Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Lebanon › NPI 1407928500
Physician

The Good Samaritan Hospital of Lebanon, Pennsylvania

The Good Samaritan Hospital of Lebanon, Pennsylvania was paid $18.23M by Medicaid between Feb 2018 and Dec 2024, across 303 billing codes. Its largest line is 99285, emergency room visit (most serious) — 27% of everything it billed.

33Billing provider infoTHE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA
LEBANON, PA 17042
33aNPI1407928500assigned 11/14/2006
28Total paid$18.23M
24GClaims524,508
24DCodes billed303
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Pennsylvania

Rank by total paid#4 of 1,211
Median peer was paid$19K
This provider vs. median935×

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

$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
2018157$10K
20192,167$44K
202053,343$1.42M
2021213,114$6.57M
202285,912$3.52M
202396,633$3.67M
2024incomplete73,182$3.00M
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 27% 25,800 24,070 $4.95M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 21,653 20,750 $3.84M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 15,575 14,654 $2.77M
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 5.7% 14,457 13,443 $1.04M
G0378 Hospital observation service, per hour 2.2% 482 448 $394K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.2% 9,764 4,506 $393K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 2,038 1,971 $332K
0202U Oncology (prostate), multianalyte, gene expression profiling 1.6% 4,807 4,658 $297K
80053 Comprehensive metabolic panel 1.1% 32,951 30,752 $206K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 4,511 4,180 $189K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,056 1,998 $179K
81513 <1% 1,717 1,670 $167K
291 more codes
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 <1% 3,445 $132K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,889 $126K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,197 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 35,142 $110K
62323 <1% 163 $109K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,298 $108K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,209 $108K
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% 8,009 $104K
36415 Collection of venous blood by venipuncture <1% 45,313 $102K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,047 $99K
80050 General health panel <1% 1,878 $87K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,008 $72K
80061 Lipid panel <1% 4,743 $71K
84443 Thyroid stimulating hormone (TSH) <1% 2,560 $60K
80081 <1% 612 $57K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 786 $54K
96375 Therapeutic injection; each additional sequential IV push <1% 7,214 $53K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 5,738 $51K
71046 Radiologic examination, chest; 2 views <1% 5,108 $48K
84484 <1% 8,939 $48K
70450 Computed tomography, head or brain; without contrast material <1% 1,658 $47K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,218 $46K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,009 $45K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,075 $44K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,237 $42K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 163 $42K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,318 $40K
96361 Intravenous infusion, hydration; each additional hour <1% 7,937 $40K
87481 <1% 873 $37K
84702 <1% 4,533 $35K
83036 Hemoglobin; glycosylated (A1C) <1% 4,452 $33K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 171 $31K
86803 <1% 1,442 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 741 $30K
71275 Computed tomographic angiography, chest, with contrast material <1% 362 $28K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,209 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 879 $28K
97161 <1% 478 $27K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 595 $27K
81001 <1% 19,808 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 167 $25K
80048 Basic metabolic panel (calcium, ionized) <1% 3,860 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 81 $23K
93971 <1% 454 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,750 $22K
97162 <1% 489 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 832 $20K
95811 <1% 44 $19K
83690 <1% 9,031 $18K
95800 <1% 193 $18K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 756 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 685 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,107 $17K
76830 Ultrasound, transvaginal <1% 610 $17K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 941 $17K
71045 Radiologic examination, chest; single view <1% 5,001 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 141 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 82 $16K
83880 <1% 1,168 $16K
93970 <1% 233 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 514 $15K
85027 <1% 2,738 $15K
64493 <1% 16 $15K
86003 <1% 129 $14K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 60 $14K
76536 <1% 274 $13K
76642 <1% 313 $13K
71250 <1% 275 $13K
83735 <1% 4,239 $13K
76770 <1% 362 $13K
87653 <1% 286 $13K
87631 <1% 102 $11K
93017 <1% 297 $11K
93975 <1% 110 $10K
96376 <1% 651 $10K
84466 <1% 650 $10K
85610 <1% 4,596 $9K
82728 <1% 866 $9K
86850 <1% 1,264 $9K
77066 Tomosynthesis, mammo <1% 94 $9K
99213 Doctor's office visit, returning patient (routine) <1% 326 $9K
72141 <1% 42 $8K
82607 <1% 800 $8K
86618 <1% 319 $8K
73564 <1% 473 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 175 $7K
84439 <1% 805 $7K
82570 <1% 951 $7K
84146 <1% 267 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,065 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 761 $7K
87340 <1% 488 $7K
87150 <1% 155 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 136 $7K
93976 <1% 125 $7K
72110 <1% 308 $7K
12001 <1% 72 $7K
83605 <1% 2,248 $6K
87040 <1% 816 $6K
85730 <1% 2,272 $6K
83013 <1% 86 $6K
87077 <1% 1,180 $6K
94729 <1% 195 $6K
86038 <1% 347 $6K
74018 <1% 626 $6K
83540 <1% 745 $6K
86900 <1% 1,636 $5K
81025 <1% 4,096 $5K
82043 <1% 630 $5K
87522 Neg quan hep c or qual rna <1% 121 $5K
86901 <1% 1,622 $5K
94726 <1% 195 $5K
87186 <1% 889 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 130 $5K
76801 <1% 245 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 186 $5K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 234 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 42 $5K
73610 <1% 391 $5K
70496 <1% 55 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 765 $5K
86592 <1% 1,027 $4K
83655 <1% 358 $4K
82784 <1% 183 $4K
84153 <1% 195 $4K
84481 <1% 146 $4K
82950 <1% 529 $4K
73030 <1% 399 $4K
73630 <1% 489 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 101 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 44 $3K
80076 <1% 420 $3K
72100 <1% 250 $3K
73130 <1% 414 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 41 $3K
84403 <1% 108 $3K
36591 <1% 46 $3K
83970 <1% 74 $3K
80164 <1% 199 $3K
87493 <1% 74 $3K
85379 <1% 694 $3K
86140 <1% 1,426 $3K
83516 <1% 164 $3K
82105 <1% 136 $3K
85652 <1% 1,034 $3K
82746 <1% 317 $3K
96367 <1% 225 $3K
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) <1% 633 $2K
82947 <1% 1,878 $2K
73502 <1% 165 $2K
74178 <1% 12 $2K
86762 <1% 112 $2K
92588 <1% 48 $2K
76870 <1% 62 $2K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 547 $2K
86431 <1% 261 $2K
82248 <1% 493 $2K
82565 <1% 518 $2K
77062 <1% 91 $2K
94060 <1% 198 $2K
83001 <1% 113 $2K
86706 <1% 116 $2K
73110 <1% 242 $2K
80069 <1% 171 $2K
86765 <1% 121 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 77 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 262 $1K
84100 <1% 489 $1K
82805 <1% 194 $1K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 16 $1K
82550 <1% 344 $1K
82378 <1% 86 $1K
70498 <1% 27 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 42 $1K
87799 <1% 18 $1K
92567 <1% 104 $1K
84156 <1% 284 $1K
87081 <1% 247 $1K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 84 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 44 $1K
83615 <1% 225 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,110 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 17 $975.02
99215 Doctor's office visit, returning patient (complex) <1% 24 $940.34
72050 <1% 38 $928.47
90715 <1% 337 $922.89
80055 <1% 62 $863.76
84550 <1% 149 $855.19
87070 <1% 163 $845.84
97802 <1% 13 $809.24
83002 <1% 50 $794.40
84520 <1% 352 $783.57
95886 <1% 14 $780.52
86376 <1% 87 $773.97
87512 <1% 29 $707.05
81003 <1% 218 $705.72
Q9957 Injection, perflutren lipid microspheres, per ml <1% 59 $660.83
73590 <1% 77 $652.20
72072 <1% 38 $639.46
A9270 Non-covered item or service <1% 271 $639.40
83525 <1% 50 $625.93
87427 <1% 58 $615.27
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,107 $609.40
87205 <1% 203 $559.42
87209 <1% 26 $555.95
86787 <1% 26 $509.16
80051 <1% 197 $507.33
86704 <1% 29 $504.80
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,595 $478.02
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,191 $426.60
J2704 Injection, propofol, 10 mg <1% 3,193 $424.41
82951 <1% 29 $419.05
87147 <1% 158 $412.59
J1756 Injection, iron sucrose, 1 mg <1% 99 $412.50
86200 <1% 29 $403.43
86235 <1% 14 $397.32
83020 <1% 28 $383.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,275 $374.69
85018 <1% 115 $356.35
87045 <1% 58 $348.61
84402 <1% 12 $346.32
83721 <1% 45 $335.89
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13 $331.50
86255 <1% 14 $301.04
92557 <1% 13 $288.56
83921 <1% 13 $252.48
C1769 Guide wire <1% 53 $251.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,473 $250.15
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 595 $240.66
S9470 Nutritional counseling, dietitian visit <1% 15 $238.56
88304 <1% 111 $232.79
86708 <1% 13 $232.50
74022 <1% 14 $223.40
76882 <1% 28 $223.20
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,348 $209.16
85014 <1% 70 $207.86
87177 <1% 26 $207.64
84145 <1% 47 $206.65
82010 <1% 163 $193.68
29125 <1% 13 $191.79
87046 <1% 58 $188.50
J8597 Antiemetic drug, oral, not otherwise specified <1% 542 $177.18
J0690 Injection, cefazolin sodium, 500 mg <1% 886 $167.62
85046 <1% 32 $164.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 927 $158.60
J1170 Injection, hydromorphone, up to 4 mg <1% 793 $155.59
J2060 Injection, lorazepam, 2 mg <1% 1,719 $146.50
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,744 $143.45
71101 <1% 13 $139.25
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,717 $137.42
J3475 Injection, magnesium sulfate, per 500 mg <1% 896 $130.81
12011 <1% 13 $119.99
82310 <1% 15 $103.66
82952 <1% 28 $101.04
51701 <1% 14 $99.34
J0780 Injection, prochlorperazine, up to 10 mg <1% 756 $94.03
84425 <1% 12 $87.50
J1815 Injection, insulin, per 5 units <1% 869 $81.92
J3370 Injection, vancomycin hcl, 500 mg <1% 38 $77.80
36600 <1% 24 $63.64
99152 <1% 15 $61.90
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,632 $61.80
82150 <1% 14 $58.75
73140 <1% 12 $53.55
82270 <1% 40 $48.60
73090 <1% 13 $44.98
J1630 Injection, haloperidol, up to 5 mg <1% 311 $44.02
C9113 Injection, pantoprazole sodium, per vial <1% 131 $43.20
J1644 Injection, heparin sodium, per 1000 units <1% 650 $33.64
84155 <1% 14 $29.55
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,671 $24.36
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 552 $13.12
J1650 Injection, enoxaparin sodium, 10 mg <1% 149 $5.68
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 306 $1.91
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 12 $1.23
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program <1% 311 $0.01
J3490 Unclassified drugs 0% 844 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 335 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 97 $0.00
64494 0% 24 $0.00
J7999 Compounded drug, not otherwise classified 0% 39 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 18 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 21 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 235 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 97 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 200 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 87 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 557 $0.00
J7510 Prednisolone oral, per 5 mg 0% 103 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 76 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 14 $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

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Authorized officialCITRO, TINA (VP & PRESIDENT)
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