Hospital
Jefferson Regional Medical Center
Jefferson Regional Medical Center was paid $32K by Medicaid between Nov 2020 and Nov 2021, across 8 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 51% of everything it billed.
33Billing provider infoJEFFERSON REGIONAL MEDICAL CENTER
CLAIRTON, PA 15025
CLAIRTON, PA 15025
33aNPI1366488108assigned 06/21/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$32K
24GClaims788
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#134 of 154
Median peer was paid$2.82M
This provider vs. median0.0×
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.
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 | |
|---|---|---|---|
| 2020 | 69 | $3K | |
| 2021 | 719 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 51% | 195 | 191 | $17K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 18% | 24 | 24 | $6K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 13% | 182 | 178 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 7.6% | 168 | 165 | $2K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 7.4% | 13 | 13 | $2K |
| 76536 | 2.0% | 12 | 12 | $630.28 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 31 | 28 | $310.59 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 163 | 154 | $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 officialRAGAN, ALBERT (TREASURER)