Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › LEBANON › THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA

THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA

NPI: 1407928500 · LEBANON, PA 17042 · 207P00000X

$18.23M
Total Medicaid Paid
524,508
Total Claims
471,529
Beneficiaries
303
Codes Billed
2018-02
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157 $10K
2019 2,167 $44K
2020 53,343 $1.42M
2021 213,114 $6.57M
2022 85,912 $3.52M
2023 96,633 $3.67M
2024 73,182 $3.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 25,800 24,070 $4.95M
99283 21,653 20,750 $3.84M
99284 15,575 14,654 $2.77M
U0003 Cov-19 amp prb hgh thruput 14,457 13,443 $1.04M
G0378 Hospital observation per hr 482 448 $394K
T1015 Clinic service 9,764 4,506 $393K
99282 2,038 1,971 $332K
0202U 4,807 4,658 $297K
80053 32,951 30,752 $206K
80307 4,511 4,180 $189K
74177 2,056 1,998 $179K
81513 1,717 1,670 $167K
G0480 Drug test def 1-7 classes 3,445 3,073 $132K
96374 10,889 10,273 $126K
0241U 4,197 4,122 $116K
85025 35,142 32,601 $110K
62323 163 125 $109K
87491 4,298 4,189 $108K
77067 1,209 1,186 $108K
U0005 Infec agen detec ampli probe 8,009 7,321 $104K
36415 45,313 39,841 $102K
87591 4,047 3,944 $99K
80050 1,878 1,821 $87K
93005 15,008 14,205 $72K
80061 4,743 4,629 $71K
84443 2,560 2,466 $60K
80081 612 602 $57K
93306 786 770 $54K
96375 7,214 6,560 $53K
C9803 Hopd covid-19 spec collect 5,738 5,276 $51K
71046 5,108 4,964 $48K
84484 8,939 7,863 $48K
70450 1,658 1,584 $47K
82306 1,218 1,164 $46K
87086 9,009 8,485 $45K
87661 1,075 1,054 $44K
88175 1,237 1,219 $42K
70553 163 163 $42K
87389 1,318 1,285 $40K
96361 7,937 7,347 $40K
87481 873 847 $37K
84702 4,533 4,140 $35K
83036 4,452 4,342 $33K
72148 171 171 $31K
86803 1,442 1,415 $31K
74176 741 714 $30K
71275 362 352 $28K
77063 1,209 1,186 $28K
94640 879 822 $28K
97161 478 441 $27K
87624 595 583 $27K
81001 19,808 18,723 $26K
43239 167 166 $25K
80048 3,860 3,179 $23K
95810 81 80 $23K
93971 454 435 $23K
96372 3,750 3,351 $22K
97162 489 436 $21K
76705 832 785 $20K
95811 44 44 $19K
83690 9,031 8,613 $18K
95800 193 190 $18K
92507 756 244 $18K
76856 685 657 $17K
96365 1,107 984 $17K
76830 610 585 $17K
87798 941 889 $17K
71045 5,001 4,739 $17K
96413 141 92 $16K
78452 82 80 $16K
83880 1,168 1,087 $16K
93970 233 217 $16K
97110 514 148 $15K
85027 2,738 2,307 $15K
64493 16 12 $15K
86003 129 103 $14K
45380 60 58 $14K
76536 274 266 $13K
76642 313 303 $13K
71250 275 265 $13K
83735 4,239 3,796 $13K
76770 362 354 $13K
87653 286 277 $13K
87631 102 98 $11K
93017 297 288 $11K
93975 110 105 $10K
96376 651 483 $10K
84466 650 627 $10K
85610 4,596 4,003 $9K
82728 866 828 $9K
86850 1,264 1,162 $9K
77066 Tomosynthesis, mammo 94 94 $9K
99213 326 299 $9K
72141 42 41 $8K
82607 800 764 $8K
86618 319 306 $8K
73564 473 423 $8K
G0108 Diab manage trn per indiv 175 147 $7K
84439 805 773 $7K
82570 951 909 $7K
84146 267 262 $7K
Q9967 Locm 300-399mg/ml iodine,1ml 7,065 5,974 $7K
96360 761 711 $7K
87340 488 474 $7K
87150 155 153 $7K
76700 136 135 $7K
93976 125 122 $7K
72110 308 303 $7K
12001 72 69 $7K
83605 2,248 2,071 $6K
87040 816 759 $6K
85730 2,272 2,163 $6K
83013 86 84 $6K
87077 1,180 1,111 $6K
94729 195 188 $6K
86038 347 335 $6K
74018 626 587 $6K
83540 745 716 $6K
86900 1,636 1,476 $5K
81025 4,096 3,864 $5K
82043 630 619 $5K
87522 Neg quan hep c or qual rna 121 115 $5K
86901 1,622 1,461 $5K
94726 195 188 $5K
87186 889 842 $5K
99212 130 116 $5K
76801 245 228 $5K
72125 186 180 $5K
G0472 Hep c screen high risk/other 234 232 $5K
70551 42 41 $5K
73610 391 361 $5K
70496 55 54 $5K
88305 765 738 $5K
86592 1,027 995 $4K
83655 358 348 $4K
82784 183 174 $4K
84153 195 186 $4K
84481 146 136 $4K
82950 529 512 $4K
73030 399 378 $4K
73630 489 418 $4K
76817 101 94 $3K
71260 44 44 $3K
80076 420 388 $3K
72100 250 240 $3K
73130 414 355 $3K
J2785 Regadenoson injection 41 36 $3K
84403 108 102 $3K
36591 46 27 $3K
83970 74 67 $3K
80164 199 186 $3K
87493 74 72 $3K
85379 694 657 $3K
86140 1,426 1,312 $3K
83516 164 159 $3K
82105 136 131 $3K
85652 1,034 944 $3K
82746 317 302 $3K
96367 225 171 $3K
G0471 Ven blood coll snf/hha 633 377 $2K
82947 1,878 1,486 $2K
73502 165 158 $2K
74178 12 12 $2K
86762 112 105 $2K
92588 48 48 $2K
76870 62 58 $2K
A9577 Inj multihance 547 523 $2K
86431 261 251 $2K
82248 493 435 $2K
82565 518 480 $2K
77062 91 91 $2K
94060 198 191 $2K
83001 113 106 $2K
86706 116 112 $2K
73110 242 227 $2K
80069 171 161 $2K
86765 121 116 $2K
90471 77 59 $1K
96366 262 190 $1K
84100 489 378 $1K
82805 194 182 $1K
A9502 Tc99m tetrofosmin 16 15 $1K
82550 344 317 $1K
82378 86 80 $1K
70498 27 27 $1K
87801 42 42 $1K
87799 18 18 $1K
92567 104 103 $1K
84156 284 255 $1K
87081 247 245 $1K
G0476 Hpv combo assay ca screen 84 83 $1K
11042 44 26 $1K
83615 225 209 $1K
J7030 Normal saline solution infus 2,110 1,810 $1K
99214 17 13 $975.02
99215 Prolong outpt/office vis 24 13 $940.34
72050 38 38 $928.47
90715 337 300 $922.89
80055 62 61 $863.76
84550 149 143 $855.19
87070 163 156 $845.84
97802 13 13 $809.24
83002 50 43 $794.40
84520 352 334 $783.57
95886 14 14 $780.52
86376 87 79 $773.97
87512 29 29 $707.05
81003 218 210 $705.72
Q9957 Inj perflutren lip micros,ml 59 55 $660.83
73590 77 70 $652.20
72072 38 38 $639.46
A9270 Non-covered item or service 271 150 $639.40
83525 50 43 $625.93
87427 58 57 $615.27
J2270 Morphine sulfate injection 2,107 1,609 $609.40
87205 203 194 $559.42
87209 26 25 $555.95
86787 26 25 $509.16
80051 197 191 $507.33
86704 29 29 $504.80
J1885 Ketorolac tromethamine inj 11,595 9,388 $478.02
J2405 Ondansetron hcl injection 9,191 6,765 $426.60
J2704 Inj, propofol, 10 mg 3,193 2,591 $424.41
82951 29 29 $419.05
87147 158 144 $412.59
J1756 Iron sucrose injection 99 50 $412.50
86200 29 27 $403.43
86235 14 12 $397.32
83020 28 28 $383.95
J1100 Dexamethasone sodium phos 4,275 3,321 $374.69
85018 115 109 $356.35
87045 58 57 $348.61
84402 12 12 $346.32
83721 45 43 $335.89
76815 13 12 $331.50
86255 14 12 $301.04
92557 13 13 $288.56
83921 13 13 $252.48
C1769 Guide wire 53 49 $251.25
J0696 Ceftriaxone sodium injection 1,473 1,132 $250.15
J2930 Methylprednisolone injection 595 475 $240.66
S9470 Nutritional counseling, diet 15 15 $238.56
88304 111 110 $232.79
86708 13 13 $232.50
74022 14 14 $223.40
76882 28 24 $223.20
J1200 Diphenhydramine hcl injectio 3,348 2,566 $209.16
85014 70 66 $207.86
87177 26 25 $207.64
84145 47 37 $206.65
82010 163 150 $193.68
29125 13 13 $191.79
87046 58 57 $188.50
J8597 Antiemetic drug oral nos 542 362 $177.18
J0690 Cefazolin sodium injection 886 676 $167.62
85046 32 30 $164.84
J3301 Triamcinolone acet inj nos 927 755 $158.60
J1170 Hydromorphone injection 793 512 $155.59
J2060 Lorazepam injection 1,719 1,214 $146.50
J2765 Metoclopramide hcl injection 1,744 1,347 $143.45
71101 13 13 $139.25
J3010 Fentanyl citrate injection 2,717 1,984 $137.42
J3475 Inj magnesium sulfate 896 723 $130.81
12011 13 13 $119.99
82310 15 12 $103.66
82952 28 28 $101.04
51701 14 14 $99.34
J0780 Prochlorperazine injection 756 672 $94.03
84425 12 12 $87.50
J1815 Insulin injection 869 386 $81.92
J3370 Vancomycin hcl injection 38 24 $77.80
36600 24 24 $63.64
99152 15 13 $61.90
J7512 Prednisone ir or dr oral 1mg 1,632 1,289 $61.80
82150 14 14 $58.75
73140 12 12 $53.55
82270 40 37 $48.60
73090 13 13 $44.98
J1630 Haloperidol injection 311 217 $44.02
C9113 Inj pantoprazole sodium, via 131 82 $43.20
J1644 Inj heparin sodium per 1000u 650 306 $33.64
84155 14 12 $29.55
J2250 Inj midazolam hydrochloride 1,671 1,323 $24.36
Q9966 Locm 200-299mg/ml iodine,1ml 552 473 $13.12
J1650 Inj enoxaparin sodium 149 87 $5.68
Q0162 Ondansetron oral 306 197 $1.91
J7620 Albuterol ipratrop non-comp 12 12 $1.23
G1010 Cdsm stanson 311 282 $0.01
J3490 Drugs unclassified injection 844 384 $0.00
J7050 Normal saline solution infus 335 194 $0.00
A9585 Gadobutrol injection 97 94 $0.00
64494 24 12 $0.00
J7999 Compounded drug, noc 39 24 $0.00
J2469 Palonosetron hcl 18 13 $0.00
J2543 Piperacillin/tazobactam 21 16 $0.00
J7120 Ringers lactate infusion 235 168 $0.00
J2919 Inj, methylpred sod succ 5mg 97 93 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 200 161 $0.00
J2710 Neostigmine methylslfte inj 87 64 $0.00
J2272 Inj, morphine (fresenius) 557 483 $0.00
J7510 Prednisolone oral per 5 mg 103 89 $0.00
J1171 Inj, hydromorphone, 0.1 mg 76 46 $0.00
J7040 Normal saline solution infus 14 12 $0.00