Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Butler Healthcare Providers

Butler Healthcare Providers was paid $10.40M by Medicaid between Jan 2018 and Dec 2024, across 235 billing codes. Its largest line is H0039, Assertive community treatment, face-to-face, per 15 minutes — 35% of everything it billed.

33Billing provider infoBUTLER HEALTHCARE PROVIDERS
BUTLER, PA 16001
33aNPI1447317896assigned 01/03/2007
33bProvider typeGeneral Acute Care Hospital
28Total paid$10.40M
24GClaims250,608
24DCodes billed235
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#28 of 154
Median peer was paid$2.82M
This provider vs. median3.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MADDEN, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2018751$30K
2019547$7K
202032,390$714K
202190,186$3.04M
202248,610$2.46M
202345,147$2.24M
2024incomplete32,977$1.90M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0039 Assertive community treatment, face-to-face, per 15 minutes 35% 13,028 1,972 $3.65M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 26,008 25,107 $3.41M
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 4.8% 6,255 5,776 $495K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.9% 2,914 2,818 $402K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.8% 2,811 2,723 $290K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.5% 10,327 9,076 $257K
80053 Comprehensive metabolic panel 1.8% 23,459 21,650 $187K
G0378 Hospital observation service, per hour 1.3% 373 329 $140K
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 1.1% 5,997 5,534 $113K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,178 5,019 $99K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 22,026 20,403 $87K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,588 3,473 $82K
223 more codes
70450 Computed tomography, head or brain; without contrast material <1% 2,062 $82K
71046 Radiologic examination, chest; 2 views <1% 8,506 $82K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 895 $75K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 955 $45K
0001A <1% 1,263 $45K
87428 <1% 1,321 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,073 $44K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 389 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 835 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 906 $32K
80061 Lipid panel <1% 2,970 $32K
0002A <1% 768 $31K
80050 General health panel <1% 729 $27K
84484 <1% 3,852 $27K
84443 Thyroid stimulating hormone (TSH) <1% 1,773 $26K
87081 <1% 4,468 $24K
96375 Therapeutic injection; each additional sequential IV push <1% 2,308 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 473 $19K
77067 Screening mammography, bilateral, including computer-aided detection <1% 243 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 767 $18K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 685 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 220 $17K
81001 <1% 8,462 $17K
83690 <1% 4,355 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 891 $13K
80048 Basic metabolic panel (calcium, ionized) <1% 2,663 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,584 $12K
96361 Intravenous infusion, hydration; each additional hour <1% 1,815 $10K
0004A <1% 231 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 154 $9K
86001 <1% 2,209 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 253 $9K
95811 <1% 23 $9K
81025 <1% 2,855 $8K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 237 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 34 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,594 $8K
85027 <1% 2,084 $8K
87490 <1% 388 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 64 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,520 $7K
82728 <1% 795 $7K
87797 <1% 319 $7K
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% 106 $6K
82607 <1% 743 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 52 $6K
77063 Screening digital breast tomosynthesis, bilateral <1% 230 $6K
83540 <1% 856 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 215 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 61 $5K
86803 <1% 314 $5K
93971 <1% 101 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 167 $4K
36415 Collection of venous blood by venipuncture <1% 12,461 $4K
0124A <1% 83 $3K
0071A <1% 82 $3K
84439 <1% 558 $3K
87522 Neg quan hep c or qual rna <1% 89 $3K
86140 <1% 1,364 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 238 $3K
93017 <1% 147 $3K
0072A <1% 69 $3K
64635 <1% 18 $3K
82570 <1% 389 $3K
80076 <1% 385 $3K
71250 <1% 68 $3K
83550 <1% 759 $3K
86618 <1% 140 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 25 $3K
83735 <1% 567 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 563 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $2K
93970 <1% 127 $2K
84702 <1% 180 $2K
87186 <1% 499 $2K
85610 <1% 1,259 $2K
88342 <1% 70 $2K
83880 <1% 198 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 72 $2K
83721 <1% 246 $2K
76830 Ultrasound, transvaginal <1% 58 $2K
85651 <1% 767 $2K
76536 <1% 51 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 74 $2K
82043 <1% 274 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 33 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 63 $2K
0003A <1% 37 $2K
73030 <1% 167 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 39 $1K
85730 <1% 509 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 66 $1K
76801 <1% 42 $1K
86038 <1% 105 $1K
72110 <1% 146 $1K
87077 <1% 360 $1K
85379 <1% 311 $1K
76642 <1% 36 $1K
82565 <1% 291 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 46 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 28 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,154 $1K
86480 <1% 14 $1K
73610 <1% 168 $1K
84153 <1% 51 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 128 $1K
82746 <1% 151 $1K
83655 <1% 98 $1K
84145 <1% 172 $977.95
87340 <1% 72 $930.54
88313 <1% 29 $899.34
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% 24 $888.36
86850 <1% 279 $858.66
73564 <1% 101 $857.31
87075 <1% 101 $841.96
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 17 $816.62
73630 <1% 194 $787.39
82550 <1% 194 $781.41
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 15 $761.22
73560 <1% 90 $737.16
84403 <1% 27 $735.56
97162 <1% 40 $734.71
87070 <1% 145 $717.49
84520 <1% 184 $711.82
82948 <1% 880 $696.76
73502 <1% 74 $659.80
84146 <1% 31 $651.36
73130 <1% 118 $645.03
84550 <1% 111 $631.13
84100 <1% 130 $627.41
95806 <1% 14 $603.02
83615 <1% 114 $594.75
87653 <1% 16 $589.59
93976 <1% 18 $548.29
87205 <1% 168 $536.34
87481 <1% 13 $530.96
0054A <1% 13 $528.80
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 25 $509.49
86900 <1% 330 $485.07
80055 <1% 41 $477.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 24 $467.30
94729 <1% 29 $401.72
96376 <1% 78 $380.55
72050 <1% 29 $375.14
94726 <1% 29 $369.21
86160 <1% 12 $363.51
82947 <1% 613 $358.35
73110 <1% 66 $338.75
83605 <1% 92 $328.00
J3490 Unclassified drugs <1% 1,568 $313.21
71045 Radiologic examination, chest; single view <1% 86 $311.26
99153 Mod sedat endo service >5yrs <1% 138 $302.94
80178 <1% 44 $289.94
87088 <1% 47 $289.02
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie <1% 37 $279.36
J1170 Injection, hydromorphone, up to 4 mg <1% 665 $276.46
93880 <1% 15 $268.51
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 49 $240.79
84460 <1% 40 $232.84
J2704 Injection, propofol, 10 mg <1% 1,109 $229.85
84480 <1% 29 $228.83
82950 <1% 36 $224.70
86901 <1% 65 $220.86
93226 <1% 12 $219.09
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 500 $211.84
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 25 $207.43
83001 <1% 12 $207.04
88304 <1% 105 $200.72
94644 <1% 14 $197.89
99152 <1% 156 $195.92
82248 <1% 32 $192.13
84450 <1% 37 $184.04
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% 153 $183.79
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,542 $169.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 20 $155.41
74018 <1% 12 $149.02
84156 <1% 39 $148.54
73080 <1% 26 $141.87
82140 <1% 36 $137.75
82977 <1% 19 $132.20
86431 <1% 16 $124.05
87185 <1% 34 $120.14
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 12 $119.88
84703 <1% 154 $118.91
93225 <1% 12 $100.58
80164 <1% 13 $94.69
J0690 Injection, cefazolin sodium, 500 mg <1% 765 $92.08
85045 <1% 20 $88.85
86592 <1% 27 $87.04
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,984 $84.55
87184 <1% 14 $76.88
85018 <1% 45 $75.72
84436 <1% 12 $66.43
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,707 $63.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 893 $59.63
J1644 Injection, heparin sodium, per 1000 units <1% 196 $51.92
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 86 $51.74
87147 <1% 14 $42.63
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 76 $38.79
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each <1% 29 $35.28
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 212 $32.88
85014 <1% 14 $28.41
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,941 $25.29
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard <1% 102 $21.00
J2270 Injection, morphine sulfate, up to 10 mg <1% 98 $19.00
A9585 Injection, gadobutrol, 0.1 ml <1% 118 $15.61
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 49 $13.53
76937 <1% 15 $12.75
94060 <1% 17 $12.65
J1650 Injection, enoxaparin sodium, 10 mg <1% 66 $11.92
J0780 Injection, prochlorperazine, up to 10 mg <1% 15 $5.58
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% 323 $3.82
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 13 $2.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 32 $0.66
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 114 $0.20
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 27 $0.13
3044F 0% 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 22 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 0% 30 $0.00
3051F 0% 38 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 14 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 44 $0.00
90715 0% 27 $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

Who's on the registration

Authorized officialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
Same official

Other billing entities under MADDEN, SCOTT

Full network →
ProviderLocationPaid
Clarion HospitalClarion, PA$2.09M
Butler Healthcare ProvidersButler, PA$1.47M
Clarion Hospital EMSClarion, PA$1.01M
Butler Memorial HospitalButler, PA$379K
Butler Medical ProvidersButler, PA$345K
Butler Medical ProvidersSeneca, PA$208K
Butler Medical ProvidersButler, PA$77K
Butler Medical ProvidersButler, PA$33K
Butler Medical ProvidersButler, PA$32K
Butler Medical ProvidersNew Castle, PA$32K
Butler Medical ProvidersButler, PA$28K
Butler Medical ProvidersNew Castle, PA$20K
Butler Medical ProvidersSlippery Rock, PA$12K
Butler Medical ProvidersButler, PA$11K
Butler Medical ProvidersButler, PA$11K
BHS Faster Care PLLCButler, PA$2K
Butler Medical ProvidersFairmount City, PA$2K
Butler Medical ProvidersFord City, PA$595.87
Butler Medical ProvidersButler, PA$595.26
Butler Medical ProvidersButler, PA$486.15

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.