Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Scranton › NPI 1366444507
Hospital

Community Medical Center

Community Medical Center was paid $22.62M by Medicaid between Jan 2018 and Dec 2024, across 361 billing codes. Its largest line is 99285, emergency room visit (most serious) — 17% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL CENTER
SCRANTON, PA 18510
33aNPI1366444507assigned 06/01/2005
28Total paid$22.62M
24GClaims648,543
24DCodes billed361
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#14 of 154
Median peer was paid$2.82M
This provider vs. median8.0×

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 MULL, CINDY controls 20+ related entities in our dataset. Read more
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
2018116$16K
20191,365$34K
202061,920$1.92M
2021216,986$6.78M
2022113,067$3.96M
2023136,454$5.11M
2024incomplete118,635$4.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 17% 27,487 26,265 $3.85M
0202U Oncology (prostate), multianalyte, gene expression profiling 11% 11,702 11,255 $2.49M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.4% 20,204 19,403 $2.12M
G0378 Hospital observation service, per hour 8.1% 2,278 1,349 $1.84M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.1% 22,056 21,400 $1.62M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5.1% 19,053 15,505 $1.15M
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 4.4% 17,131 14,107 $1.00M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.6% 4,370 4,217 $812K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2.6% 7,260 5,778 $592K
80053 Comprehensive metabolic panel 2.6% 56,994 52,870 $588K
87631 2.1% 3,564 3,407 $475K
70450 Computed tomography, head or brain; without contrast material 1.8% 5,395 5,259 $399K
349 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 57,455 $300K
71046 Radiologic examination, chest; 2 views 1.0% 13,991 $236K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,810 $209K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,400 $207K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,222 $202K
84443 Thyroid stimulating hormone (TSH) <1% 8,205 $176K
0100U <1% 460 $174K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,532 $158K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 18,290 $157K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,184 $146K
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% 1,636 $118K
84484 <1% 10,351 $105K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 941 $105K
71275 Computed tomographic angiography, chest, with contrast material <1% 451 $101K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,386 $92K
80061 Lipid panel <1% 6,699 $85K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 156 $84K
96375 Therapeutic injection; each additional sequential IV push <1% 4,749 $81K
96361 Intravenous infusion, hydration; each additional hour <1% 5,863 $81K
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 <1% 6,001 $80K
78815 Positron emission tomography (PET) for limited area imaging <1% 90 $79K
72125 Computed tomography, cervical spine; without contrast material <1% 958 $77K
87481 <1% 1,004 $69K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 227 $58K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,410 $57K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,210 $53K
83690 <1% 10,454 $48K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 412 $48K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,015 $46K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,346 $45K
300 Patient transfer system <300 <1% 529 $44K
93971 <1% 563 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 430 $41K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,470 $40K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,241 $40K
87430 <1% 6,131 $39K
84702 <1% 2,415 $39K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 793 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 343 $38K
85027 <1% 6,042 $38K
81001 <1% 13,813 $38K
36415 Collection of venous blood by venipuncture <1% 32,322 $38K
J1756 Injection, iron sucrose, 1 mg <1% 3,400 $37K
80048 Basic metabolic panel (calcium, ionized) <1% 4,771 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,633 $35K
76830 Ultrasound, transvaginal <1% 564 $35K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,443 $34K
71250 <1% 367 $32K
83036 Hemoglobin; glycosylated (A1C) <1% 5,072 $32K
93970 <1% 286 $30K
81025 <1% 8,028 $30K
70551 Magnetic resonance imaging, brain; without contrast material <1% 118 $29K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 122 $29K
82728 <1% 2,451 $28K
83605 <1% 4,067 $27K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 872 $27K
86803 <1% 1,391 $26K
82607 <1% 2,133 $26K
450 Pov group 1 hd 301-450 lbs <1% 71 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 619 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,270 $24K
84439 <1% 3,054 $24K
76770 <1% 348 $23K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 76 $22K
Q3014 Telehealth originating site facility fee <1% 1,625 $22K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,146 $21K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 288 $21K
83540 <1% 2,634 $21K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 95 $20K
83880 <1% 662 $20K
95886 <1% 261 $20K
76536 <1% 305 $19K
93017 <1% 466 $19K
88342 <1% 459 $19K
87522 Neg quan hep c or qual rna <1% 466 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 230 $17K
94729 <1% 569 $16K
86850 <1% 2,147 $16K
80050 General health panel <1% 359 $16K
71045 Radiologic examination, chest; single view <1% 1,679 $15K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 297 $15K
73610 <1% 660 $14K
95910 <1% 112 $14K
86480 <1% 202 $14K
86317 <1% 598 $14K
87340 <1% 904 $13K
94726 <1% 475 $13K
86901 <1% 2,397 $12K
86900 <1% 2,397 $12K
83970 <1% 291 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 458 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 440 $11K
83550 <1% 2,476 $11K
87511 <1% 558 $11K
73564 <1% 421 $11K
87150 <1% 221 $11K
87641 <1% 293 $11K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 103 $11K
93296 <1% 770 $10K
73630 <1% 749 $10K
70486 <1% 104 $10K
82805 <1% 319 $10K
84481 <1% 425 $10K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 726 $10K
85610 <1% 3,055 $10K
86003 <1% 77 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 320 $10K
87040 <1% 493 $9K
76870 <1% 150 $9K
85379 <1% 860 $9K
90715 <1% 849 $8K
A9585 Injection, gadobutrol, 0.1 ml <1% 1,723 $8K
83735 <1% 1,471 $8K
70498 <1% 39 $8K
86618 <1% 353 $8K
95909 <1% 84 $8K
C1769 Guide wire <1% 285 $8K
J2785 Injection, regadenoson, 0.1 mg <1% 138 $8K
84153 <1% 330 $8K
82570 <1% 1,106 $8K
87506 <1% 57 $7K
82746 <1% 632 $7K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 391 $7K
84403 <1% 254 $7K
72100 <1% 244 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 314 $6K
94060 <1% 637 $6K
73130 <1% 428 $6K
73030 <1% 333 $6K
82043 <1% 822 $6K
80074 <1% 117 $6K
96376 <1% 162 $6K
82784 <1% 289 $6K
84146 <1% 221 $5K
87186 <1% 709 $5K
90686 <1% 513 $5K
X0592 <1% 132 $5K
85652 <1% 1,773 $5K
83655 <1% 475 $5K
93350 <1% 106 $5K
86140 <1% 1,589 $5K
83520 <1% 269 $4K
93923 <1% 82 $4K
95908 <1% 51 $4K
73590 <1% 215 $4K
74018 <1% 252 $4K
86038 <1% 266 $4K
82962 <1% 2,389 $4K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 12 $4K
85730 <1% 629 $4K
93880 <1% 46 $4K
29125 <1% 164 $4K
12001 <1% 155 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 149 $4K
88341 <1% 52 $4K
80164 <1% 202 $4K
81003 <1% 1,193 $4K
73110 <1% 231 $3K
83525 <1% 314 $3K
84100 <1% 735 $3K
70496 <1% 15 $3K
87077 <1% 465 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 159 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 196 $3K
73502 <1% 142 $3K
82248 <1% 448 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,216 $3K
86780 <1% 176 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,436 $3K
80325 <1% 168 $3K
97161 <1% 70 $3K
80076 <1% 318 $3K
84270 <1% 102 $3K
85007 <1% 614 $3K
81513 <1% 30 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 47 $2K
76801 <1% 30 $2K
87088 <1% 293 $2K
87902 <1% 13 $2K
94618 <1% 141 $2K
85046 <1% 378 $2K
82375 <1% 442 $2K
12011 <1% 62 $2K
82105 <1% 103 $2K
82550 <1% 317 $2K
95911 <1% 12 $2K
17110 <1% 44 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 220 $2K
G0008 Administration of influenza virus vaccine <1% 220 $2K
95885 <1% 41 $2K
86592 <1% 475 $2K
29515 <1% 58 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 14 $2K
86431 <1% 228 $2K
82077 <1% 136 $2K
86762 <1% 86 $2K
83001 <1% 101 $2K
97162 <1% 77 $2K
93246 <1% 56 $2K
43235 <1% 13 $2K
95819 <1% 126 $2K
83002 <1% 96 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 7,011 $2K
J2704 Injection, propofol, 10 mg <1% 4,633 $2K
86160 <1% 56 $2K
36591 <1% 25 $1K
86704 <1% 93 $1K
82150 <1% 326 $1K
86376 <1% 182 $1K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,094 $1K
84550 <1% 241 $1K
96417 <1% 22 $1K
73090 <1% 91 $1K
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% 56 $1K
73700 <1% 15 $1K
97124 <1% 98 $1K
86708 <1% 88 $1K
82565 <1% 219 $1K
88304 <1% 218 $1K
87070 <1% 194 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,021 $1K
86039 <1% 86 $1K
73552 <1% 57 $1K
80069 <1% 161 $1K
80179 <1% 101 $1K
84630 <1% 77 $1K
82785 <1% 60 $1K
85018 <1% 310 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 17 $1K
82533 <1% 86 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,191 $998.89
99152 <1% 115 $997.06
70491 <1% 12 $988.79
84156 <1% 238 $978.96
86800 <1% 52 $954.78
82040 <1% 270 $942.93
97165 <1% 30 $935.68
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,718 $902.78
95816 <1% 73 $871.01
85014 <1% 262 $868.21
84145 <1% 61 $864.49
J7050 Infusion, normal saline solution, 250 cc <1% 8,103 $842.48
82670 <1% 40 $841.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,698 $787.90
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,776 $783.33
83050 <1% 319 $781.02
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,783 $775.81
74240 <1% 13 $748.20
J8501 Aprepitant, oral, 5 mg <1% 704 $732.27
93298 <1% 14 $727.94
83721 <1% 66 $726.25
84480 <1% 94 $697.80
73080 <1% 41 $691.49
99153 Mod sedat endo service >5yrs <1% 100 $685.44
86225 <1% 49 $682.63
97803 <1% 12 $672.61
84460 <1% 92 $639.02
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 530 $634.96
82627 <1% 29 $634.83
73560 <1% 38 $634.06
86235 <1% 19 $621.36
88312 <1% 18 $602.17
87075 <1% 64 $569.33
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 620 $567.23
77002 <1% 15 $559.66
84520 <1% 109 $552.60
97802 <1% 12 $543.75
87205 <1% 132 $524.53
93320 <1% 12 $518.04
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,667 $515.32
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,626 $514.14
84425 <1% 72 $513.82
88307 <1% 17 $512.07
84165 <1% 36 $509.08
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,048 $504.58
82950 <1% 77 $503.37
83516 <1% 50 $484.10
84402 <1% 18 $471.50
84590 <1% 33 $451.23
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 420 $427.54
84450 <1% 61 $427.00
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,172 $423.50
12002 <1% 14 $415.05
80178 <1% 59 $413.71
73100 <1% 30 $396.26
93325 <1% 26 $388.50
86200 <1% 27 $376.04
0296T <1% 14 $371.52
76942 <1% 27 $371.52
J1630 Injection, haloperidol, up to 5 mg <1% 644 $361.80
94010 <1% 47 $340.22
J2060 Injection, lorazepam, 2 mg <1% 1,360 $311.97
82247 <1% 42 $303.20
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 27 $302.27
J3370 Injection, vancomycin hcl, 500 mg <1% 453 $290.69
J1644 Injection, heparin sodium, per 1000 units <1% 545 $277.64
83615 <1% 44 $267.35
80143 <1% 20 $246.80
94664 <1% 20 $246.70
84134 <1% 12 $237.29
99406 <1% 30 $227.10
J0780 Injection, prochlorperazine, up to 10 mg <1% 593 $216.22
82947 <1% 54 $212.96
82977 <1% 29 $208.36
76000 <1% 37 $196.25
73060 <1% 13 $195.25
80177 <1% 13 $189.24
84075 <1% 24 $157.44
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 15 $139.08
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,374 $134.24
87046 <1% 56 $131.92
84436 <1% 14 $131.43
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,256 $122.75
84155 <1% 24 $115.44
J7030 Infusion, normal saline solution , 1000 cc <1% 300 $106.82
83718 <1% 14 $94.77
84478 <1% 13 $90.20
82465 <1% 15 $87.55
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 530 $82.91
82140 <1% 14 $71.75
J1815 Injection, insulin, per 5 units <1% 1,014 $69.90
87206 <1% 12 $52.32
J1790 Injection, droperidol, up to 5 mg <1% 303 $51.86
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 115 $16.61
J7510 Prednisolone oral, per 5 mg <1% 311 $9.24
J3490 Unclassified drugs <1% 44 $7.09
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 117 $6.95
C9290 Injection, bupivacaine liposome, 1 mg 0% 486 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 246 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 204 $0.00
C9399 Unclassified drugs or biologicals 0% 122 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 161 $0.00
J1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mg 0% 174 $0.00
90656 0% 84 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 0% 55 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 62 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 28 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 17 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 155 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 74 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 161 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 191 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 185 $0.00
J1750 Injection, iron dextran, 50 mg 0% 21 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 883 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 32 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 199 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 28 $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 officialMULL, CINDY (DIRECTOR CREDENTIALING/ENROLLMENT)
Same official

Other billing entities under MULL, CINDY

Full network →
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Geisinger ClinicPittston, PA$942K
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Geisinger Clinic SelinsgroveSelinsgrove, PA$819K
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Geisinger ClinicFrackville, PA$479K

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