Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › COALDALE › THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

NPI: 1437182847 · COALDALE, PA 18218 · General Acute Care Hospital · NPI assigned 07/09/2006

$8.59M
Total Medicaid Paid
197,622
Total Claims
178,444
Beneficiaries
187
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSKO, ANDREA (ECECUTIVE DIRECTOR, SLPHO)
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: ROSKO, ANDREA

ProviderCityStateTotal Paid
ST. LUKE'S HOSPITAL ALLENTOWN PA $23.43M
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC. NESQUEHONING PA $433K
ST. LUKE'S HOSPITAL BETHLEHEM PA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,165 $335K
2020 18,369 $739K
2021 68,286 $2.39M
2022 33,343 $1.65M
2023 43,559 $2.05M
2024 29,900 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,957 17,880 $1.55M
99283 Emergency department visit for the evaluation and management, moderate severity 15,318 14,871 $1.46M
99284 Emergency department visit for the evaluation and management, high severity 8,898 8,624 $1.10M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,194 5,062 $558K
T1015 Clinic visit/encounter, all-inclusive 14,544 4,233 $531K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,188 3,039 $523K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,708 3,706 $409K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,162 3,981 $232K
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 2,538 2,469 $195K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,110 1,078 $187K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,500 1,478 $169K
G0378 Hospital observation service, per hour 177 161 $141K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,597 2,546 $118K
80053 Comprehensive metabolic panel 9,509 8,970 $94K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,702 2,668 $92K
80050 General health panel 2,030 1,993 $83K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,048 11,353 $61K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,770 5,480 $61K
S9083 Global fee urgent care centers 594 542 $59K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,459 1,448 $54K
80061 Lipid panel 3,317 3,281 $42K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,885 2,814 $42K
71275 Computed tomographic angiography, chest, with contrast material 215 209 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,879 5,726 $39K
97162 526 522 $35K
97161 444 436 $31K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 480 418 $29K
87070 4,094 4,026 $29K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 124 123 $28K
70450 Computed tomography, head or brain; without contrast material 465 445 $28K
71045 Radiologic examination, chest; single view 3,613 3,483 $27K
X0620 136 131 $26K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 242 159 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material 266 257 $20K
84443 Thyroid stimulating hormone (TSH) 943 925 $19K
87086 Culture, bacterial; quantitative colony count, urine 2,393 2,322 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 226 226 $17K
80048 Basic metabolic panel (calcium, ionized) 2,138 2,060 $17K
77067 Screening mammography, bilateral, including computer-aided detection 188 188 $16K
83690 3,080 2,942 $13K
71046 Radiologic examination, chest; 2 views 962 947 $12K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 458 456 $12K
83880 441 424 $11K
73630 975 833 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 77 77 $10K
72125 Computed tomography, cervical spine; without contrast material 158 154 $10K
73610 539 505 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material 142 142 $9K
83735 1,562 1,438 $9K
81001 2,874 2,767 $8K
87631 55 54 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 145 143 $7K
83036 Hemoglobin; glycosylated (A1C) 1,094 1,080 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 24 24 $7K
86803 372 368 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 196 116 $6K
87040 290 276 $5K
73564 258 230 $5K
84702 318 271 $5K
82728 488 478 $5K
73562 366 290 $5K
97164 152 148 $5K
84484 912 830 $5K
85610 1,558 1,374 $5K
73030 363 339 $5K
71250 91 88 $5K
85379 541 530 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 130 127 $5K
85730 830 793 $5K
84439 623 615 $5K
83605 689 673 $5K
73130 386 342 $4K
84153 213 210 $4K
99050 40 36 $4K
77063 Screening digital breast tomosynthesis, bilateral 188 188 $4K
82607 338 338 $4K
82570 549 530 $4K
85027 599 545 $4K
97163 61 61 $4K
80076 482 473 $4K
83540 469 464 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 149 147 $3K
87186 447 437 $3K
81002 1,024 1,000 $3K
72110 153 152 $3K
73110 291 264 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 17 17 $3K
82043 449 446 $3K
73502 176 160 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 136 134 $3K
87077 439 433 $3K
82805 92 84 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 12 $3K
82784 146 142 $3K
94729 95 94 $3K
93971 41 41 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 193 180 $2K
86618 111 110 $2K
81003 912 878 $2K
92567 183 178 $2K
86003 12 12 $2K
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 40 38 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 110 109 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,403 1,347 $2K
83550 440 436 $2K
87147 624 610 $2K
70486 24 24 $2K
94727 95 94 $2K
90715 146 143 $2K
J7030 Infusion, normal saline solution , 1000 cc 616 522 $2K
76770 43 43 $2K
86140 493 479 $1K
96367 79 53 $1K
86038 89 88 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $1K
82746 106 104 $1K
92557 41 39 $1K
84403 44 43 $1K
83970 31 31 $1K
72050 43 43 $1K
86850 151 147 $1K
87522 Neg quan hep c or qual rna 25 25 $1K
87430 158 158 $995.40
85652 325 315 $864.25
84145 50 50 $817.17
73080 75 69 $762.20
86901 201 197 $709.71
86900 202 198 $705.90
87340 57 56 $691.12
82550 108 106 $639.35
97168 13 13 $623.87
J1885 Injection, ketorolac tromethamine, per 15 mg 4,703 4,361 $604.42
86255 30 30 $560.44
82948 272 245 $495.60
73590 34 30 $493.93
83721 45 45 $487.89
94060 50 49 $484.92
85007 133 108 $484.20
84144 28 26 $475.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,697 2,362 $413.90
J2270 Injection, morphine sulfate, up to 10 mg 266 236 $399.40
86430 59 58 $382.57
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 13 13 $369.96
84100 76 73 $339.31
84550 57 57 $320.39
86706 28 28 $315.96
86704 27 27 $310.40
74018 27 27 $304.72
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,523 3,071 $281.45
84146 14 14 $276.90
72100 13 13 $263.38
J7050 Infusion, normal saline solution, 250 cc 326 132 $239.07
82947 55 53 $213.53
83001 12 12 $213.15
94010 28 28 $204.41
84156 58 52 $196.84
73140 19 18 $169.08
J1170 Injection, hydromorphone, up to 4 mg 621 505 $162.54
300 Patient transfer system <300 37 13 $161.97
83655 15 15 $160.80
36415 Collection of venous blood by venipuncture 763 665 $159.57
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 14 13 $158.61
83525 13 13 $132.00
J3475 Injection, magnesium sulfate, per 500 mg 558 516 $121.58
J3010 Injection, fentanyl citrate, 0.1 mg 642 567 $112.95
87205 29 29 $105.48
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 54 52 $101.00
J2765 Injection, metoclopramide hcl, up to 10 mg 686 658 $83.43
J1200 Injection, diphenhydramine hcl, up to 50 mg 798 687 $71.47
86592 13 13 $50.16
96375 Therapeutic injection; each additional sequential IV push 14 13 $49.76
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 17 13 $21.67
81025 43 40 $20.00
J2060 Injection, lorazepam, 2 mg 30 27 $7.29
94760 15 12 $1.14
J2704 Injection, propofol, 10 mg 540 440 $0.00
J0690 Injection, cefazolin sodium, 500 mg 44 41 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 42 41 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 29 28 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 14 14 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 13 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 94 87 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 39 35 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 26 24 $0.00
J1756 Injection, iron sucrose, 1 mg 163 79 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 38 32 $0.00
J1171 Injection, hydromorphone, 0.1 mg 31 20 $0.00