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

Jefferson University Physicians

Jefferson University Physicians was paid $30.81M by Medicaid between Jan 2018 and Dec 2024, across 286 billing codes. Its largest line is 99284, emergency room visit (serious) — 9.5% of everything it billed.

33Billing provider infoJEFFERSON UNIVERSITY PHYSICIANS
PHILADELPHIA, PA 19107
33aNPI1326093675assigned 05/24/2006
33bProvider typeAnesthesiology Physician
28Total paid$30.81M
24GClaims986,801
24DCodes billed286
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Pennsylvania

Rank by total paid#3 of 168
Median peer was paid$9K
This provider vs. median3,266×

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$250K$500K$750K2018201920202021202220232024
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
201810,396$161K
20191,760$11K
202050,847$1.31M
2021245,041$7.22M
2022246,868$7.43M
2023243,931$8.00M
2024incomplete187,958$6.68M
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 9.5% 45,195 44,028 $2.92M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8.2% 67,988 64,760 $2.52M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.1% 45,604 20,324 $1.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.4% 20,570 20,008 $1.36M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.3% 39,243 37,514 $1.32M
70450 Computed tomography, head or brain; without contrast material 4.3% 37,834 35,509 $1.32M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 22,363 9,645 $1.21M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.9% 16,018 15,591 $1.21M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.9% 31,795 30,753 $1.21M
77067 Screening mammography, bilateral, including computer-aided detection 2.8% 27,906 26,806 $878K
71045 Radiologic examination, chest; single view 2.6% 125,475 100,472 $795K
88305 Level IV - Surgical pathology, gross and microscopic examination 2.4% 19,484 18,696 $751K
274 more codes
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.2% 8,454 $685K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2.2% 3,241 $684K
77063 Screening digital breast tomosynthesis, bilateral 2.2% 27,135 $679K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.1% 11,227 $655K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.9% 86,180 $577K
99204 Doctor's office visit, new patient (more involved) 1.8% 6,363 $543K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 12,884 $538K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 3,457 $409K
99203 Doctor's office visit, new patient (routine) 1.3% 7,178 $406K
72125 Computed tomography, cervical spine; without contrast material 1.2% 8,036 $369K
71046 Radiologic examination, chest; 2 views 1.2% 44,580 $369K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.1% 3,467 $333K
31231 1.1% 5,739 $329K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 4,723 $279K
93970 <1% 8,649 $258K
99215 Doctor's office visit, returning patient (complex) <1% 4,315 $256K
59025 Fetal non-stress test <1% 11,257 $217K
93000 <1% 13,690 $199K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,927 $198K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 6,167 $196K
76830 Ultrasound, transvaginal <1% 5,881 $191K
00731 <1% 1,904 $166K
70355 <1% 6,831 $155K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,896 $152K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,962 $150K
76801 <1% 1,705 $149K
88342 <1% 5,068 $149K
76813 <1% 1,454 $148K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,088 $148K
71250 <1% 3,548 $146K
88307 <1% 3,546 $143K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,022 $134K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,573 $123K
76770 <1% 4,065 $120K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 507 $120K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,980 $119K
95720 <1% 979 $116K
31579 <1% 1,623 $115K
D7240 Removal of impacted tooth - completely bony <1% 686 $114K
76642 <1% 4,055 $113K
93975 <1% 1,559 $105K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,293 $95K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,411 $85K
88189 <1% 993 $80K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,242 $75K
76820 <1% 1,260 $70K
73630 <1% 8,403 $63K
99222 Initial hospital care, per day, moderate complexity <1% 743 $59K
74018 <1% 9,301 $57K
77066 Tomosynthesis, mammo <1% 1,420 $55K
74183 <1% 575 $54K
70486 <1% 1,056 $53K
00811 <1% 707 $52K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,379 $52K
D9222 <1% 424 $49K
73564 <1% 4,788 $48K
76641 <1% 1,551 $48K
76536 <1% 1,627 $46K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,617 $45K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 178 $45K
94726 <1% 3,043 $41K
94729 <1% 3,676 $41K
73130 <1% 5,122 $39K
73030 <1% 4,626 $39K
99243 <1% 431 $39K
93298 <1% 2,623 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,433 $38K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 29 $36K
93971 <1% 1,667 $34K
73610 <1% 4,094 $34K
72110 <1% 2,194 $31K
54150 <1% 270 $30K
88377 <1% 490 $30K
90686 <1% 4,052 $30K
93295 <1% 911 $29K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 313 $29K
88112 <1% 638 $26K
95718 <1% 316 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 805 $25K
99238 Hospital discharge day management, 30 minutes or less <1% 586 $24K
88304 <1% 1,326 $24K
G0452 Molecular pathology procedure; physician interpretation and report <1% 573 $23K
77065 Tomosynthesis, mammo <1% 748 $23K
99254 <1% 385 $22K
84165 <1% 2,567 $22K
72100 <1% 2,106 $22K
90935 Hemodialysis procedure with single evaluation by a physician <1% 1,830 $22K
90715 <1% 1,681 $21K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 26 $21K
00813 <1% 228 $20K
77062 <1% 676 $20K
99244 Office or other outpatient consultation, moderate to high complexity <1% 136 $20K
D7230 <1% 127 $19K
99223 Prolong inpt eval add15 m <1% 184 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,217 $17K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 40 $17K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 252 $15K
0502F <1% 1,977 $15K
78815 Positron emission tomography (PET) for limited area imaging <1% 182 $14K
01916 <1% 102 $14K
87210 <1% 2,009 $14K
S9083 Global fee urgent care centers <1% 108 $13K
20610 <1% 926 $13K
72050 <1% 902 $13K
94060 <1% 1,403 $12K
93016 <1% 705 $12K
73590 <1% 1,436 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 328 $12K
76882 <1% 631 $11K
70496 <1% 158 $11K
71271 <1% 318 $11K
94010 <1% 1,460 $10K
73562 <1% 1,201 $10K
70498 <1% 139 $10K
72131 <1% 221 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 161 $10K
73502 <1% 1,208 $10K
77080 <1% 1,308 $9K
11900 <1% 225 $9K
93018 <1% 683 $8K
31575 <1% 121 $7K
99239 Hospital discharge day management, more than 30 minutes <1% 78 $6K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 81 $6K
78580 <1% 246 $6K
73110 <1% 814 $6K
99255 <1% 96 $6K
90651 <1% 394 $6K
99205 Prolong outpt/office vis <1% 71 $6K
90472 Immunization administration, each additional vaccine (list separately) <1% 570 $5K
86334 <1% 569 $5K
88173 <1% 97 $5K
90670 <1% 192 $5K
90732 <1% 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 <1% 93 $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) <1% 800 $5K
90746 <1% 636 $5K
88313 <1% 202 $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 <1% 206 $4K
76942 <1% 82 $4K
72141 <1% 55 $4K
72040 <1% 443 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 39 $4K
92557 <1% 411 $4K
83986 <1% 2,097 $4K
86077 <1% 104 $4K
69210 <1% 209 $3K
88341 <1% 83 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 94 $3K
99459 <1% 244 $3K
76881 <1% 45 $3K
78306 <1% 99 $3K
77014 <1% 160 $3K
72170 <1% 499 $3K
73560 <1% 433 $3K
85060 <1% 223 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 48 $3K
93308 <1% 224 $3K
76775 <1% 117 $3K
73080 <1% 395 $3K
49083 <1% 52 $3K
95117 <1% 336 $3K
72070 <1% 257 $3K
99242 <1% 45 $3K
83020 <1% 203 $3K
84166 <1% 246 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 57 $3K
88311 <1% 142 $3K
77061 <1% 97 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 13 $3K
95951 <1% 79 $3K
3008F <1% 8,097 $2K
90682 <1% 192 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 28 $2K
16025 <1% 36 $2K
76818 <1% 40 $2K
72128 <1% 52 $2K
93294 <1% 174 $2K
99448 <1% 60 $2K
90656 <1% 230 $2K
51798 <1% 167 $2K
76376 <1% 357 $2K
D0330 Panoramic radiographic image <1% 56 $2K
99304 <1% 59 $2K
93015 <1% 26 $2K
85390 <1% 156 $2K
99152 <1% 235 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 35 $2K
86255 <1% 96 $2K
73090 <1% 219 $2K
64483 <1% 17 $2K
20611 <1% 47 $1K
73552 <1% 231 $1K
88300 <1% 411 $1K
74178 <1% 30 $1K
96160 <1% 390 $1K
78264 <1% 39 $1K
46600 <1% 64 $1K
97803 <1% 52 $1K
88312 <1% 28 $1K
D0150 Comprehensive oral evaluation - new or established patient <1% 65 $1K
99305 <1% 25 $1K
92567 <1% 228 $1K
99306 Prolong nursin fac eval 15m <1% 13 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 20 $994.79
95024 <1% 13 $980.50
94375 <1% 24 $964.68
36415 Collection of venous blood by venipuncture <1% 238 $961.01
93296 <1% 62 $938.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 943 $933.09
99253 <1% 25 $916.01
99220 <1% 12 $862.99
3725F <1% 520 $851.40
92504 <1% 52 $829.36
88172 <1% 40 $771.40
99385 <1% 38 $757.76
70491 <1% 12 $754.05
70544 <1% 12 $712.69
99447 <1% 31 $681.98
90662 <1% 330 $681.57
86580 <1% 573 $674.83
3074F <1% 113 $653.90
51784 <1% 12 $626.43
88291 <1% 27 $617.66
72020 <1% 94 $593.21
99451 <1% 25 $593.20
93886 <1% 14 $562.62
70350 <1% 27 $560.73
74022 <1% 34 $511.28
71101 <1% 57 $481.29
76937 <1% 39 $462.83
73620 <1% 55 $364.45
93922 <1% 41 $359.82
81025 <1% 73 $339.66
71010 <1% 44 $307.50
70250 <1% 32 $289.12
3078F <1% 52 $283.50
93321 <1% 31 $241.12
73060 <1% 33 $221.41
94618 <1% 15 $219.44
91065 <1% 16 $218.04
89060 <1% 14 $213.96
90734 <1% 40 $203.52
46500 <1% 13 $199.48
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 13 $193.39
93325 <1% 59 $186.18
86701 <1% 12 $174.48
51705 <1% 16 $162.89
82962 <1% 96 $150.56
74420 <1% 13 $132.30
91010 <1% 15 $130.20
20550 <1% 14 $116.42
73521 <1% 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 <1% 46 $101.25
90698 <1% 68 $91.00
95816 <1% 14 $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 <1% 22 $80.08
J1030 Injection, methylprednisolone acetate, 40 mg <1% 12 $77.47
3079F <1% 13 $70.00
3077F <1% 16 $68.10
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 12 $58.32
96127 <1% 57 $51.36
J1040 Injection, methylprednisolone acetate, 80 mg <1% 31 $36.17
G9920 Screening performed and negative 0% 275 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 41 $0.00
90714 0% 40 $0.00
90713 0% 34 $0.00
90700 0% 30 $0.00
90633 0% 12 $0.00
1220F 0% 1,280 $0.00
90677 0% 253 $0.00
90744 0% 109 $0.00
90716 0% 25 $0.00
90673 0% 12 $0.00
1123F 0% 31 $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 officialRISTAS, HRISTOS (ASSOC. VP, HEALTH PLAN SERVICES)
Same official

Other billing entities under RISTAS, HRISTOS

Full network →
ProviderLocationPaid
Methodist Associates in Healthcare, INCPhiladelphia, PA$319K
Methodist Associates in Healthcare, INCPhiladelphia, PA$64K
Methodist Associates in Healthcare, INC.Philadelphia, PA$51K
Jefferson Medical Care, PCPhiladelphia, PA$7K

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