Medicaid Provider Spending

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

JEFFERSON UNIVERSITY PHYSICIANS

NPI: 1326093675 · PHILADELPHIA, PA 19107 · Anesthesiology Physician · NPI assigned 05/24/2006

$30.81M
Total Medicaid Paid
986,801
Total Claims
860,631
Beneficiaries
286
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISTAS, HRISTOS (ASSOC. VP, HEALTH PLAN SERVICES)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: RISTAS, HRISTOS

ProviderCityStateTotal Paid
METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA $319K
METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA $64K
METHODIST ASSOCIATES IN HEALTHCARE, INC. PHILADELPHIA PA $51K
JEFFERSON MEDICAL CARE, PC PHILADELPHIA PA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,396 $161K
2019 1,760 $11K
2020 50,847 $1.31M
2021 245,041 $7.22M
2022 246,868 $7.43M
2023 243,931 $8.00M
2024 187,958 $6.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 45,195 44,028 $2.92M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,988 64,760 $2.52M
99232 Subsequent hospital care, per day, moderate complexity 45,604 20,324 $1.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 20,570 20,008 $1.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,243 37,514 $1.32M
70450 Computed tomography, head or brain; without contrast material 37,834 35,509 $1.32M
99233 Prolong inpt eval add15 m 22,363 9,645 $1.21M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,018 15,591 $1.21M
99283 Emergency department visit for the evaluation and management, moderate severity 31,795 30,753 $1.21M
77067 Screening mammography, bilateral, including computer-aided detection 27,906 26,806 $878K
71045 Radiologic examination, chest; single view 125,475 100,472 $795K
88305 Level IV - Surgical pathology, gross and microscopic examination 19,484 18,696 $751K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,454 8,082 $685K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,241 3,218 $684K
77063 Screening digital breast tomosynthesis, bilateral 27,135 26,130 $679K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 11,227 3,236 $655K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 86,180 70,191 $577K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,363 6,271 $543K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,884 12,608 $538K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,457 1,240 $409K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,178 7,057 $406K
72125 Computed tomography, cervical spine; without contrast material 8,036 7,782 $369K
71046 Radiologic examination, chest; 2 views 44,580 43,362 $369K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,467 3,365 $333K
31231 5,739 5,554 $329K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,723 4,614 $279K
93970 8,649 8,259 $258K
99215 Prolong outpt/office vis 4,315 4,064 $256K
59025 Fetal non-stress test 11,257 7,965 $217K
93000 13,690 13,156 $199K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,927 3,789 $198K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,167 6,015 $196K
76830 Ultrasound, transvaginal 5,881 5,755 $191K
00731 1,904 1,755 $166K
70355 6,831 6,708 $155K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,896 3,842 $152K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,962 1,944 $150K
76801 1,705 1,680 $149K
88342 5,068 4,911 $149K
76813 1,454 1,435 $148K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,088 5,928 $148K
71250 3,548 3,414 $146K
88307 3,546 3,482 $143K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,022 1,978 $134K
71275 Computed tomographic angiography, chest, with contrast material 1,573 1,522 $123K
76770 4,065 3,944 $120K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 507 407 $120K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,980 1,942 $119K
95720 979 604 $116K
31579 1,623 1,573 $115K
D7240 Removal of impacted tooth - completely bony 686 257 $114K
76642 4,055 3,567 $113K
93975 1,559 1,523 $105K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,293 3,077 $95K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,411 1,272 $85K
88189 993 878 $80K
70551 Magnetic resonance imaging, brain; without contrast material 1,242 1,213 $75K
76820 1,260 1,046 $70K
73630 8,403 7,213 $63K
99222 Initial hospital care, per day, moderate complexity 743 715 $59K
74018 9,301 7,736 $57K
77066 Tomosynthesis, mammo 1,420 1,398 $55K
74183 575 554 $54K
70486 1,056 1,031 $53K
00811 707 659 $52K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,379 1,423 $52K
D9222 424 409 $49K
73564 4,788 4,082 $48K
76641 1,551 1,027 $48K
76536 1,627 1,604 $46K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,617 1,613 $45K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 178 178 $45K
94726 3,043 2,989 $41K
94729 3,676 3,607 $41K
73130 5,122 4,282 $39K
73030 4,626 4,166 $39K
99243 431 429 $39K
93298 2,623 2,526 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,433 3,390 $38K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 29 28 $36K
93971 1,667 1,623 $34K
73610 4,094 3,704 $34K
72110 2,194 2,153 $31K
54150 270 267 $30K
88377 490 457 $30K
90686 4,052 4,042 $30K
93295 911 892 $29K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 313 295 $29K
88112 638 600 $26K
95718 316 295 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 805 769 $25K
99238 Hospital discharge day management, 30 minutes or less 586 569 $24K
88304 1,326 1,278 $24K
G0452 Molecular pathology procedure; physician interpretation and report 573 459 $23K
77065 Tomosynthesis, mammo 748 731 $23K
99254 385 376 $22K
84165 2,567 2,412 $22K
72100 2,106 1,969 $22K
90935 Hemodialysis procedure with single evaluation by a physician 1,830 812 $22K
90715 1,681 1,656 $21K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 26 26 $21K
00813 228 213 $20K
77062 676 665 $20K
99244 Office or other outpatient consultation, moderate to high complexity 136 136 $20K
D7230 127 68 $19K
99223 Prolong inpt eval add15 m 184 173 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,217 1,097 $17K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 40 40 $17K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 252 243 $15K
0502F 1,977 1,763 $15K
78815 Positron emission tomography (PET) for limited area imaging 182 177 $14K
01916 102 98 $14K
87210 2,009 1,815 $14K
S9083 Global fee urgent care centers 108 108 $13K
20610 926 621 $13K
72050 902 886 $13K
94060 1,403 1,375 $12K
93016 705 687 $12K
73590 1,436 1,186 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 328 323 $12K
76882 631 497 $11K
70496 158 152 $11K
71271 318 301 $11K
94010 1,460 1,434 $10K
73562 1,201 918 $10K
70498 139 134 $10K
72131 221 213 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 161 109 $10K
73502 1,208 1,154 $10K
77080 1,308 1,297 $9K
11900 225 221 $9K
93018 683 665 $8K
31575 121 117 $7K
99239 Hospital discharge day management, more than 30 minutes 78 70 $6K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 81 65 $6K
78580 246 235 $6K
73110 814 732 $6K
99255 96 96 $6K
90651 394 391 $6K
99205 Prolong outpt/office vis 71 69 $6K
90472 Immunization administration, each additional vaccine (list separately) 570 566 $5K
86334 569 523 $5K
88173 97 97 $5K
90670 192 191 $5K
90732 164 164 $5K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 93 92 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 800 780 $5K
90746 636 636 $5K
88313 202 188 $5K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 206 200 $4K
76942 82 74 $4K
72141 55 52 $4K
72040 443 391 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 36 $4K
92557 411 403 $4K
83986 2,097 2,006 $4K
86077 104 97 $4K
69210 209 200 $3K
88341 83 81 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 94 93 $3K
99459 244 234 $3K
76881 45 36 $3K
78306 99 97 $3K
77014 160 50 $3K
72170 499 474 $3K
73560 433 334 $3K
85060 223 215 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 48 48 $3K
93308 224 200 $3K
76775 117 117 $3K
73080 395 381 $3K
49083 52 41 $3K
95117 336 209 $3K
72070 257 249 $3K
99242 45 45 $3K
83020 203 201 $3K
84166 246 239 $3K
J2785 Injection, regadenoson, 0.1 mg 57 57 $3K
88311 142 137 $3K
77061 97 93 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $3K
95951 79 42 $3K
3008F 8,097 7,716 $2K
90682 192 192 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 28 27 $2K
16025 36 26 $2K
76818 40 31 $2K
72128 52 51 $2K
93294 174 173 $2K
99448 60 59 $2K
90656 230 230 $2K
51798 167 157 $2K
76376 357 347 $2K
D0330 Panoramic radiographic image 56 56 $2K
99304 59 59 $2K
93015 26 24 $2K
85390 156 147 $2K
99152 235 222 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 34 $2K
86255 96 93 $2K
73090 219 197 $2K
64483 17 15 $2K
20611 47 36 $1K
73552 231 197 $1K
88300 411 401 $1K
74178 30 24 $1K
96160 390 377 $1K
78264 39 38 $1K
46600 64 64 $1K
97803 52 41 $1K
88312 28 27 $1K
D0150 Comprehensive oral evaluation - new or established patient 65 65 $1K
99305 25 24 $1K
92567 228 221 $1K
99306 Prolong nursin fac eval 15m 13 12 $1K
99308 Subsequent nursing facility care, per day, straightforward 20 13 $994.79
95024 13 12 $980.50
94375 24 24 $964.68
36415 Collection of venous blood by venipuncture 238 235 $961.01
93296 62 62 $938.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 943 921 $933.09
99253 25 25 $916.01
99220 12 12 $862.99
3725F 520 516 $851.40
92504 52 51 $829.36
88172 40 40 $771.40
99385 38 36 $757.76
70491 12 12 $754.05
70544 12 12 $712.69
99447 31 29 $681.98
90662 330 295 $681.57
86580 573 517 $674.83
3074F 113 111 $653.90
51784 12 12 $626.43
88291 27 25 $617.66
72020 94 68 $593.21
99451 25 25 $593.20
93886 14 14 $562.62
70350 27 26 $560.73
74022 34 27 $511.28
71101 57 56 $481.29
76937 39 38 $462.83
73620 55 41 $364.45
93922 41 40 $359.82
81025 73 73 $339.66
71010 44 29 $307.50
70250 32 25 $289.12
3078F 52 52 $283.50
93321 31 27 $241.12
73060 33 28 $221.41
94618 15 14 $219.44
91065 16 16 $218.04
89060 14 12 $213.96
90734 40 40 $203.52
46500 13 13 $199.48
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 12 $193.39
93325 59 57 $186.18
86701 12 12 $174.48
51705 16 12 $162.89
82962 96 96 $150.56
74420 13 12 $132.30
91010 15 15 $130.20
20550 14 13 $116.42
73521 12 12 $114.24
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement 46 39 $101.25
90698 68 68 $91.00
95816 14 12 $82.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 19 $80.08
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $77.47
3079F 13 13 $70.00
3077F 16 16 $68.10
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $58.32
96127 57 45 $51.36
J1040 Injection, methylprednisolone acetate, 80 mg 31 29 $36.17
G9920 Screening performed and negative 275 267 $0.00
G9919 Screening performed and positive and provision of recommendations 41 40 $0.00
90714 40 40 $0.00
90713 34 34 $0.00
90700 30 30 $0.00
90633 12 12 $0.00
1220F 1,280 1,177 $0.00
90677 253 253 $0.00
90744 109 109 $0.00
90716 25 25 $0.00
90673 12 12 $0.00
1123F 31 28 $0.00