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

UPMC Hamot

UPMC Hamot was paid $18.06M by Medicaid between Jan 2018 and Dec 2024, across 334 billing codes. Its largest line is 99284, emergency room visit (serious) — 29% of everything it billed.

33Billing provider infoUPMC HAMOT
ERIE, PA 16550
33aNPI1487647590assigned 08/24/2005
33bProvider typeClinic/Center
28Total paid$18.06M
24GClaims631,335
24DCodes billed334
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#10 of 176
Median peer was paid$441K
This provider vs. median41×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018305$28K
20191,203$33K
202062,186$1.58M
2021247,331$8.04M
2022110,637$3.11M
2023119,217$2.92M
2024incomplete90,456$2.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 29% 45,972 44,167 $5.29M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 27,509 26,582 $2.17M
G0378 Hospital observation service, per hour 9.6% 5,487 2,321 $1.72M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.8% 10,266 9,770 $1.40M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.4% 5,151 5,079 $438K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.3% 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 2.1% 3,428 983 $382K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 15,467 14,478 $340K
80048 Basic metabolic panel (calcium, ionized) 1.8% 43,893 39,643 $331K
J9271 Injection, pembrolizumab, 1 mg 1.6% 395 324 $291K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 55,058 48,972 $261K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 1,735 1,682 $222K
322 more codes
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.2% 2,632 $208K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.0% 23,010 $182K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes <1% 1,455 $162K
70450 Computed tomography, head or brain; without contrast material <1% 2,958 $155K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 669 $136K
71046 Radiologic examination, chest; 2 views <1% 9,067 $130K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 502 $103K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 412 $99K
80053 Comprehensive metabolic panel <1% 9,703 $98K
96375 Therapeutic injection; each additional sequential IV push <1% 7,245 $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% 1,463 $94K
88342 <1% 2,279 $90K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,376 $89K
J3490 Unclassified drugs <1% 10,769 $87K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 523 $82K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,845 $79K
99502 <1% 818 $79K
80076 <1% 10,986 $77K
84484 <1% 11,260 $73K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,274 $71K
77067 Screening mammography, bilateral, including computer-aided detection <1% 833 $70K
71275 Computed tomographic angiography, chest, with contrast material <1% 535 $68K
70551 Magnetic resonance imaging, brain; without contrast material <1% 286 $62K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,145 $59K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,621 $59K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,220 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,598 $56K
72141 <1% 254 $56K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,041 $55K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 376 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,446 $47K
95811 <1% 106 $44K
72125 Computed tomography, cervical spine; without contrast material <1% 903 $44K
71045 Radiologic examination, chest; single view <1% 7,979 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,062 $43K
93971 <1% 802 $42K
59025 Fetal non-stress test <1% 1,126 $39K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes <1% 323 $36K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,645 $35K
99501 <1% 315 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,332 $35K
76536 <1% 752 $33K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 88 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 150 $33K
83690 <1% 8,451 $32K
73221 <1% 138 $31K
77066 Tomosynthesis, mammo <1% 364 $28K
70498 <1% 265 $28K
70496 <1% 267 $28K
81001 <1% 10,106 $26K
76642 <1% 642 $26K
93970 <1% 334 $25K
96367 <1% 1,142 $25K
71250 <1% 439 $25K
73630 <1% 2,458 $24K
82728 <1% 2,284 $24K
J1756 Injection, iron sucrose, 1 mg <1% 2,976 $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 <1% 198 $23K
76830 Ultrasound, transvaginal <1% 555 $23K
78264 <1% 257 $21K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,531 $21K
70486 <1% 367 $21K
77065 Tomosynthesis, mammo <1% 340 $20K
81025 <1% 6,292 $20K
93976 <1% 302 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 405 $19K
J2785 Injection, regadenoson, 0.1 mg <1% 685 $19K
77063 Screening digital breast tomosynthesis, bilateral <1% 833 $18K
87088 <1% 2,896 $18K
74178 <1% 90 $18K
72100 <1% 887 $17K
88341 <1% 306 $17K
76801 <1% 493 $17K
93017 <1% 539 $17K
93880 <1% 269 $17K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 277 $17K
76770 <1% 356 $16K
J0185 Injection, aprepitant, 1 mg <1% 179 $16K
96417 <1% 348 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 823 $16K
81003 <1% 6,898 $15K
83540 <1% 2,018 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 782 $15K
96361 Intravenous infusion, hydration; each additional hour <1% 1,577 $14K
73610 <1% 898 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 333 $14K
76819 Fetal biophysical profile; without non-stress testing <1% 304 $14K
93226 <1% 401 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 151 $13K
94729 <1% 518 $12K
76870 <1% 283 $12K
84443 Thyroid stimulating hormone (TSH) <1% 792 $12K
76775 <1% 287 $11K
83735 <1% 2,745 $11K
80050 General health panel <1% 228 $11K
96415 <1% 315 $11K
93923 <1% 293 $11K
94726 <1% 473 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 600 $10K
92587 <1% 323 $9K
73564 <1% 583 $9K
84702 <1% 652 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 276 $9K
83550 <1% 1,990 $9K
58558 <1% 12 $9K
73030 <1% 711 $9K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,778 $9K
73502 <1% 483 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 756 $8K
72156 <1% 39 $8K
78227 <1% 24 $8K
90715 <1% 1,075 $7K
83615 <1% 1,171 $7K
73130 <1% 743 $7K
72050 <1% 287 $7K
74018 <1% 651 $7K
83880 <1% 505 $7K
87040 <1% 788 $7K
93225 <1% 414 $6K
88313 <1% 208 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 15,038 $6K
J1170 Injection, hydromorphone, up to 4 mg <1% 11,143 $6K
73560 <1% 422 $6K
87077 <1% 1,140 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 15 $6K
96523 <1% 419 $5K
88360 <1% 107 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 173 $5K
80061 Lipid panel <1% 563 $5K
85730 <1% 1,445 $5K
73110 <1% 514 $5K
J1815 Injection, insulin, per 5 units <1% 642 $5K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes <1% 42 $5K
87186 <1% 890 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 194 $5K
85610 <1% 2,457 $5K
92567 <1% 373 $4K
86850 <1% 1,007 $4K
87210 <1% 884 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 243 $4K
43248 <1% 12 $4K
84439 <1% 638 $4K
73590 <1% 304 $4K
36415 Collection of venous blood by venipuncture <1% 3,612 $4K
43235 <1% 27 $4K
74183 <1% 13 $4K
87631 <1% 13 $4K
84703 <1% 461 $4K
C9399 Unclassified drugs or biologicals <1% 404 $4K
85027 <1% 1,332 $3K
83605 <1% 829 $3K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 218 $3K
70491 <1% 49 $3K
J2469 Injection, palonosetron hcl, 25 mcg <1% 505 $3K
72070 <1% 173 $3K
73090 <1% 302 $3K
72040 <1% 182 $3K
86920 <1% 137 $3K
88312 <1% 43 $3K
82784 <1% 173 $3K
86901 <1% 1,142 $3K
82977 <1% 269 $3K
J3535 Drug administered through a metered dose inhaler <1% 374 $3K
86900 <1% 1,114 $3K
88304 <1% 547 $2K
95819 <1% 229 $2K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,399 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 235 $2K
82570 <1% 398 $2K
73700 <1% 41 $2K
85378 <1% 377 $2K
73080 <1% 267 $2K
72110 <1% 116 $2K
80329 <1% 255 $2K
94060 <1% 263 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 24 $2K
94010 <1% 317 $2K
71271 <1% 29 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 553 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 5,050 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 12,679 $2K
88307 <1% 344 $2K
92552 <1% 206 $2K
36430 <1% 51 $2K
88344 <1% 30 $2K
72158 <1% 15 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 20 $2K
97597 <1% 105 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 9,942 $1K
86140 <1% 625 $1K
84100 <1% 324 $1K
J7999 Compounded drug, not otherwise classified <1% 1,783 $1K
84550 <1% 268 $1K
85652 <1% 553 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 800 $1K
88112 <1% 56 $1K
P9021 Red blood cells, each unit <1% 28 $1K
84156 <1% 363 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 1,206 $1K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 70 $1K
73562 <1% 84 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,328 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,663 $1K
73060 <1% 135 $1K
92555 <1% 158 $1K
99153 Mod sedat endo service >5yrs <1% 230 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,815 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 4,699 $1K
87070 <1% 288 $1K
82803 <1% 77 $991.32
84460 <1% 169 $931.59
97165 <1% 160 $881.63
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 163 $872.23
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 12 $817.93
72131 <1% 13 $817.26
76882 <1% 135 $807.08
85046 <1% 131 $800.11
82565 <1% 243 $785.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 128 $773.57
77080 <1% 12 $733.57
C1769 Guide wire <1% 138 $658.64
82607 <1% 77 $657.43
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 435 $654.07
80069 <1% 120 $647.63
96411 <1% 15 $644.06
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,996 $615.95
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 27 $614.43
97162 <1% 95 $605.61
84134 <1% 48 $583.49
94644 <1% 30 $576.42
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 586 $576.37
87205 <1% 292 $575.77
82150 <1% 157 $565.78
73552 <1% 43 $559.72
84450 <1% 111 $553.23
82550 <1% 150 $537.23
86618 <1% 28 $509.80
J7050 Infusion, normal saline solution, 250 cc <1% 5,826 $496.56
82248 <1% 107 $496.27
71101 <1% 40 $488.78
83970 <1% 12 $480.86
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,147 $477.83
92611 <1% 12 $463.73
93922 <1% 14 $450.04
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,421 $449.36
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,185 $406.28
73620 <1% 60 $381.55
87081 <1% 108 $349.21
95816 <1% 31 $346.91
82009 <1% 101 $331.64
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,684 $324.45
87430 <1% 40 $324.28
74022 <1% 13 $306.16
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 27 $303.30
85007 <1% 74 $298.86
72170 <1% 53 $295.76
85384 <1% 32 $291.22
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $287.86
74220 <1% 13 $274.50
J0694 Injection, cefoxitin sodium, 1 gm <1% 57 $267.54
S0028 Injection, famotidine, 20 mg <1% 309 $258.12
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 47 $241.08
82962 <1% 171 $239.38
J2270 Injection, morphine sulfate, up to 10 mg <1% 388 $239.01
85347 <1% 44 $232.87
73600 <1% 26 $214.92
J0780 Injection, prochlorperazine, up to 10 mg <1% 302 $214.10
J3480 Injection, potassium chloride, per 2 meq <1% 674 $210.89
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,487 $206.23
Q9956 Injection, octafluoropropane microspheres, per ml <1% 17 $205.53
85576 <1% 15 $182.55
82140 <1% 95 $175.02
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 13 $167.62
99152 <1% 41 $153.81
96376 <1% 533 $153.37
J0360 Injection, hydralazine hcl, up to 20 mg <1% 287 $149.44
96368 <1% 15 $143.02
84520 <1% 57 $131.61
73140 <1% 13 $123.36
J1626 Injection, granisetron hydrochloride, 100 mcg <1% 774 $117.34
J0280 Injection, aminophyllin, up to 250 mg <1% 92 $116.14
86592 <1% 43 $112.54
J2060 Injection, lorazepam, 2 mg <1% 942 $109.65
76937 <1% 54 $105.75
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 265 $102.42
73120 <1% 13 $100.69
J2704 Injection, propofol, 10 mg <1% 2,356 $95.88
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 28 $93.29
J1630 Injection, haloperidol, up to 5 mg <1% 219 $80.82
82247 <1% 14 $78.50
82043 <1% 12 $75.48
85651 <1% 33 $72.98
88302 <1% 13 $69.45
85014 <1% 55 $66.81
77001 <1% 16 $65.38
J7060 5% dextrose/water (500 ml = 1 unit) <1% 257 $64.91
36600 <1% 15 $62.07
82330 <1% 14 $61.22
J1650 Injection, enoxaparin sodium, 10 mg <1% 182 $61.16
85018 <1% 38 $57.13
94761 <1% 319 $56.96
J3370 Injection, vancomycin hcl, 500 mg <1% 83 $55.50
85049 <1% 55 $53.61
84132 <1% 28 $36.77
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,162 $19.79
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,372 $15.98
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,833 $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% 1,432 $13.77
Q0243 Injection, casirivimab and imdevimab, 2400 mg <1% 75 $0.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 27 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 574 $0.00
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 0% 29 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 27 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 31 $0.00
Q0247 Injection, sotrovimab, 500 mg 0% 20 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 16 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 468 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 448 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 239 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 28 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 22 $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 officialDINGER, BRAD (CFO)
Same official

Other billing entities under DINGER, BRAD

Full network →
ProviderLocationPaid
UPMC NorthwestSeneca, PA$5.33M
UPMC KaneKane, PA$1.09M

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