SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SPU
NPI: 1568503449
· POTTSVILLE, PA 17901
· 261QA1903X
$913.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
318 |
$378.41 |
| 2021 |
1,355 |
$535.58 |
| 2022 |
1,202 |
$0.00 |
| 2023 |
2,361 |
$0.00 |
| 2024 |
2,389 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J3010 |
Fentanyl citrate injection |
1,202 |
1,099 |
$251.57 |
| J2704 |
Inj, propofol, 10 mg |
1,419 |
1,261 |
$216.06 |
| J2250 |
Inj midazolam hydrochloride |
1,106 |
1,061 |
$155.35 |
| J2405 |
Ondansetron hcl injection |
1,175 |
1,143 |
$128.69 |
| J7120 |
Ringers lactate infusion |
1,275 |
1,223 |
$50.36 |
| 88305 |
|
31 |
28 |
$50.22 |
| J1100 |
Dexamethasone sodium phos |
612 |
585 |
$38.70 |
| J1885 |
Ketorolac tromethamine inj |
664 |
634 |
$21.18 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
24 |
$1.86 |
| 84703 |
|
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
57 |
57 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
45 |
43 |
$0.00 |