Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › CLAIRTON › JEFFERSON REGIONAL MEDICAL CENTER

JEFFERSON REGIONAL MEDICAL CENTER

NPI: 1578560504 · CLAIRTON, PA 15025 · General Acute Care Hospital · NPI assigned 07/06/2005

$12.73M
Total Medicaid Paid
384,912
Total Claims
324,121
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, RICK (VP FINANCE)
NPI Enumeration Date07/06/2005

Related Entities

Other providers sharing the same authorized official: FRIES, RICK

ProviderCityStateTotal Paid
WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH PA $12.69M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. PITTSBURGH PA $10.81M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. MONROEVILLE PA $8.24M
ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS PA $6.09M
CANONSBURG GENERAL HOSPITAL CANONSBURG PA $2.97M
GROVE CITY MEDICAL CENTER GROVE CITY PA $2.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $3K
2019 311 $8K
2020 35,108 $841K
2021 170,153 $4.50M
2022 67,090 $2.44M
2023 64,132 $2.70M
2024 48,063 $2.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 4,027 3,793 $3.52M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,448 19,756 $2.99M
99284 Emergency department visit for the evaluation and management, high severity 12,148 11,923 $1.65M
99283 Emergency department visit for the evaluation and management, moderate severity 12,165 11,966 $1.41M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,129 3,078 $371K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,866 11,265 $213K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,538 2,503 $208K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,341 2,317 $154K
T1015 Clinic visit/encounter, all-inclusive 3,095 1,408 $148K
80053 Comprehensive metabolic panel 18,203 16,699 $134K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,952 26,988 $107K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,499 14,715 $97K
70450 Computed tomography, head or brain; without contrast material 2,146 2,084 $85K
96375 Therapeutic injection; each additional sequential IV push 6,804 6,055 $69K
84484 9,220 8,324 $66K
71275 Computed tomographic angiography, chest, with contrast material 577 561 $62K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,521 1,405 $61K
80048 Basic metabolic panel (calcium, ionized) 11,493 10,454 $58K
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 993 950 $55K
80050 General health panel 1,184 1,148 $45K
84443 Thyroid stimulating hormone (TSH) 2,202 2,153 $39K
71046 Radiologic examination, chest; 2 views 3,669 3,601 $39K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 473 471 $37K
74176 Computed tomography, abdomen and pelvis; without contrast material 652 636 $37K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 312 309 $36K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 497 295 $33K
96361 Intravenous infusion, hydration; each additional hour 3,544 3,295 $33K
99282 Emergency department visit for the evaluation and management, low to moderate severity 392 389 $32K
80061 Lipid panel 2,507 2,465 $32K
71045 Radiologic examination, chest; single view 5,885 5,672 $28K
77067 Screening mammography, bilateral, including computer-aided detection 317 315 $24K
87806 1,110 1,097 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 304 299 $23K
83690 7,343 6,989 $22K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 535 525 $22K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 169 169 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 649 640 $20K
86803 1,319 1,304 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 810 802 $19K
72125 Computed tomography, cervical spine; without contrast material 409 400 $18K
70496 192 191 $18K
81025 6,720 6,483 $18K
0002A 403 401 $18K
70498 197 195 $18K
0001A 419 416 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,331 1,164 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 740 733 $15K
80299 665 636 $14K
70551 Magnetic resonance imaging, brain; without contrast material 119 119 $14K
83735 3,370 2,820 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 305 301 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 168 166 $12K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 52 51 $12K
47562 13 13 $11K
71250 220 219 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 154 151 $11K
81001 6,087 5,896 $11K
93971 222 220 $11K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 295 295 $10K
85027 1,724 1,632 $10K
83036 Hemoglobin; glycosylated (A1C) 1,693 1,671 $10K
84702 616 485 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 348 341 $9K
76830 Ultrasound, transvaginal 252 249 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 41 40 $9K
82607 694 686 $8K
86780 506 503 $8K
87086 Culture, bacterial; quantitative colony count, urine 1,261 1,204 $8K
72141 42 42 $7K
93970 128 123 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 455 430 $7K
88342 353 343 $7K
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 156 156 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,444 1,023 $7K
0100U 185 181 $7K
85379 1,052 1,019 $7K
82728 629 615 $7K
84439 845 822 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 211 209 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 764 695 $6K
77063 Screening digital breast tomosynthesis, bilateral 297 295 $6K
80076 1,000 941 $6K
76801 172 155 $6K
81003 2,675 2,604 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 679 241 $5K
70486 97 97 $5K
87040 551 519 $5K
83880 421 397 $5K
76536 108 107 $5K
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 350 341 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 31 30 $5K
87340 295 294 $4K
84153 167 166 $4K
73610 329 320 $4K
83605 1,256 1,028 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 165 162 $4K
86850 791 760 $4K
97162 594 560 $4K
83970 96 95 $4K
76642 92 87 $4K
85610 1,777 1,480 $4K
96376 2,111 1,421 $4K
84999 1,139 1,031 $4K
83540 494 486 $4K
87077 623 585 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 12 $3K
93017 190 186 $3K
73630 407 383 $3K
82570 487 477 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 547 369 $3K
73564 219 211 $3K
73130 307 271 $3K
36415 Collection of venous blood by venipuncture 8,918 7,655 $3K
86762 138 137 $3K
73030 258 246 $3K
85730 981 900 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 71 67 $3K
J3490 Unclassified drugs 3,644 2,892 $3K
82043 362 359 $3K
82746 288 285 $3K
72100 167 165 $3K
86787 132 129 $3K
J7030 Infusion, normal saline solution , 1000 cc 11,766 8,848 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 523 270 $3K
87522 Neg quan hep c or qual rna 75 74 $2K
82805 209 197 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 21 21 $2K
87186 456 436 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 284 100 $2K
86900 876 844 $2K
J2785 Injection, regadenoson, 0.1 mg 78 69 $2K
86901 858 826 $2K
86038 129 127 $2K
77065 Tomosynthesis, mammo 32 30 $2K
87081 413 408 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 30 30 $2K
97161 52 52 $2K
87075 233 205 $2K
90715 277 259 $2K
83550 390 385 $2K
87631 18 17 $2K
73502 137 130 $2K
72131 36 33 $2K
82565 351 340 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 330 326 $1K
85652 569 539 $1K
82784 66 65 $1K
94729 63 63 $1K
84100 402 291 $1K
12001 25 24 $1K
86140 522 484 $1K
87802 115 114 $1K
82962 2,108 1,260 $1K
73110 141 134 $1K
82248 177 154 $1K
97164 38 37 $1K
80320 136 125 $1K
87070 261 233 $1K
86618 48 47 $1K
94726 49 49 $1K
84550 204 178 $992.47
0003A 38 38 $992.00
82550 238 211 $937.72
84466 55 54 $927.58
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 31 30 $921.11
88313 41 40 $847.90
87205 304 269 $836.77
83615 153 119 $783.25
86706 48 47 $684.30
87481 16 16 $682.25
82950 92 92 $678.15
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 13 $676.40
72040 42 42 $597.16
97166 319 296 $587.63
73560 56 51 $571.89
80329 98 92 $568.20
74018 63 60 $536.77
J2270 Injection, morphine sulfate, up to 10 mg 2,643 1,634 $495.01
86592 123 123 $492.05
J2704 Injection, propofol, 10 mg 3,362 2,595 $474.46
80074 12 12 $458.42
J1815 Injection, insulin, per 5 units 826 492 $450.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 82 79 $447.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 14 $398.45
84703 50 50 $395.86
84156 94 87 $354.67
J1885 Injection, ketorolac tromethamine, per 15 mg 9,134 5,075 $350.65
84481 12 12 $332.97
J7120 Ringers lactate infusion, up to 1000 cc 3,658 2,979 $300.17
87486 13 12 $297.88
80069 42 37 $295.93
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 413 340 $245.68
82947 73 73 $234.50
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 104 103 $233.29
86255 12 12 $231.76
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 134 130 $227.37
82105 13 13 $225.70
J3475 Injection, magnesium sulfate, per 500 mg 573 451 $215.96
82977 28 25 $213.87
93320 12 12 $204.68
84145 60 58 $203.10
J0780 Injection, prochlorperazine, up to 10 mg 549 424 $200.30
93325 12 12 $183.22
84460 26 26 $180.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 340 287 $172.64
C9113 Injection, pantoprazole sodium, per vial 969 529 $158.66
J0696 Injection, ceftriaxone sodium, per 250 mg 1,319 933 $155.90
84450 25 25 $151.08
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,952 5,273 $140.76
76937 29 28 $130.54
J1170 Injection, hydromorphone, up to 4 mg 655 414 $128.81
88304 125 125 $127.08
86430 14 14 $117.42
J3010 Injection, fentanyl citrate, 0.1 mg 2,619 2,060 $108.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,301 1,913 $100.60
83516 32 31 $99.85
94060 14 14 $97.35
95819 16 16 $96.66
82553 13 12 $93.20
J3370 Injection, vancomycin hcl, 500 mg 328 180 $92.28
J1650 Injection, enoxaparin sodium, 10 mg 434 219 $83.82
J0690 Injection, cefazolin sodium, 500 mg 1,612 1,243 $76.32
86308 12 12 $70.14
J1644 Injection, heparin sodium, per 1000 units 2,100 936 $67.67
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,576 1,276 $63.26
82140 18 13 $47.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 799 591 $44.84
J2060 Injection, lorazepam, 2 mg 410 284 $41.51
J3480 Injection, potassium chloride, per 2 meq 149 72 $34.13
94760 82 70 $32.39
C1769 Guide wire 87 76 $29.01
J2765 Injection, metoclopramide hcl, up to 10 mg 315 250 $28.79
J2250 Injection, midazolam hydrochloride, per 1 mg 2,545 2,161 $22.35
81002 12 12 $21.59
G0463 Hospital outpatient clinic visit for assessment and management of a patient 59 51 $21.07
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 296 271 $19.27
J2360 Injection, orphenadrine citrate, up to 60 mg 54 44 $18.03
S0030 Injection, metronidazole, 500 mg 192 95 $12.12
J7999 Compounded drug, not otherwise classified 319 285 $10.94
J2370 Injection, phenylephrine hcl, up to 1 ml 213 189 $9.36
J7060 5% dextrose/water (500 ml = 1 unit) 84 53 $7.78
A9270 Non-covered item or service 34,101 13,138 $7.58
J7050 Infusion, normal saline solution, 250 cc 132 89 $6.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,598 2,272 $5.91
94761 14 13 $5.33
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 123 105 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,189 2,798 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 133 68 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 68 65 $0.00
97116 18 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 241 197 $0.00
J1940 Injection, furosemide, up to 20 mg 16 12 $0.00
99153 Mod sedat endo service >5yrs 19 18 $0.00