Clinic
Ephrata Community Hospital-Spu
Ephrata Community Hospital-Spu was paid $100K by Medicaid between Jul 2020 and Dec 2024, across 20 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 95% of everything it billed.
33Billing provider infoEPHRATA COMMUNITY HOSPITAL-SPU
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1548423684assigned 07/09/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$100K
24GClaims10,120
24DCodes billed20
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#50 of 119
Median peer was paid$57K
This provider vs. median1.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 537 | $156.83 | |
| 2021 | 1,675 | $4K | |
| 2022 | 1,378 | $0.00 | |
| 2023 | 3,200 | $0.00 | |
| 2024incomplete | 3,330 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 95% | 38 | 38 | $94K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.4% | 12 | 12 | $2K |
| 88304 | 1.5% | 55 | 54 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 174 | 167 | $369.90 |
| J2704 | Injection, propofol, 10 mg | <1% | 2,227 | 1,931 | $289.70 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,772 | 1,330 | $215.20 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,321 | 1,187 | $132.34 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,224 | 1,088 | $124.87 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,262 | 1,146 | $90.18 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 535 | 413 | $77.18 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 316 | 234 | $6.08 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 585 | 558 | $0.00 |
8 more codes
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 39 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 59 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 32 | $0.00 |
| J2004 | Injection, lidocaine hcl with epinephrine, 1 mg | 0% | 14 | $0.00 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 0% | 12 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 329 | $0.00 |
| J3490 | Unclassified drugs | 0% | 90 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 24 | $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 officialCHAMBERS, ORIE (INTERIM PRESIDENT & VP PATIENT CARE)
| Provider | Location | Paid |
|---|---|---|
| Ephrata Community Hospital | Ephrata, PA | $8.10M |
| Ephrata Community Hospital | Ephrata, PA | $1.33M |
| Ephrata Community Hospital | Ephrata, PA | $107K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.