Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › ERIE › UPMC HAMOT

UPMC HAMOT

NPI: 1487647590 · ERIE, PA 16550 · Clinic/Center · NPI assigned 08/24/2005

$18.06M
Total Medicaid Paid
631,335
Total Claims
540,883
Beneficiaries
334
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDINGER, BRAD (CFO)
NPI Enumeration Date08/24/2005

Related Entities

Other providers sharing the same authorized official: DINGER, BRAD

ProviderCityStateTotal Paid
UPMC NORTHWEST SENECA PA $5.33M
UPMC KANE KANE PA $1.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 305 $28K
2019 1,203 $33K
2020 62,186 $1.58M
2021 247,331 $8.04M
2022 110,637 $3.11M
2023 119,217 $2.92M
2024 90,456 $2.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 45,972 44,167 $5.29M
99283 Emergency department visit for the evaluation and management, moderate severity 27,509 26,582 $2.17M
G0378 Hospital observation service, per hour 5,487 2,321 $1.72M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,266 9,770 $1.40M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,151 5,079 $438K
T1015 Clinic visit/encounter, all-inclusive 14,397 12,109 $413K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 3,428 983 $382K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15,467 14,478 $340K
80048 Basic metabolic panel (calcium, ionized) 43,893 39,643 $331K
J9271 Injection, pembrolizumab, 1 mg 395 324 $291K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55,058 48,972 $261K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,735 1,682 $222K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,632 1,480 $208K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,010 21,545 $182K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 1,455 380 $162K
70450 Computed tomography, head or brain; without contrast material 2,958 2,813 $155K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 669 657 $136K
71046 Radiologic examination, chest; 2 views 9,067 8,811 $130K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 502 479 $103K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 412 400 $99K
80053 Comprehensive metabolic panel 9,703 7,645 $98K
96375 Therapeutic injection; each additional sequential IV push 7,245 6,545 $95K
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 1,463 1,432 $94K
88342 2,279 2,227 $90K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,376 1,316 $89K
J3490 Unclassified drugs 10,769 6,041 $87K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 523 509 $82K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,845 5,651 $79K
99502 818 473 $79K
80076 10,986 10,364 $77K
84484 11,260 10,237 $73K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,274 1,243 $71K
77067 Screening mammography, bilateral, including computer-aided detection 833 827 $70K
71275 Computed tomographic angiography, chest, with contrast material 535 529 $68K
70551 Magnetic resonance imaging, brain; without contrast material 286 279 $62K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,145 1,547 $59K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,621 1,118 $59K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,220 1,188 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,598 4,622 $56K
72141 254 247 $56K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,041 7,378 $55K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 376 364 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,446 1,399 $47K
95811 106 105 $44K
72125 Computed tomography, cervical spine; without contrast material 903 856 $44K
71045 Radiologic examination, chest; single view 7,979 7,502 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,062 955 $43K
93971 802 769 $42K
59025 Fetal non-stress test 1,126 879 $39K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 323 146 $36K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,645 853 $35K
99501 315 191 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,332 1,245 $35K
76536 752 726 $33K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 88 86 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters 150 144 $33K
83690 8,451 7,985 $32K
73221 138 134 $31K
77066 Tomosynthesis, mammo 364 359 $28K
70498 265 260 $28K
70496 267 263 $28K
81001 10,106 9,946 $26K
76642 642 629 $26K
93970 334 324 $25K
96367 1,142 593 $25K
71250 439 422 $25K
73630 2,458 2,309 $24K
82728 2,284 2,195 $24K
J1756 Injection, iron sucrose, 1 mg 2,976 1,717 $24K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 198 196 $23K
76830 Ultrasound, transvaginal 555 545 $23K
78264 257 249 $21K
87086 Culture, bacterial; quantitative colony count, urine 3,531 3,281 $21K
70486 367 362 $21K
77065 Tomosynthesis, mammo 340 319 $20K
81025 6,292 5,779 $20K
93976 302 295 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 405 351 $19K
J2785 Injection, regadenoson, 0.1 mg 685 676 $19K
77063 Screening digital breast tomosynthesis, bilateral 833 827 $18K
87088 2,896 2,697 $18K
74178 90 90 $18K
72100 887 869 $17K
88341 306 294 $17K
76801 493 446 $17K
93017 539 527 $17K
93880 269 254 $17K
71260 Computed tomography, thorax, diagnostic; with contrast material 277 273 $17K
76770 356 347 $16K
J0185 Injection, aprepitant, 1 mg 179 111 $16K
96417 348 210 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 823 795 $16K
81003 6,898 6,335 $15K
83540 2,018 1,961 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 782 755 $15K
96361 Intravenous infusion, hydration; each additional hour 1,577 1,038 $14K
73610 898 852 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 333 317 $14K
76819 Fetal biophysical profile; without non-stress testing 304 224 $14K
93226 401 392 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 151 151 $13K
94729 518 505 $12K
76870 283 276 $12K
84443 Thyroid stimulating hormone (TSH) 792 761 $12K
76775 287 277 $11K
83735 2,745 2,031 $11K
80050 General health panel 228 221 $11K
96415 315 213 $11K
93923 293 276 $11K
94726 473 460 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 600 589 $10K
92587 323 317 $9K
73564 583 565 $9K
84702 652 609 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 276 253 $9K
83550 1,990 1,933 $9K
58558 12 12 $9K
73030 711 678 $9K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,778 1,725 $9K
73502 483 460 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 756 521 $8K
72156 39 39 $8K
78227 24 24 $8K
90715 1,075 1,006 $7K
83615 1,171 1,042 $7K
73130 743 716 $7K
72050 287 283 $7K
74018 651 607 $7K
83880 505 478 $7K
87040 788 555 $7K
93225 414 404 $6K
88313 208 199 $6K
J7030 Infusion, normal saline solution , 1000 cc 15,038 9,058 $6K
J1170 Injection, hydromorphone, up to 4 mg 11,143 6,362 $6K
73560 422 399 $6K
87077 1,140 1,069 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 15 15 $6K
96523 419 286 $5K
88360 107 105 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 173 173 $5K
80061 Lipid panel 563 544 $5K
85730 1,445 1,357 $5K
73110 514 492 $5K
J1815 Injection, insulin, per 5 units 642 416 $5K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 42 26 $5K
87186 890 832 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 194 192 $5K
85610 2,457 2,162 $5K
92567 373 364 $4K
86850 1,007 947 $4K
87210 884 830 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 243 216 $4K
43248 12 12 $4K
84439 638 626 $4K
73590 304 292 $4K
36415 Collection of venous blood by venipuncture 3,612 2,397 $4K
43235 27 26 $4K
74183 13 13 $4K
87631 13 13 $4K
84703 461 447 $4K
C9399 Unclassified drugs or biologicals 404 345 $4K
85027 1,332 1,082 $3K
83605 829 741 $3K
P9045 Infusion, albumin (human), 5%, 250 ml 218 154 $3K
70491 49 48 $3K
J2469 Injection, palonosetron hcl, 25 mcg 505 306 $3K
72070 173 166 $3K
73090 302 291 $3K
72040 182 177 $3K
86920 137 129 $3K
88312 43 41 $3K
82784 173 140 $3K
86901 1,142 1,074 $3K
82977 269 263 $3K
J3535 Drug administered through a metered dose inhaler 374 365 $3K
86900 1,114 1,048 $3K
88304 547 538 $2K
95819 229 220 $2K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,399 813 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 235 218 $2K
82570 398 312 $2K
73700 41 39 $2K
85378 377 358 $2K
73080 267 254 $2K
72110 116 115 $2K
80329 255 243 $2K
94060 263 257 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 24 24 $2K
94010 317 307 $2K
71271 29 29 $2K
83036 Hemoglobin; glycosylated (A1C) 553 531 $2K
J0690 Injection, cefazolin sodium, 500 mg 5,050 3,642 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,679 10,693 $2K
88307 344 330 $2K
92552 206 202 $2K
36430 51 40 $2K
88344 30 29 $2K
72158 15 13 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 20 20 $2K
97597 105 54 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,942 8,010 $1K
86140 625 600 $1K
84100 324 250 $1K
J7999 Compounded drug, not otherwise classified 1,783 1,339 $1K
84550 268 223 $1K
85652 553 529 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 800 666 $1K
88112 56 55 $1K
P9021 Red blood cells, each unit 28 24 $1K
84156 363 264 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,206 1,116 $1K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 70 62 $1K
73562 84 80 $1K
J7120 Ringers lactate infusion, up to 1000 cc 5,328 3,274 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 16,663 13,145 $1K
73060 135 129 $1K
92555 158 155 $1K
99153 Mod sedat endo service >5yrs 230 226 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 8,815 7,466 $1K
J1644 Injection, heparin sodium, per 1000 units 4,699 2,584 $1K
87070 288 274 $1K
82803 77 71 $991.32
84460 169 147 $931.59
97165 160 148 $881.63
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 163 153 $872.23
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $817.93
72131 13 13 $817.26
76882 135 128 $807.08
85046 131 125 $800.11
82565 243 225 $785.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 128 79 $773.57
77080 12 12 $733.57
C1769 Guide wire 138 128 $658.64
82607 77 76 $657.43
J0171 Injection, adrenalin, epinephrine, 0.1 mg 435 413 $654.07
80069 120 81 $647.63
96411 15 12 $644.06
J0696 Injection, ceftriaxone sodium, per 250 mg 1,996 1,594 $615.95
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 27 27 $614.43
97162 95 90 $605.61
84134 48 39 $583.49
94644 30 29 $576.42
S0020 Injection, bupivicaine hydrochloride, 30 ml 586 519 $576.37
87205 292 280 $575.77
82150 157 151 $565.78
73552 43 41 $559.72
84450 111 100 $553.23
82550 150 129 $537.23
86618 28 28 $509.80
J7050 Infusion, normal saline solution, 250 cc 5,826 3,706 $496.56
82248 107 90 $496.27
71101 40 39 $488.78
83970 12 12 $480.86
J2765 Injection, metoclopramide hcl, up to 10 mg 3,147 2,722 $477.83
92611 12 12 $463.73
93922 14 13 $450.04
J3475 Injection, magnesium sulfate, per 500 mg 1,421 1,159 $449.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,185 3,246 $406.28
73620 60 59 $381.55
87081 108 108 $349.21
95816 31 29 $346.91
82009 101 94 $331.64
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,684 1,272 $324.45
87430 40 40 $324.28
74022 13 13 $306.16
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 27 15 $303.30
85007 74 69 $298.86
72170 53 52 $295.76
85384 32 29 $291.22
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $287.86
74220 13 13 $274.50
J0694 Injection, cefoxitin sodium, 1 gm 57 28 $267.54
S0028 Injection, famotidine, 20 mg 309 192 $258.12
G0463 Hospital outpatient clinic visit for assessment and management of a patient 47 25 $241.08
82962 171 134 $239.38
J2270 Injection, morphine sulfate, up to 10 mg 388 273 $239.01
85347 44 44 $232.87
73600 26 26 $214.92
J0780 Injection, prochlorperazine, up to 10 mg 302 270 $214.10
J3480 Injection, potassium chloride, per 2 meq 674 265 $210.89
J2250 Injection, midazolam hydrochloride, per 1 mg 6,487 6,019 $206.23
Q9956 Injection, octafluoropropane microspheres, per ml 17 16 $205.53
85576 15 15 $182.55
82140 95 77 $175.02
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 13 13 $167.62
99152 41 39 $153.81
96376 533 265 $153.37
J0360 Injection, hydralazine hcl, up to 20 mg 287 206 $149.44
96368 15 12 $143.02
84520 57 49 $131.61
73140 13 13 $123.36
J1626 Injection, granisetron hydrochloride, 100 mcg 774 370 $117.34
J0280 Injection, aminophyllin, up to 250 mg 92 91 $116.14
86592 43 39 $112.54
J2060 Injection, lorazepam, 2 mg 942 770 $109.65
76937 54 49 $105.75
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 265 235 $102.42
73120 13 12 $100.69
J2704 Injection, propofol, 10 mg 2,356 1,945 $95.88
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 28 24 $93.29
J1630 Injection, haloperidol, up to 5 mg 219 179 $80.82
82247 14 14 $78.50
82043 12 12 $75.48
85651 33 32 $72.98
88302 13 13 $69.45
85014 55 42 $66.81
77001 16 13 $65.38
J7060 5% dextrose/water (500 ml = 1 unit) 257 200 $64.91
36600 15 14 $62.07
82330 14 12 $61.22
J1650 Injection, enoxaparin sodium, 10 mg 182 71 $61.16
85018 38 26 $57.13
94761 319 300 $56.96
J3370 Injection, vancomycin hcl, 500 mg 83 42 $55.50
85049 55 50 $53.61
84132 28 26 $36.77
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,162 958 $19.79
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,372 1,183 $15.98
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,833 2,629 $15.01
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,432 1,117 $13.77
Q0243 Injection, casirivimab and imdevimab, 2400 mg 75 73 $0.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 27 25 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 574 569 $0.00
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 29 27 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 27 25 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 31 31 $0.00
Q0247 Injection, sotrovimab, 500 mg 20 20 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 16 15 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 468 259 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 448 405 $0.00
J1171 Injection, hydromorphone, 0.1 mg 239 184 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 12 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 28 28 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 22 12 $0.00