Physician
Ephrata Community Hospital
Ephrata Community Hospital was paid $1.33M by Medicaid between May 2018 and Dec 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.
33Billing provider infoEPHRATA COMMUNITY HOSPITAL
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1336286285assigned 01/31/2007
33bProvider typeEmergency Medicine Physician
28Total paid$1.33M
24GClaims17,699
24DCodes billed4
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#37 of 1,211
Median peer was paid$19K
This provider vs. median68×
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
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 | |
|---|---|---|---|
| 2018 | 13 | $540.25 | |
| 2019 | 12 | $1K | |
| 2020 | 488 | $25K | |
| 2021 | 4,172 | $210K | |
| 2022 | 4,451 | $223K | |
| 2023 | 4,407 | $390K | |
| 2024incomplete | 4,156 | $483K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 51% | 8,030 | 7,737 | $681K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 46% | 8,801 | 8,528 | $619K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.5% | 855 | 842 | $33K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 13 | 12 | $540.25 |
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 officialCHAMBERS, ORIE (INTERIM PRESIDENT & VP PATIENT CARE)
| Provider | Location | Paid |
|---|---|---|
| Ephrata Community Hospital | Ephrata, PA | $8.10M |
| Ephrata Community Hospital | Ephrata, PA | $107K |
| Ephrata Community Hospital-Spu | Ephrata, PA | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.