIRECTOR)
Parent organizationPENN HIGHLANDS HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital and Health Center | Connellsville, PA | $4.47M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.93M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.58M |
| Tyrone Hospital | Tyrone, PA | $1.44M |
| Penn Highlands Home Medical Equipment LLC | Clearfield, PA | $177K |
| Penn Highlands Home Medical Equipment LLC | Saint Marys, PA | $134K |
| Penn Highlands Home Medical Equipment LLC | Du Bois, PA | $29K |
| Highlands Hospital and Health Center | Connellsville, PA | $16K |
| Dubois Regional Medical Center | Du Bois, PA | $10K |
| J C Blair Memorial Hospital | State College, PA | $7K |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $4K |
| JC Blair Memorial Hospital | Huntingdon, PA | $2K |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $404.23 |
| J. C. Blair Memorial Hospital | Huntingdon, PA | $346.50 |
| Monongahela Valley Hospital, INC | Uniontown, PA | $320.93 |
| Mon-Vale Oncology, INC. | Monongahela, PA | $309.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.