Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC

NPI: 1598992554 · STATE COLLEGE, PA 16803 · Plastic Surgery Physician · NPI assigned 06/17/2009

$536K
Total Medicaid Paid
20,385
Total Claims
18,626
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROACH, BRYAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationMOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
NPI Enumeration Date06/17/2009

Related Entities

Other providers sharing the same authorized official: ROACH, BRYAN

ProviderCityStateTotal Paid
MOUNT NITTANY MEDICAL CENTER STATE COLLEGE PA $4.32M
MOUNT NITTANY MEDICAL CENTER STATE COLLEGE PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,010 $12K
2019 1,862 $8K
2020 741 $21K
2021 5,429 $167K
2022 4,787 $144K
2023 3,649 $118K
2024 1,907 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,917 5,682 $244K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,980 5,627 $217K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,991 3,970 $18K
99215 Prolong outpt/office vis 208 203 $12K
92567 568 562 $7K
92557 183 182 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 49 49 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 54 53 $3K
90686 615 612 $3K
90682 120 120 $3K
99232 Subsequent hospital care, per day, moderate complexity 108 63 $3K
99223 Prolong inpt eval add15 m 37 37 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 28 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 51 $2K
97597 84 50 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 58 54 $1K
90715 74 73 $1K
90697 186 185 $1K
99238 Hospital discharge day management, 30 minutes or less 40 38 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 29 $798.55
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $770.66
90670 177 176 $579.93
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $567.11
90688 36 36 $498.90
92551 52 49 $465.97
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $451.39
77067 Screening mammography, bilateral, including computer-aided detection 13 13 $429.18
77063 Screening digital breast tomosynthesis, bilateral 13 13 $346.80
G0008 Administration of influenza virus vaccine 27 27 $300.00
69210 15 15 $194.35
99173 25 25 $155.41
99307 101 101 $116.45
90680 51 51 $26.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 131 105 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 39 38 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 14 $0.00
3288F 51 48 $0.00
1100F 51 48 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 30 30 $0.00
1090F 50 48 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 61 59 $0.00
90633 12 12 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 14 $0.00