Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › INDIANA › INDIANA REGIONAL MEDICAL CENTER

INDIANA REGIONAL MEDICAL CENTER

NPI: 1356334510 · INDIANA, PA 15701 · Clinic/Center · NPI assigned 08/23/2005

$10.63M
Total Medicaid Paid
305,845
Total Claims
281,271
Beneficiaries
278
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialICKOWSKI, MICHAEL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/23/2005

Related Entities

Other providers sharing the same authorized official: ICKOWSKI, MICHAEL

ProviderCityStateTotal Paid
EASTERN NIAGARA HOSPITAL, INC LOCKPORT NY $5.05M
EASTERN NIAGARA MEDICAL GROUP LOCKPORT NY $85K
INDIANA REGIONAL MEDICAL CENTER INDIANA PA $84K
EASTERN NIAGARA HOSPITAL INC LOCKPORT NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 665 $60K
2019 556 $40K
2020 24,198 $689K
2021 135,889 $4.29M
2022 48,419 $1.93M
2023 53,632 $1.94M
2024 42,486 $1.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,581 17,210 $1.70M
99284 Emergency department visit for the evaluation and management, high severity 11,138 10,707 $1.55M
T1015 Clinic visit/encounter, all-inclusive 20,164 18,907 $1.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,952 2,689 $561K
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 6,445 6,178 $530K
G0378 Hospital observation service, per hour 1,034 509 $478K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,095 4,414 $331K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,348 4,491 $329K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,910 6,137 $321K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,291 6,184 $286K
X0616 1,035 1,008 $264K
80053 Comprehensive metabolic panel 24,535 22,894 $236K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,940 3,755 $168K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,098 20,128 $108K
74177 Computed tomography, abdomen and pelvis; with contrast material 606 591 $106K
84443 Thyroid stimulating hormone (TSH) 4,421 4,333 $86K
80061 Lipid panel 6,020 5,957 $78K
X0621 357 207 $78K
80050 General health panel 1,372 1,352 $68K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,284 2,167 $68K
X0620 257 233 $67K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 248 245 $64K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 561 364 $59K
87428 2,091 2,058 $57K
71045 Radiologic examination, chest; single view 3,813 3,652 $53K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 707 651 $52K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,213 5,668 $48K
77067 Screening mammography, bilateral, including computer-aided detection 599 594 $47K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 484 478 $46K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,466 1,450 $42K
70450 Computed tomography, head or brain; without contrast material 667 643 $42K
96361 Intravenous infusion, hydration; each additional hour 2,357 2,175 $41K
0001A 981 980 $41K
71046 Radiologic examination, chest; 2 views 1,656 1,621 $41K
0002A 978 968 $40K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,153 1,149 $37K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 323 277 $37K
85027 5,522 5,034 $33K
74176 Computed tomography, abdomen and pelvis; without contrast material 327 316 $30K
84703 3,372 3,225 $29K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,215 1,179 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,213 1,178 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 684 517 $28K
96375 Therapeutic injection; each additional sequential IV push 1,395 1,291 $27K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 278 176 $27K
76830 Ultrasound, transvaginal 476 473 $23K
87086 Culture, bacterial; quantitative colony count, urine 3,210 2,955 $22K
84484 3,039 2,655 $20K
78815 Positron emission tomography (PET) for limited area imaging 24 24 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 243 240 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,517 1,320 $19K
93976 239 237 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 599 565 $19K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 73 72 $16K
83036 Hemoglobin; glycosylated (A1C) 2,481 2,448 $16K
80048 Basic metabolic panel (calcium, ionized) 2,386 2,045 $15K
84481 653 642 $15K
81001 5,696 5,425 $15K
95811 26 26 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 91 $14K
20553 319 306 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,155 992 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 503 497 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 271 270 $13K
76700 Ultrasound, abdominal, real time with image documentation; complete 224 219 $12K
77063 Screening digital breast tomosynthesis, bilateral 586 581 $12K
80306 1,029 980 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 215 213 $12K
86618 515 504 $11K
88342 334 306 $11K
82607 909 896 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 605 335 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 272 266 $11K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 712 641 $10K
82728 946 913 $10K
84439 1,219 1,195 $10K
93971 154 153 $10K
86780 615 607 $9K
72125 Computed tomography, cervical spine; without contrast material 115 113 $8K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 40 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 47 47 $8K
0004A 199 195 $8K
83540 1,084 1,046 $8K
83690 1,816 1,718 $8K
76642 165 154 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 295 288 $7K
76536 152 150 $7K
88313 213 211 $7K
87340 499 494 $7K
88312 169 167 $7K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 301 296 $7K
87186 871 823 $6K
73030 374 355 $6K
73564 270 243 $6K
86038 415 407 $6K
73610 350 342 $6K
83880 268 248 $6K
87077 868 821 $6K
82570 832 811 $6K
86762 296 292 $6K
73630 456 438 $6K
59025 Fetal non-stress test 288 233 $5K
87040 624 336 $5K
84153 227 220 $5K
80076 594 578 $5K
84146 221 199 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 97 83 $5K
95806 80 80 $5K
84702 306 248 $5K
95886 132 131 $5K
85610 1,997 1,329 $5K
76775 117 115 $5K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 538 515 $4K
86900 568 541 $4K
82746 371 367 $4K
36415 Collection of venous blood by venipuncture 4,106 3,348 $4K
85652 1,515 1,444 $4K
86140 1,416 1,383 $4K
81003 1,597 1,439 $4K
82043 531 522 $4K
12001 71 71 $4K
83735 772 606 $4K
86850 507 485 $4K
83550 889 855 $4K
73130 323 296 $4K
86235 83 81 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,643 1,464 $4K
96523 232 188 $4K
76801 82 79 $4K
87070 622 578 $4K
72110 161 160 $4K
86160 126 123 $4K
87522 Neg quan hep c or qual rna 93 87 $4K
85730 691 627 $4K
82565 598 578 $4K
85379 449 437 $4K
J7030 Infusion, normal saline solution , 1000 cc 6,306 5,459 $3K
72100 312 279 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 17 17 $3K
87075 374 337 $3K
93017 90 87 $3K
74018 231 224 $3K
73562 161 149 $3K
80164 178 163 $3K
86800 146 142 $3K
84145 211 202 $3K
83605 535 459 $3K
86431 350 344 $3K
87210 425 416 $3K
94664 331 254 $2K
86901 572 543 $2K
87807 191 186 $2K
90715 483 468 $2K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 153 149 $2K
93970 29 27 $2K
73110 184 178 $2K
84403 74 74 $2K
83001 110 110 $2K
96367 72 40 $2K
83615 315 236 $2K
73502 102 100 $2K
86376 228 221 $2K
82550 334 301 $2K
82784 93 87 $2K
71250 37 36 $2K
86039 130 128 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 99 99 $2K
84550 305 254 $2K
0071A 45 45 $2K
86706 122 122 $2K
87081 282 281 $2K
J2704 Injection, propofol, 10 mg 2,960 2,632 $1K
84460 202 197 $1K
J7120 Ringers lactate infusion, up to 1000 cc 3,527 3,131 $1K
84450 201 196 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 198 196 $1K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 613 459 $1K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $1K
83970 44 42 $1K
J1756 Injection, iron sucrose, 1 mg 246 112 $1K
85007 336 289 $1K
77066 Tomosynthesis, mammo 13 13 $1K
94060 38 38 $1K
83721 111 110 $1K
0072A 29 28 $1K
J3490 Unclassified drugs 2,244 1,863 $1K
86200 78 77 $1K
84100 210 159 $1K
84402 39 39 $1K
93271 16 16 $1K
80074 26 25 $1K
84165 77 73 $1K
84156 253 241 $935.26
87102 98 97 $931.67
72050 31 31 $880.47
82950 133 133 $863.95
J1885 Injection, ketorolac tromethamine, per 15 mg 4,586 4,116 $859.09
86225 64 64 $846.13
82962 777 544 $779.60
80178 108 102 $754.59
82248 120 108 $746.10
80069 134 98 $727.79
83002 40 40 $691.13
94729 26 26 $673.95
99281 Emergency department visit for the evaluation and management, self-limited or minor 25 24 $658.95
86787 38 38 $653.01
J1030 Injection, methylprednisolone acetate, 40 mg 416 380 $650.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,876 3,225 $650.17
97597 15 12 $648.21
81002 200 197 $578.07
84520 129 122 $574.82
3044F 1,076 1,067 $542.56
86705 40 40 $507.81
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 14 $462.15
94727 24 24 $446.37
73590 29 28 $397.15
84681 12 12 $395.19
82533 29 24 $386.60
80299 22 20 $383.28
87046 42 38 $374.93
71101 28 28 $360.68
86592 89 89 $349.50
82670 16 16 $324.30
87076 24 24 $321.19
73080 25 25 $312.99
J1170 Injection, hydromorphone, up to 4 mg 159 124 $304.37
J0696 Injection, ceftriaxone sodium, per 250 mg 685 517 $291.84
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 13 12 $276.55
87045 41 38 $252.29
82103 14 14 $252.24
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,479 3,842 $235.39
82947 56 55 $199.89
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,293 1,064 $197.35
J2270 Injection, morphine sulfate, up to 10 mg 156 117 $182.89
81025 42 41 $177.60
J2765 Injection, metoclopramide hcl, up to 10 mg 1,100 1,010 $168.89
86708 12 12 $168.18
J3010 Injection, fentanyl citrate, 0.1 mg 2,096 1,777 $161.83
93270 16 16 $142.59
72202 12 12 $138.60
82390 12 12 $131.00
82330 15 14 $112.49
76000 74 70 $96.60
85046 15 14 $89.34
J2060 Injection, lorazepam, 2 mg 360 297 $88.95
84155 45 42 $88.89
73140 13 13 $86.40
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 19 13 $85.00
36591 23 13 $82.15
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 34 27 $80.40
A4606 Oxygen probe for use with oximeter device, replacement 326 323 $73.92
88304 30 28 $61.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 48 42 $59.95
82010 13 12 $53.06
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 410 318 $52.93
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 12 $52.11
J2250 Injection, midazolam hydrochloride, per 1 mg 2,004 1,755 $50.15
J0330 Injection, succinylcholine chloride, up to 20 mg 361 303 $46.49
J1644 Injection, heparin sodium, per 1000 units 253 119 $41.66
J3370 Injection, vancomycin hcl, 500 mg 15 12 $41.17
94760 119 83 $38.16
J0131 Injection, acetaminophen, not otherwise specified,10 mg 846 749 $36.88
J0690 Injection, cefazolin sodium, 500 mg 274 216 $35.25
72020 30 25 $34.72
3051F 110 109 $12.36
J7050 Infusion, normal saline solution, 250 cc 81 62 $11.08
J1650 Injection, enoxaparin sodium, 10 mg 20 13 $3.04
C9399 Unclassified drugs or biologicals 18 14 $0.00
3052F 47 47 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 16 13 $0.00
72040 14 14 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 38 35 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 12 12 $0.00
3046F 81 80 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 115 101 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 15 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 42 38 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 34 30 $0.00