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

UPMC Muncy

UPMC Muncy was paid $1.04M by Medicaid between Dec 2019 and Dec 2024, across 56 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.

33Billing provider infoUPMC MUNCY
MUNCY, PA 17756
33aNPI1609816198assigned 06/07/2006
28Total paid$1.04M
24GClaims29,823
24DCodes billed56
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#16 of 119
Median peer was paid$57K
This provider vs. median18×

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$20K$40K$60K2018201920202021202220232024
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
201927$949.12
20203,490$116K
202115,911$476K
20224,081$158K
20233,878$167K
2024incomplete2,436$117K
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 46% 4,898 4,659 $480K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 3,862 3,758 $254K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.0% 600 579 $83K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.7% 228 225 $39K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.5% 1,049 993 $26K
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 1.9% 276 272 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.7% 3,341 3,078 $17K
96375 Therapeutic injection; each additional sequential IV push 1.3% 720 657 $14K
80053 Comprehensive metabolic panel 1.3% 1,281 1,179 $13K
70450 Computed tomography, head or brain; without contrast material <1% 157 152 $10K
80048 Basic metabolic panel (calcium, ionized) <1% 1,337 1,233 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 74 71 $6K
44 more codes
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 95 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 213 $4K
84484 <1% 472 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 157 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 129 $4K
71045 Radiologic examination, chest; single view <1% 534 $3K
80076 <1% 443 $3K
81001 <1% 1,315 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 245 $3K
71046 Radiologic examination, chest; 2 views <1% 256 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 330 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 375 $2K
83735 <1% 413 $2K
83605 <1% 341 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 209 $2K
83690 <1% 462 $2K
85379 <1% 181 $2K
81025 <1% 400 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 302 $1K
87077 <1% 153 $923.01
J7030 Infusion, normal saline solution , 1000 cc <1% 1,286 $919.24
83880 <1% 39 $905.16
87186 <1% 117 $752.01
87430 <1% 113 $710.60
73630 <1% 75 $620.46
73610 <1% 28 $496.28
87081 <1% 84 $437.81
87040 <1% 32 $434.86
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,489 $409.87
85610 <1% 90 $290.82
85652 <1% 96 $243.96
80329 <1% 14 $153.84
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 743 $107.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 118 $80.90
85027 <1% 14 $72.18
82962 <1% 18 $47.80
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 89 $44.79
J3010 Injection, fentanyl citrate, 0.1 mg <1% 176 $42.04
J3490 Unclassified drugs <1% 20 $27.38
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 73 $9.79
36415 Collection of venous blood by venipuncture <1% 100 $2.01
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 15 $0.96
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 89 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 57 $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)
Parent organizationUPMC SUSQUEHANNA
Same official

Other billing entities under YOST, ROGER

Full network →
ProviderLocationPaid
UPMC WilliamsportWilliamsport, PA$9.69M
UPMC WilliamsportWilliamsport, PA$4.00M
Charles Cole Memorial HospitalCoudersport, PA$3.64M
UPMC Lock HavenLock Haven, PA$1.17M
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.