Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BUTLER HEALTHCARE PROVIDERS

NPI: 1447317896 · BUTLER, PA 16001 · General Acute Care Hospital · NPI assigned 01/03/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MADDEN, SCOTT controls 20+ related entities in our dataset. Read more

$10.40M
Total Medicaid Paid
250,608
Total Claims
220,787
Beneficiaries
235
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
NPI Enumeration Date01/03/2007

Related Entities

Other providers sharing the same authorized official: MADDEN, SCOTT

ProviderCityStateTotal Paid
CLARION HOSPITAL CLARION PA $2.09M
BUTLER HEALTHCARE PROVIDERS BUTLER PA $1.47M
CLARION HOSPITAL EMS CLARION PA $1.01M
BUTLER MEMORIAL HOSPITAL BUTLER PA $379K
BUTLER MEDICAL PROVIDERS BUTLER PA $345K
BUTLER MEDICAL PROVIDERS SENECA PA $208K
BUTLER MEDICAL PROVIDERS BUTLER PA $77K
BUTLER MEDICAL PROVIDERS BUTLER PA $33K
BUTLER MEDICAL PROVIDERS BUTLER PA $32K
BUTLER MEDICAL PROVIDERS NEW CASTLE PA $32K
BUTLER MEDICAL PROVIDERS BUTLER PA $28K
BUTLER MEDICAL PROVIDERS NEW CASTLE PA $20K
BUTLER MEDICAL PROVIDERS SLIPPERY ROCK PA $12K
BUTLER MEDICAL PROVIDERS BUTLER PA $11K
BUTLER MEDICAL PROVIDERS BUTLER PA $11K
BHS FASTER CARE PLLC BUTLER PA $2K
BUTLER MEDICAL PROVIDERS FAIRMOUNT CITY PA $2K
BUTLER MEDICAL PROVIDERS FORD CITY PA $595.87
BUTLER MEDICAL PROVIDERS BUTLER PA $595.26
BUTLER MEDICAL PROVIDERS BUTLER PA $486.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 751 $30K
2019 547 $7K
2020 32,390 $714K
2021 90,186 $3.04M
2022 48,610 $2.46M
2023 45,147 $2.24M
2024 32,977 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 13,028 1,972 $3.65M
99284 Emergency department visit for the evaluation and management, high severity 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 6,255 5,776 $495K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,914 2,818 $402K
99283 Emergency department visit for the evaluation and management, moderate severity 2,811 2,723 $290K
T1015 Clinic visit/encounter, all-inclusive 10,327 9,076 $257K
80053 Comprehensive metabolic panel 23,459 21,650 $187K
G0378 Hospital observation service, per hour 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 5,997 5,534 $113K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,178 5,019 $99K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,026 20,403 $87K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,588 3,473 $82K
70450 Computed tomography, head or brain; without contrast material 2,062 1,993 $82K
71046 Radiologic examination, chest; 2 views 8,506 8,230 $82K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 895 883 $75K
74176 Computed tomography, abdomen and pelvis; without contrast material 955 932 $45K
0001A 1,263 1,261 $45K
87428 1,321 1,312 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,073 6,754 $44K
74177 Computed tomography, abdomen and pelvis; with contrast material 389 376 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 835 721 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 906 852 $32K
80061 Lipid panel 2,970 2,898 $32K
0002A 768 766 $31K
80050 General health panel 729 718 $27K
84484 3,852 3,569 $27K
84443 Thyroid stimulating hormone (TSH) 1,773 1,712 $26K
87081 4,468 4,415 $24K
96375 Therapeutic injection; each additional sequential IV push 2,308 2,026 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 473 466 $19K
77067 Screening mammography, bilateral, including computer-aided detection 243 242 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 767 743 $18K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 685 678 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity 220 210 $17K
81001 8,462 8,152 $17K
83690 4,355 4,206 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 891 820 $13K
80048 Basic metabolic panel (calcium, ionized) 2,663 1,992 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,584 1,340 $12K
96361 Intravenous infusion, hydration; each additional hour 1,815 1,597 $10K
0004A 231 231 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 154 153 $9K
86001 2,209 2,159 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material 253 249 $9K
95811 23 23 $9K
81025 2,855 2,774 $8K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 237 218 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 34 33 $8K
87086 Culture, bacterial; quantitative colony count, urine 1,594 1,491 $8K
85027 2,084 1,636 $8K
87490 388 368 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 64 64 $7K
83036 Hemoglobin; glycosylated (A1C) 1,520 1,477 $7K
82728 795 767 $7K
87797 319 305 $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 106 95 $6K
82607 743 726 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 52 52 $6K
77063 Screening digital breast tomosynthesis, bilateral 230 229 $6K
83540 856 823 $5K
72125 Computed tomography, cervical spine; without contrast material 215 205 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 61 61 $5K
86803 314 300 $5K
93971 101 100 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 167 95 $4K
36415 Collection of venous blood by venipuncture 12,461 11,056 $4K
0124A 83 83 $3K
0071A 82 82 $3K
84439 558 535 $3K
87522 Neg quan hep c or qual rna 89 83 $3K
86140 1,364 1,245 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 238 216 $3K
93017 147 146 $3K
0072A 69 68 $3K
64635 18 12 $3K
82570 389 374 $3K
80076 385 358 $3K
71250 68 67 $3K
83550 759 729 $3K
86618 140 135 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $3K
83735 567 452 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 563 421 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $2K
93970 127 126 $2K
84702 180 154 $2K
87186 499 474 $2K
85610 1,259 890 $2K
88342 70 69 $2K
83880 198 183 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 72 71 $2K
83721 246 241 $2K
76830 Ultrasound, transvaginal 58 58 $2K
85651 767 698 $2K
76536 51 51 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 74 73 $2K
82043 274 264 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 33 33 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 63 61 $2K
0003A 37 37 $2K
73030 167 156 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 39 38 $1K
85730 509 470 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 66 65 $1K
76801 42 35 $1K
86038 105 105 $1K
72110 146 144 $1K
87077 360 343 $1K
85379 311 273 $1K
76642 36 35 $1K
82565 291 261 $1K
J2785 Injection, regadenoson, 0.1 mg 46 26 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 28 14 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,154 1,942 $1K
86480 14 14 $1K
73610 168 156 $1K
84153 51 51 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 128 119 $1K
82746 151 145 $1K
83655 98 94 $1K
84145 172 156 $977.95
87340 72 72 $930.54
88313 29 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 24 24 $888.36
86850 279 213 $858.66
73564 101 98 $857.31
87075 101 95 $841.96
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 17 13 $816.62
73630 194 186 $787.39
82550 194 177 $781.41
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 15 15 $761.22
73560 90 89 $737.16
84403 27 27 $735.56
97162 40 38 $734.71
87070 145 134 $717.49
84520 184 166 $711.82
82948 880 502 $696.76
73502 74 70 $659.80
84146 31 30 $651.36
73130 118 112 $645.03
84550 111 95 $631.13
84100 130 92 $627.41
95806 14 13 $603.02
83615 114 74 $594.75
87653 16 16 $589.59
93976 18 18 $548.29
87205 168 156 $536.34
87481 13 13 $530.96
0054A 13 13 $528.80
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 25 $509.49
86900 330 261 $485.07
80055 41 39 $477.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24 24 $467.30
94729 29 29 $401.72
96376 78 55 $380.55
72050 29 28 $375.14
94726 29 29 $369.21
86160 12 12 $363.51
82947 613 479 $358.35
73110 66 63 $338.75
83605 92 86 $328.00
J3490 Unclassified drugs 1,568 1,170 $313.21
71045 Radiologic examination, chest; single view 86 84 $311.26
99153 Mod sedat endo service >5yrs 138 124 $302.94
80178 44 39 $289.94
87088 47 46 $289.02
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 37 37 $279.36
J1170 Injection, hydromorphone, up to 4 mg 665 462 $276.46
93880 15 15 $268.51
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 49 49 $240.79
84460 40 40 $232.84
J2704 Injection, propofol, 10 mg 1,109 895 $229.85
84480 29 28 $228.83
82950 36 36 $224.70
86901 65 51 $220.86
93226 12 12 $219.09
G0463 Hospital outpatient clinic visit for assessment and management of a patient 500 442 $211.84
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 25 19 $207.43
83001 12 12 $207.04
88304 105 92 $200.72
94644 14 12 $197.89
99152 156 129 $195.92
82248 32 29 $192.13
84450 37 33 $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 153 147 $183.79
J1885 Injection, ketorolac tromethamine, per 15 mg 2,542 2,226 $169.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 20 12 $155.41
74018 12 12 $149.02
84156 39 36 $148.54
73080 26 24 $141.87
82140 36 31 $137.75
82977 19 15 $132.20
86431 16 16 $124.05
87185 34 31 $120.14
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 12 12 $119.88
84703 154 147 $118.91
93225 12 12 $100.58
80164 13 12 $94.69
J0690 Injection, cefazolin sodium, 500 mg 765 536 $92.08
85045 20 14 $88.85
86592 27 27 $87.04
J3010 Injection, fentanyl citrate, 0.1 mg 1,984 1,439 $84.55
87184 14 13 $76.88
85018 45 39 $75.72
84436 12 12 $66.43
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,707 2,162 $63.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 893 760 $59.63
J1644 Injection, heparin sodium, per 1000 units 196 107 $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 86 50 $51.74
87147 14 14 $42.63
J0330 Injection, succinylcholine chloride, up to 20 mg 76 58 $38.79
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 29 14 $35.28
J1200 Injection, diphenhydramine hcl, up to 50 mg 212 182 $32.88
85014 14 14 $28.41
J2250 Injection, midazolam hydrochloride, per 1 mg 1,941 1,550 $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 102 39 $21.00
J2270 Injection, morphine sulfate, up to 10 mg 98 79 $19.00
A9585 Injection, gadobutrol, 0.1 ml 118 97 $15.61
J2370 Injection, phenylephrine hcl, up to 1 ml 49 38 $13.53
76937 15 13 $12.75
94060 17 17 $12.65
J1650 Injection, enoxaparin sodium, 10 mg 66 39 $11.92
J0780 Injection, prochlorperazine, up to 10 mg 15 12 $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 323 259 $3.82
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $2.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 32 25 $0.66
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 114 92 $0.20
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 27 12 $0.13
3044F 13 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 22 17 $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 30 13 $0.00
3051F 38 37 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 14 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 44 42 $0.00
90715 27 26 $0.00