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

Upmc Williamsport

Upmc Williamsport was paid $9.69M by Medicaid between Oct 2019 and Dec 2024, across 169 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.

33Billing provider infoUPMC WILLIAMSPORT
WILLIAMSPORT, PA 17701
33aNPI1609801976assigned 07/12/2006
28Total paid$9.69M
24GClaims317,269
24DCodes billed169
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#4 of 119
Median peer was paid$57K
This provider vs. median169×

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$200K$400K2018201920202021202220232024
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
2019580$49K
202024,784$701K
2021106,973$3.13M
202257,223$1.67M
202372,707$2.29M
2024incomplete55,002$1.86M
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 31% 32,724 31,086 $3.00M
G0378 Hospital observation service, per hour 15% 2,876 1,518 $1.45M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 19,138 18,353 $1.21M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.8% 8,813 8,345 $952K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 2,441 2,365 $384K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.6% 14,723 13,916 $348K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2.4% 550 537 $235K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.9% 3,433 3,060 $180K
96375 Therapeutic injection; each additional sequential IV push 1.6% 8,829 8,072 $151K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 1,241 520 $150K
80053 Comprehensive metabolic panel 1.4% 14,436 13,574 $136K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 28,845 26,042 $135K
157 more codes
70450 Computed tomography, head or brain; without contrast material 1.4% 2,371 $133K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.1% 861 $105K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.1% 12,105 $104K
80048 Basic metabolic panel (calcium, ionized) 1.0% 13,950 $97K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 987 $72K
84484 <1% 8,452 $68K
71275 Computed tomographic angiography, chest, with contrast material <1% 384 $62K
84703 <1% 5,380 $53K
71045 Radiologic examination, chest; single view <1% 6,477 $41K
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% 643 $41K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 2,081 $34K
83690 <1% 8,010 $34K
81001 <1% 13,067 $31K
83605 <1% 4,239 $29K
71046 Radiologic examination, chest; 2 views <1% 2,088 $26K
72125 Computed tomography, cervical spine; without contrast material <1% 440 $25K
85730 <1% 4,346 $22K
83735 <1% 4,377 $22K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,308 $21K
83880 <1% 993 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,032 $21K
80076 <1% 2,980 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,876 $19K
93971 <1% 309 $17K
85610 <1% 5,931 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 531 $14K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 385 $11K
71250 <1% 213 $10K
80329 <1% 744 $9K
76830 Ultrasound, transvaginal <1% 182 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 528 $8K
36415 Collection of venous blood by venipuncture <1% 2,754 $8K
84443 Thyroid stimulating hormone (TSH) <1% 537 $7K
96361 Intravenous infusion, hydration; each additional hour <1% 920 $7K
87040 <1% 518 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 18 $7K
73564 <1% 341 $6K
82803 <1% 355 $6K
84702 <1% 378 $6K
90715 <1% 729 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,656 $5K
73610 <1% 375 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 254 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 255 $5K
80050 General health panel <1% 124 $5K
70486 <1% 74 $4K
J7030 Infusion, normal saline solution , 1000 cc <1% 8,295 $4K
73130 <1% 375 $4K
87077 <1% 763 $3K
87186 <1% 648 $3K
73630 <1% 398 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 55 $3K
93970 <1% 45 $3K
86850 <1% 488 $3K
73030 <1% 270 $3K
J3490 Unclassified drugs <1% 1,087 $2K
87081 <1% 516 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 31 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 130 $2K
73110 <1% 198 $2K
82330 <1% 323 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,019 $2K
86901 <1% 566 $2K
86900 <1% 566 $2K
J1815 Injection, insulin, per 5 units <1% 333 $2K
85379 <1% 199 $2K
85027 <1% 673 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 77 $1K
80061 Lipid panel <1% 295 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,527 $1K
70498 <1% 13 $1K
82962 <1% 1,392 $1K
82550 <1% 260 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $1K
74018 <1% 138 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 65 $1K
70496 <1% 12 $1K
82375 <1% 298 $1K
72100 <1% 95 $967.50
73502 <1% 122 $944.18
86140 <1% 416 $904.12
72131 <1% 14 $881.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,625 $810.14
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 602 $733.29
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 68 $686.40
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 75 $613.74
83050 <1% 298 $553.86
85652 <1% 251 $480.54
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,655 $474.98
J1170 Injection, hydromorphone, up to 4 mg <1% 534 $444.78
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,888 $443.21
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 65 $437.87
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,768 $422.72
83036 Hemoglobin; glycosylated (A1C) <1% 294 $406.11
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 269 $402.54
73590 <1% 45 $401.60
84100 <1% 226 $375.36
Q9957 Injection, perflutren lipid microspheres, per ml <1% 58 $368.27
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,823 $366.12
J2060 Injection, lorazepam, 2 mg <1% 2,357 $347.12
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 82 $280.48
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 890 $261.13
87210 <1% 46 $260.08
82947 <1% 186 $246.71
81025 <1% 106 $244.58
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,767 $220.53
85018 <1% 263 $207.10
J7120 Ringers lactate infusion, up to 1000 cc <1% 567 $203.51
87070 <1% 81 $195.37
94644 <1% 16 $182.67
86618 <1% 12 $181.23
84145 <1% 13 $173.23
J1630 Injection, haloperidol, up to 5 mg <1% 413 $168.88
76937 <1% 49 $166.32
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 16 $163.44
J3475 Injection, magnesium sulfate, per 500 mg <1% 297 $163.09
J7050 Infusion, normal saline solution, 250 cc <1% 1,846 $152.96
97162 <1% 40 $152.66
81003 <1% 57 $143.24
87205 <1% 70 $116.75
73080 <1% 12 $116.15
96367 <1% 54 $115.03
87430 <1% 12 $114.16
J3480 Injection, potassium chloride, per 2 meq <1% 170 $107.47
97165 <1% 25 $95.30
87400 <1% 14 $81.00
84439 <1% 28 $80.00
J1650 Injection, enoxaparin sodium, 10 mg <1% 456 $77.41
73562 <1% 13 $75.90
82140 <1% 28 $47.47
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 238 $44.26
84550 <1% 12 $40.54
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 51 $38.48
S0028 Injection, famotidine, 20 mg <1% 117 $37.18
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% 891 $36.15
J0780 Injection, prochlorperazine, up to 10 mg <1% 82 $35.46
J0690 Injection, cefazolin sodium, 500 mg <1% 71 $21.32
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,018 $21.31
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 32 $7.86
94760 <1% 53 $5.33
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 160 $4.62
J3360 Injection, diazepam, up to 5 mg 0% 17 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 26 $0.00
J2704 Injection, propofol, 10 mg 0% 79 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 2,165 $0.00
J7999 Compounded drug, not otherwise classified 0% 17 $0.00
88342 0% 29 $0.00
96376 0% 119 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 13 $0.00
93922 0% 18 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 31 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 20 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 49 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 18 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 31 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 23 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 18 $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 officialYOST, ROGER (CFO)
Same official

Other billing entities under YOST, ROGER

Full network →
ProviderLocationPaid
Upmc WilliamsportWilliamsport, PA$4.00M
Charles Cole Memorial HospitalCoudersport, PA$3.64M
Upmc Lock HavenLock Haven, PA$1.17M
Upmc MuncyMuncy, PA$1.04M
Cole Care, INC.Coudersport, PA$290K
Upmc MuncyMuncy, PA$37K
Upmc MuncyMuncy, PA$185.83
Charles Cole Memorial D/B/A Upmc ColeCoudersport, PA$0.00

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