Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPMC PINNACLE HOSPITALS

NPI: 1407813603 · HARRISBURG, PA 17101 · 282N00000X

$26.92M
Total Medicaid Paid
839,766
Total Claims
752,708
Beneficiaries
435
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,490 $144K
2019 4,528 $168K
2020 95,368 $2.68M
2021 378,581 $12.32M
2022 123,938 $3.98M
2023 129,946 $3.80M
2024 105,915 $3.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 55,781 53,515 $6.03M
G0378 Hospital observation per hr 4,325 4,158 $3.22M
99283 37,621 36,134 $2.96M
99285 12,137 11,440 $1.37M
93306 5,836 5,724 $834K
U0003 Cov-19 amp prb hgh thruput 6,087 5,902 $489K
74177 2,190 2,110 $429K
80053 38,746 35,267 $415K
85025 68,017 62,534 $345K
96374 13,344 11,811 $334K
87536 2,566 2,502 $292K
93005 26,158 24,231 $272K
87491 10,024 9,261 $270K
U0002 Covid-19 lab test non-cdc 9,778 9,279 $266K
80061 18,041 17,700 $258K
X0620 1,145 1,123 $252K
80048 33,227 28,853 $247K
87591 9,152 8,402 $240K
99282 5,146 4,958 $215K
96372 16,398 13,739 $202K
87661 5,029 4,859 $198K
80050 4,125 4,050 $187K
96413 1,920 1,153 $184K
93303 1,467 1,420 $174K
70450 2,636 2,528 $173K
95810 454 445 $172K
80307 3,813 3,436 $169K
71046 11,216 10,800 $163K
70553 571 565 $157K
77067 1,858 1,834 $156K
78815 155 154 $147K
84443 6,205 6,006 $140K
71275 845 820 $132K
G0480 Drug test def 1-7 classes 2,264 2,087 $122K
99281 5,171 4,866 $118K
J9271 Inj pembrolizumab 568 446 $117K
0241U 2,441 2,371 $115K
82306 3,450 3,353 $114K
74176 1,121 1,076 $110K
70551 539 512 $105K
J1439 Inj ferric carboxymaltos 1mg 1,834 1,223 $102K
78452 590 578 $100K
88175 2,920 2,880 $96K
95811 199 192 $94K
76830 1,850 1,794 $94K
96375 6,821 5,304 $93K
T1015 Clinic service 1,959 1,254 $84K
72148 441 425 $81K
87633 172 170 $78K
96365 2,639 1,929 $76K
83036 10,980 10,727 $76K
84484 10,430 8,993 $75K
76817 1,208 1,097 $71K
87389 2,382 2,315 $70K
80081 710 696 $67K
93971 1,065 1,009 $67K
86803 3,247 3,178 $66K
96361 6,003 4,709 $65K
73721 254 249 $65K
93320 1,501 1,450 $64K
87624 1,525 1,489 $63K
85027 9,955 7,781 $59K
76705 1,597 1,547 $58K
86480 786 756 $57K
72141 213 206 $52K
88305 3,014 2,833 $51K
76801 1,113 1,081 $50K
87086 6,200 5,864 $50K
93970 530 520 $49K
81001 17,939 16,908 $48K
83735 9,765 7,340 $47K
93976 832 801 $46K
J2785 Regadenoson injection 1,161 1,121 $46K
72125 596 581 $45K
76700 744 732 $44K
71250 654 638 $44K
76857 1,626 1,573 $44K
93017 1,002 979 $44K
74183 113 111 $43K
J0897 Denosumab injection 381 364 $43K
76536 816 805 $42K
G0463 Hospital outpt clinic visit 2,515 2,090 $42K
71045 5,302 5,008 $41K
86361 1,287 1,251 $41K
83880 1,866 1,691 $40K
93325 1,280 1,241 $40K
88312 719 694 $38K
M0243 Casirivi and imdevi inj 110 98 $38K
84702 2,320 1,918 $37K
77066 Tomosynthesis, mammo 417 409 $37K
96360 1,266 1,075 $35K
71260 438 424 $34K
77063 1,444 1,424 $33K
97597 1,472 896 $32K
X0621 141 118 $29K
76642 676 660 $29K
83690 6,805 6,305 $29K
J1750 Inj iron dextran 219 109 $28K
87150 653 632 $28K
93798 612 101 $28K
84439 3,419 3,316 $28K
82607 2,136 2,089 $27K
96417 468 292 $27K
Q9967 Locm 300-399mg/ml iodine,1ml 11,095 10,195 $26K
77065 Tomosynthesis, mammo 374 357 $26K
70486 313 309 $26K
74174 84 81 $25K
G0399 Home sleep test/type 3 porta 91 88 $24K
72100 998 978 $23K
82728 1,843 1,792 $23K
76816 440 408 $22K
G0108 Diab manage trn per indiv 775 698 $22K
76770 559 537 $22K
C9803 Hopd covid-19 spec collect 5,583 5,324 $22K
93880 299 291 $21K
43239 87 84 $19K
84703 2,122 2,020 $19K
73564 802 723 $19K
73221 82 78 $19K
76805 337 332 $19K
J1756 Iron sucrose injection 3,999 1,609 $19K
83605 2,882 2,631 $19K
82570 2,628 2,550 $19K
A9585 Gadobutrol injection 2,607 2,505 $18K
70496 155 143 $18K
93925 230 224 $18K
73610 886 844 $18K
86592 3,998 3,886 $18K
73030 991 933 $17K
87481 366 241 $17K
70498 141 133 $17K
87522 Neg quan hep c or qual rna 400 368 $17K
96366 749 580 $17K
80076 2,204 2,090 $17K
82043 2,007 1,967 $16K
70491 183 180 $16K
86003 222 164 $16K
96415 418 281 $16K
83970 395 382 $16K
83540 1,889 1,834 $15K
73630 1,087 1,023 $15K
85610 4,430 3,262 $15K
73130 897 834 $14K
C1713 Anchor/screw bn/bn,tis/bn 67 66 $13K
96376 2,171 1,480 $13K
86900 1,701 1,561 $13K
84403 415 406 $13K
G0279 Tomosynthesis, mammo 670 659 $13K
76870 280 267 $13K
87186 1,430 1,367 $13K
87340 836 817 $12K
84481 519 488 $12K
87081 1,442 1,396 $11K
86235 304 252 $11K
J7307 Etonogestrel implant system 14 14 $11K
77080 208 208 $11K
87077 1,407 1,347 $11K
Q9957 Inj perflutren lip micros,ml 630 601 $11K
74018 735 681 $11K
86696 436 423 $11K
12001 318 312 $11K
73502 552 533 $10K
86140 3,327 2,914 $10K
87799 186 176 $10K
80074 193 186 $10K
83550 1,745 1,693 $9K
86695 442 432 $9K
96367 507 372 $9K
86038 574 553 $9K
93922 280 273 $9K
86618 367 356 $9K
93975 71 71 $8K
85652 2,898 2,534 $8K
58661 13 12 $8K
73560 456 421 $8K
86850 1,122 1,060 $8K
72110 352 339 $8K
87040 701 634 $8K
90715 1,518 1,494 $8K
73110 571 540 $8K
84146 300 291 $8K
73700 89 86 $8K
82784 460 442 $8K
85730 1,266 1,194 $7K
93350 74 74 $7K
86901 1,685 1,547 $7K
82746 597 584 $7K
M0247 Sotrovimab infusion 31 31 $7K
72040 434 421 $7K
85379 773 750 $7K
36430 95 70 $7K
86317 319 312 $7K
80164 378 349 $7K
Q9966 Locm 200-299mg/ml iodine,1ml 1,622 1,582 $7K
73590 387 364 $7K
97802 319 315 $7K
87486 171 169 $7K
87625 165 162 $7K
94640 178 86 $7K
73562 355 319 $6K
74178 30 30 $6K
84100 1,485 1,196 $6K
73090 381 358 $6K
72072 271 263 $6K
72050 207 201 $6K
76856 116 113 $6K
83001 293 288 $6K
78264 54 54 $6K
82550 831 704 $6K
82950 749 734 $5K
82565 831 780 $5K
83655 446 438 $5K
12011 146 145 $5K
87070 830 799 $5K
74022 209 193 $5K
10061 92 90 $5K
84153 205 202 $5K
84550 818 765 $5K
72197 12 12 $5K
A9502 Tc99m tetrofosmin 468 459 $5K
87660 203 202 $5K
83615 630 572 $4K
J3490 Drugs unclassified injection 7,106 5,444 $4K
J2469 Palonosetron hcl 1,654 1,046 $4K
J1885 Ketorolac tromethamine inj 21,360 18,631 $4K
36415 3,363 2,262 $4K
12002 99 99 $4K
86200 264 256 $4K
83002 203 200 $4K
71271 72 72 $4K
84460 518 468 $4K
87902 15 12 $4K
73070 238 224 $4K
86431 457 442 $4K
83525 287 280 $4K
72156 12 12 $4K
84450 500 453 $4K
73140 262 250 $3K
90471 528 506 $3K
87502 25 25 $3K
96368 204 151 $3K
82803 217 204 $3K
36591 354 248 $3K
96401 123 95 $3K
87512 124 119 $3K
94729 70 69 $3K
81003 926 899 $3K
86704 203 194 $3K
86800 147 142 $3K
C1769 Guide wire 167 162 $3K
87798 38 36 $3K
83516 385 375 $3K
99000 572 554 $3K
96523 168 143 $3K
82951 181 179 $3K
86832 30 28 $3K
73120 175 147 $3K
87205 642 615 $3K
87147 637 617 $2K
86833 30 28 $2K
J3489 Zoledronic acid 1mg 207 199 $2K
84156 639 597 $2K
82947 537 528 $2K
80202 116 50 $2K
85660 470 360 $2K
73620 175 163 $2K
G0103 Psa screening 326 318 $2K
80069 233 206 $2K
J2270 Morphine sulfate injection 4,045 3,050 $2K
88304 301 296 $2K
82248 337 279 $2K
J1100 Dexamethasone sodium phos 9,048 6,749 $2K
J0696 Ceftriaxone sodium injection 3,835 2,963 $2K
80197 188 140 $2K
82247 277 196 $2K
97161 222 199 $2K
73552 117 110 $2K
82977 191 173 $2K
J1815 Insulin injection 202 113 $2K
97803 144 135 $2K
73080 124 118 $2K
80143 143 135 $2K
76882 135 132 $2K
75574 12 12 $2K
73060 130 126 $2K
86160 56 55 $2K
J3475 Inj magnesium sulfate 3,455 2,317 $2K
97165 199 186 $2K
71101 84 84 $2K
J0780 Prochlorperazine injection 1,576 1,442 $2K
86376 162 157 $2K
82670 71 71 $2K
J2930 Methylprednisolone injection 1,017 819 $2K
P9016 Rbc leukocytes reduced 47 38 $2K
J2704 Inj, propofol, 10 mg 3,355 2,551 $2K
86304 86 75 $2K
87880 172 167 $1K
80178 182 167 $1K
82785 81 80 $1K
J9045 Carboplatin injection 530 357 $1K
82533 110 101 $1K
80179 130 125 $1K
36569 13 13 $1K
86708 91 86 $1K
C1819 Tissue localization-excision 12 12 $1K
87581 148 146 $1K
94727 42 42 $1K
86258 79 73 $1K
72170 109 107 $1K
73200 16 16 $1K
82150 245 238 $1K
88342 42 41 $1K
84270 45 42 $1K
77334 15 14 $1K
84165 89 86 $1K
82105 58 57 $1K
J0690 Cefazolin sodium injection 1,810 1,246 $1K
J9267 Paclitaxel injection 254 133 $1K
77336 20 12 $1K
82140 187 154 $1K
J2405 Ondansetron hcl injection 11,962 9,167 $1K
84520 222 213 $1K
87493 41 41 $1K
82172 56 56 $1K
J1170 Hydromorphone injection 1,827 1,269 $1K
82310 156 148 $1K
86923 32 29 $1K
96402 30 28 $1K
81513 59 57 $1K
73100 78 73 $1K
J3010 Fentanyl citrate injection 4,520 3,324 $999.06
94010 79 79 $983.47
81596 13 13 $983.45
84132 261 239 $953.44
82010 236 216 $928.27
85018 436 382 $903.61
C1887 Catheter, guiding 26 25 $840.03
85014 423 371 $837.69
Q0162 Ondansetron oral 10,215 9,537 $836.88
86780 45 42 $750.08
84402 24 24 $726.41
87075 96 93 $715.08
S9470 Nutritional counseling, diet 17 17 $700.67
82024 17 14 $678.00
J1200 Diphenhydramine hcl injectio 4,900 3,703 $664.11
87088 89 89 $660.26
86705 37 37 $653.50
82952 167 165 $644.33
86787 36 34 $639.98
59025 13 12 $639.94
J1040 Methylprednisolone 80 mg inj 117 111 $626.60
C1894 Intro/sheath, non-laser 90 86 $623.61
87563 31 30 $605.27
87807 41 41 $597.60
93308 34 30 $596.10
64400 28 27 $593.81
83721 46 46 $576.33
86762 25 25 $548.95
J1630 Haloperidol injection 1,130 893 $514.67
J1030 Methylprednisolone 40 mg inj 415 400 $498.01
J0500 Dicyclomine injection 26 24 $490.31
J3420 Vitamin b12 injection 2,462 1,948 $461.45
84155 125 115 $457.64
J2765 Metoclopramide hcl injection 2,102 1,809 $449.68
J2060 Lorazepam injection 2,256 1,781 $419.31
J1642 Inj heparin sodium per 10 u 3,901 2,155 $415.08
86039 25 25 $413.46
85384 39 38 $387.43
J1644 Inj heparin sodium per 1000u 1,506 878 $382.83
87209 13 13 $360.20
82627 14 14 $352.56
J2710 Neostigmine methylslfte inj 297 194 $351.84
A9552 F18 fdg 27 27 $340.84
84305 12 12 $332.33
J1650 Inj enoxaparin sodium 1,230 629 $331.39
84145 58 52 $329.94
82272 126 122 $308.64
72081 13 13 $308.62
87045 44 44 $308.24
83498 12 12 $307.18
72070 12 12 $298.40
J2550 Promethazine hcl injection 385 309 $291.12
80299 14 13 $290.43
82040 84 80 $285.84
87046 44 44 $284.35
85044 79 72 $276.98
J7512 Prednisone ir or dr oral 1mg 2,903 2,421 $257.16
J3480 Inj potassium chloride 1,129 671 $254.05
73660 13 13 $216.28
86308 29 29 $208.82
J2250 Inj midazolam hydrochloride 3,657 3,102 $207.25
80177 15 12 $195.99
36416 254 201 $183.65
81025 111 105 $178.90
83695 12 12 $165.68
97162 30 28 $165.16
87899 12 12 $140.68
87177 13 13 $136.92
95819 12 12 $132.30
84436 13 13 $129.20
93356 37 35 $128.49
A9503 Tc99m medronate 39 39 $116.18
86593 14 14 $93.20
J3370 Vancomycin hcl injection 65 41 $92.84
J7510 Prednisolone oral per 5 mg 471 450 $76.44
73600 13 13 $72.95
Q0163 Diphenhydramine hcl 50mg 1,017 806 $71.48
89051 13 13 $69.76
81002 15 13 $58.97
J7611 Albuterol non-comp con 14 14 $46.61
88307 15 15 $25.30
97166 14 12 $18.29
A4215 Sterile needle 47 44 $17.82
J0360 Hydralazine hcl injection 19 12 $17.70
J7620 Albuterol ipratrop non-comp 119 98 $15.66
A9270 Non-covered item or service 268 169 $4.95
J8540 Oral dexamethasone 166 116 $4.80
J2916 Na ferric gluconate complex 750 311 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 501 474 $0.00
J1171 Inj, hydromorphone, 0.1 mg 43 34 $0.00
J1453 Fosaprepitant injection 255 177 $0.00
J2919 Inj, methylpred sod succ 5mg 252 206 $0.00
J3301 Triamcinolone acet inj nos 670 649 $0.00
J9263 Oxaliplatin 54 26 $0.00
J0640 Leucovorin calcium injection 78 38 $0.00
J1569 Gammagard liquid injection 23 12 $0.00
J1437 Inj. fe derisomaltose 10 mg 15 13 $0.00
J9217 Leuprolide acetate suspnsion 12 12 $0.00
J9190 Fluorouracil injection 26 12 $0.00
Q5108 Injection, fulphila 201 148 $0.00
Q5121 Inj. avsola, 10 mg 120 80 $0.00
J0185 Inj., aprepitant, 1 mg 585 388 $0.00
Q5120 Inj pegfilgrastim-bmez 0.5mg 56 39 $0.00
A9573 Inj, gadopiclenol, 1 ml 367 356 $0.00
J1790 Droperidol injection 125 110 $0.00