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 · Emergency Medicine Physician · NPI assigned 11/14/2006

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

Provider Details

Authorized OfficialCITRO, TINA (VP & PRESIDENT)
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: CITRO, TINA

ProviderCityStateTotal Paid
THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA LEBANON PA $3.48M
THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA LEBANON PA $53K

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 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,800 24,070 $4.95M
99283 Emergency department visit for the evaluation and management, moderate severity 21,653 20,750 $3.84M
99284 Emergency department visit for the evaluation and management, high severity 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 14,457 13,443 $1.04M
G0378 Hospital observation service, per hour 482 448 $394K
T1015 Clinic visit/encounter, all-inclusive 9,764 4,506 $393K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,038 1,971 $332K
0202U Oncology (prostate), multianalyte, gene expression profiling 4,807 4,658 $297K
80053 Comprehensive metabolic panel 32,951 30,752 $206K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,511 4,180 $189K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,056 1,998 $179K
81513 1,717 1,670 $167K
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 3,445 3,073 $132K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,889 10,273 $126K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,197 4,122 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35,142 32,601 $110K
62323 163 125 $109K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,298 4,189 $108K
77067 Screening mammography, bilateral, including computer-aided detection 1,209 1,186 $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 8,009 7,321 $104K
36415 Collection of venous blood by venipuncture 45,313 39,841 $102K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,047 3,944 $99K
80050 General health panel 1,878 1,821 $87K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,008 14,205 $72K
80061 Lipid panel 4,743 4,629 $71K
84443 Thyroid stimulating hormone (TSH) 2,560 2,466 $60K
80081 612 602 $57K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 786 770 $54K
96375 Therapeutic injection; each additional sequential IV push 7,214 6,560 $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 5,738 5,276 $51K
71046 Radiologic examination, chest; 2 views 5,108 4,964 $48K
84484 8,939 7,863 $48K
70450 Computed tomography, head or brain; without contrast material 1,658 1,584 $47K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,218 1,164 $46K
87086 Culture, bacterial; quantitative colony count, urine 9,009 8,485 $45K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,075 1,054 $44K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,237 1,219 $42K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 163 163 $42K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,318 1,285 $40K
96361 Intravenous infusion, hydration; each additional hour 7,937 7,347 $40K
87481 873 847 $37K
84702 4,533 4,140 $35K
83036 Hemoglobin; glycosylated (A1C) 4,452 4,342 $33K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 171 171 $31K
86803 1,442 1,415 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material 741 714 $30K
71275 Computed tomographic angiography, chest, with contrast material 362 352 $28K
77063 Screening digital breast tomosynthesis, bilateral 1,209 1,186 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 879 822 $28K
97161 478 441 $27K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 595 583 $27K
81001 19,808 18,723 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 167 166 $25K
80048 Basic metabolic panel (calcium, ionized) 3,860 3,179 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters 81 80 $23K
93971 454 435 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,750 3,351 $22K
97162 489 436 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 832 785 $20K
95811 44 44 $19K
83690 9,031 8,613 $18K
95800 193 190 $18K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 756 244 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 685 657 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,107 984 $17K
76830 Ultrasound, transvaginal 610 585 $17K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 941 889 $17K
71045 Radiologic examination, chest; single view 5,001 4,739 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 141 92 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 82 80 $16K
83880 1,168 1,087 $16K
93970 233 217 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 514 148 $15K
85027 2,738 2,307 $15K
64493 16 12 $15K
86003 129 103 $14K
45380 Colonoscopy, flexible; with biopsy, single or multiple 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 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 326 299 $9K
72141 42 41 $8K
82607 800 764 $8K
86618 319 306 $8K
73564 473 423 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 175 147 $7K
84439 805 773 $7K
82570 951 909 $7K
84146 267 262 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,065 5,974 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 761 711 $7K
87340 488 474 $7K
87150 155 153 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 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 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 130 116 $5K
76801 245 228 $5K
72125 Computed tomography, cervical spine; without contrast material 186 180 $5K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 234 232 $5K
70551 Magnetic resonance imaging, brain; without contrast material 42 41 $5K
73610 391 361 $5K
70496 55 54 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 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 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 101 94 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 44 44 $3K
80076 420 388 $3K
72100 250 240 $3K
73130 414 355 $3K
J2785 Injection, regadenoson, 0.1 mg 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 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) 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 Injection, gadobenate dimeglumine (multihance), per ml 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 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 59 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 262 190 $1K
84100 489 378 $1K
82805 194 182 $1K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 16 15 $1K
82550 344 317 $1K
82378 86 80 $1K
70498 27 27 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 42 42 $1K
87799 18 18 $1K
92567 104 103 $1K
84156 284 255 $1K
87081 247 245 $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 84 83 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 44 26 $1K
83615 225 209 $1K
J7030 Infusion, normal saline solution , 1000 cc 2,110 1,810 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 Injection, perflutren lipid microspheres, per 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 Injection, morphine sulfate, up to 10 mg 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 Injection, ketorolac tromethamine, per 15 mg 11,595 9,388 $478.02
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,191 6,765 $426.60
J2704 Injection, propofol, 10 mg 3,193 2,591 $424.41
82951 29 29 $419.05
87147 158 144 $412.59
J1756 Injection, iron sucrose, 1 mg 99 50 $412.50
86200 29 27 $403.43
86235 14 12 $397.32
83020 28 28 $383.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg 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 Ultrasound, pregnant uterus, real time with image documentation, limited 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 Injection, ceftriaxone sodium, per 250 mg 1,473 1,132 $250.15
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 595 475 $240.66
S9470 Nutritional counseling, dietitian visit 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 Injection, diphenhydramine hcl, up to 50 mg 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, not otherwise specified 542 362 $177.18
J0690 Injection, cefazolin sodium, 500 mg 886 676 $167.62
85046 32 30 $164.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 927 755 $158.60
J1170 Injection, hydromorphone, up to 4 mg 793 512 $155.59
J2060 Injection, lorazepam, 2 mg 1,719 1,214 $146.50
J2765 Injection, metoclopramide hcl, up to 10 mg 1,744 1,347 $143.45
71101 13 13 $139.25
J3010 Injection, fentanyl citrate, 0.1 mg 2,717 1,984 $137.42
J3475 Injection, magnesium sulfate, per 500 mg 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 Injection, prochlorperazine, up to 10 mg 756 672 $94.03
84425 12 12 $87.50
J1815 Injection, insulin, per 5 units 869 386 $81.92
J3370 Injection, vancomycin hcl, 500 mg 38 24 $77.80
36600 24 24 $63.64
99152 15 13 $61.90
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 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 Injection, haloperidol, up to 5 mg 311 217 $44.02
C9113 Injection, pantoprazole sodium, per vial 131 82 $43.20
J1644 Injection, heparin sodium, per 1000 units 650 306 $33.64
84155 14 12 $29.55
J2250 Injection, midazolam hydrochloride, per 1 mg 1,671 1,323 $24.36
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 552 473 $13.12
J1650 Injection, enoxaparin sodium, 10 mg 149 87 $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 306 197 $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 12 12 $1.23
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 311 282 $0.01
J3490 Unclassified drugs 844 384 $0.00
J7050 Infusion, normal saline solution, 250 cc 335 194 $0.00
A9585 Injection, gadobutrol, 0.1 ml 97 94 $0.00
64494 24 12 $0.00
J7999 Compounded drug, not otherwise classified 39 24 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 18 13 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 21 16 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 235 168 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 97 93 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 200 161 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 87 64 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 557 483 $0.00
J7510 Prednisolone oral, per 5 mg 103 89 $0.00
J1171 Injection, hydromorphone, 0.1 mg 76 46 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14 12 $0.00