Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › SENECA › UPMC NORTHWEST

UPMC NORTHWEST

NPI: 1619069440 · SENECA, PA 16346 · General Acute Care Hospital · NPI assigned 09/29/2006

$5.33M
Total Medicaid Paid
234,142
Total Claims
207,258
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDINGER, BRAD (CFO)
NPI Enumeration Date09/29/2006

Related Entities

Other providers sharing the same authorized official: DINGER, BRAD

ProviderCityStateTotal Paid
UPMC HAMOT ERIE PA $18.06M
UPMC KANE KANE PA $1.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $11K
2019 309 $10K
2020 21,230 $428K
2021 101,258 $2.34M
2022 35,296 $833K
2023 39,687 $867K
2024 36,136 $842K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,501 15,013 $1.65M
99283 Emergency department visit for the evaluation and management, moderate severity 9,864 9,598 $710K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,788 2,654 $393K
G0378 Hospital observation service, per hour 973 414 $230K
T1015 Clinic visit/encounter, all-inclusive 6,981 5,671 $185K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,135 4,877 $120K
80053 Comprehensive metabolic panel 11,698 9,723 $113K
74177 Computed tomography, abdomen and pelvis; with contrast material 708 686 $100K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,813 17,150 $99K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,128 674 $88K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 984 971 $81K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,192 1,225 $65K
80050 General health panel 1,359 1,339 $63K
70450 Computed tomography, head or brain; without contrast material 1,099 1,057 $57K
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 724 641 $52K
80048 Basic metabolic panel (calcium, ionized) 6,102 5,608 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,422 5,134 $42K
71046 Radiologic examination, chest; 2 views 3,350 3,211 $41K
80061 Lipid panel 3,046 3,012 $40K
74176 Computed tomography, abdomen and pelvis; without contrast material 549 536 $38K
77067 Screening mammography, bilateral, including computer-aided detection 473 468 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 745 683 $36K
96375 Therapeutic injection; each additional sequential IV push 2,372 2,201 $35K
84443 Thyroid stimulating hormone (TSH) 1,571 1,544 $34K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,102 1,094 $28K
71275 Computed tomographic angiography, chest, with contrast material 179 177 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,815 2,224 $28K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 150 142 $27K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 827 822 $25K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,013 1,001 $25K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 991 979 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 411 397 $22K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 133 133 $21K
82728 2,049 1,972 $21K
84484 2,923 2,684 $21K
71250 302 290 $16K
83735 3,186 2,690 $16K
83540 2,130 2,047 $16K
82607 1,952 1,907 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor 601 581 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 489 486 $14K
72125 Computed tomography, cervical spine; without contrast material 243 228 $13K
93971 228 214 $13K
71045 Radiologic examination, chest; single view 2,323 2,221 $13K
72141 67 65 $13K
J3490 Unclassified drugs 3,615 2,464 $13K
83036 Hemoglobin; glycosylated (A1C) 2,118 2,087 $13K
81001 5,134 4,820 $13K
99282 Emergency department visit for the evaluation and management, low to moderate severity 292 288 $13K
80076 1,511 1,450 $13K
86803 647 643 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,763 1,618 $12K
96367 560 298 $12K
78815 Positron emission tomography (PET) for limited area imaging 14 14 $12K
83690 3,010 2,864 $12K
87653 261 259 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 180 179 $11K
84439 1,428 1,392 $10K
87088 1,442 1,370 $10K
82746 1,578 1,533 $10K
87480 383 372 $10K
87660 383 372 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 245 244 $9K
83880 413 392 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 178 173 $9K
86780 575 569 $9K
83550 2,058 1,981 $9K
77063 Screening digital breast tomosynthesis, bilateral 440 435 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,498 3,348 $9K
84702 505 400 $8K
72100 632 608 $8K
86618 371 365 $8K
94729 305 301 $8K
77065 Tomosynthesis, mammo 133 130 $8K
70486 126 123 $7K
76642 193 183 $6K
96361 Intravenous infusion, hydration; each additional hour 423 287 $6K
84153 294 289 $6K
72110 334 326 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 63 60 $6K
77066 Tomosynthesis, mammo 70 68 $6K
70551 Magnetic resonance imaging, brain; without contrast material 32 32 $6K
76770 158 154 $5K
87340 358 355 $5K
73610 305 295 $5K
87040 479 344 $5K
86762 230 226 $5K
95886 102 100 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 274 264 $4K
73630 400 378 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 17 17 $4K
86038 262 258 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 117 115 $4K
85610 1,352 1,128 $4K
96415 191 121 $4K
86850 498 475 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 108 108 $4K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 729 701 $4K
64493 14 14 $3K
85730 661 622 $3K
80329 251 234 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 452 437 $3K
82043 428 424 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 108 107 $3K
73030 253 243 $3K
J1756 Injection, iron sucrose, 1 mg 1,458 547 $3K
83605 600 560 $3K
73560 222 215 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $3K
83970 75 71 $3K
84703 299 294 $3K
82570 400 370 $3K
85652 991 905 $3K
93017 101 99 $2K
82950 358 356 $2K
73130 246 239 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 58 58 $2K
83615 397 200 $2K
73502 172 165 $2K
76536 52 50 $2K
86140 830 744 $2K
59025 Fetal non-stress test 93 67 $2K
74018 182 174 $2K
90715 166 160 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 96 64 $2K
74019 139 137 $2K
85379 253 245 $2K
86901 524 496 $2K
86900 530 502 $2K
86003 14 14 $2K
81025 658 635 $2K
93226 71 69 $2K
87481 121 121 $2K
85027 422 354 $2K
84550 307 264 $2K
93041 511 470 $2K
72052 59 57 $2K
J7030 Infusion, normal saline solution , 1000 cc 6,238 4,045 $2K
73110 174 169 $2K
94060 179 177 $2K
87081 309 304 $2K
73562 111 111 $2K
82565 288 269 $2K
87522 Neg quan hep c or qual rna 37 37 $1K
87070 237 228 $1K
82962 937 614 $1K
84100 282 173 $1K
84156 304 244 $1K
36415 Collection of venous blood by venipuncture 3,005 2,125 $1K
86431 156 154 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 106 65 $1K
84460 199 197 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 231 129 $1K
71271 14 14 $1K
86617 28 27 $1K
84450 178 170 $1K
87205 270 259 $996.57
82784 43 41 $989.93
73590 71 69 $926.28
83721 78 77 $912.85
86255 39 39 $910.50
84403 35 34 $893.70
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 35 28 $807.31
J1170 Injection, hydromorphone, up to 4 mg 1,748 1,074 $806.13
93225 71 69 $796.78
84520 172 161 $770.73
J1885 Injection, ketorolac tromethamine, per 15 mg 5,531 4,867 $726.85
87077 108 105 $708.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,044 3,503 $678.91
93271 14 14 $669.70
93922 30 29 $663.96
87186 94 93 $651.99
84425 93 92 $644.67
76830 Ultrasound, transvaginal 16 16 $600.83
82947 144 141 $560.47
72072 28 25 $522.93
76870 12 12 $512.35
80164 30 28 $508.94
J0690 Injection, cefazolin sodium, 500 mg 1,358 1,076 $505.83
82977 64 64 $498.49
86922 14 12 $493.50
94726 13 12 $438.53
81003 174 172 $435.65
86160 14 12 $420.03
94760 260 257 $415.84
86235 12 12 $412.47
84146 18 17 $403.92
J3010 Injection, fentanyl citrate, 0.1 mg 3,378 2,780 $380.37
J0696 Injection, ceftriaxone sodium, per 250 mg 869 661 $372.21
86334 17 15 $347.20
82248 48 43 $344.65
82550 55 43 $327.52
73080 40 37 $327.08
82310 96 92 $311.47
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 257 236 $306.12
83655 27 27 $293.30
J1030 Injection, methylprednisolone acetate, 40 mg 75 73 $273.11
83001 15 15 $256.03
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,139 4,499 $244.71
72040 26 26 $220.99
95819 26 24 $218.84
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,885 1,621 $211.57
83002 13 13 $211.31
76641 13 13 $187.89
C9399 Unclassified drugs or biologicals 43 41 $173.15
J0780 Injection, prochlorperazine, up to 10 mg 149 137 $167.57
J2765 Injection, metoclopramide hcl, up to 10 mg 1,089 1,000 $162.63
88112 12 12 $159.46
86039 14 13 $155.86
82140 48 41 $138.42
86706 12 12 $137.28
84165 14 12 $133.57
S0020 Injection, bupivicaine hydrochloride, 30 ml 319 301 $130.25
73090 14 14 $127.65
93270 14 14 $127.51
82533 12 12 $120.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 51 51 $107.30
83986 57 57 $102.18
J7999 Compounded drug, not otherwise classified 240 208 $92.61
81002 25 24 $85.92
88304 43 43 $78.72
J2250 Injection, midazolam hydrochloride, per 1 mg 2,374 2,241 $74.66
J1644 Injection, heparin sodium, per 1000 units 44 25 $68.35
J0330 Injection, succinylcholine chloride, up to 20 mg 72 70 $65.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 448 370 $44.51
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 545 374 $37.50
82009 16 13 $31.95
J7050 Infusion, normal saline solution, 250 cc 884 555 $27.04
85014 18 14 $22.21
85018 18 14 $22.21
J1650 Injection, enoxaparin sodium, 10 mg 26 15 $19.80
J2704 Injection, propofol, 10 mg 453 397 $17.70
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 743 500 $13.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 488 451 $9.84
88300 12 12 $7.05
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,168 1,123 $2.07
J7120 Ringers lactate infusion, up to 1000 cc 1,334 1,063 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 160 117 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 27 24 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 76 55 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 28 27 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 33 28 $0.00
J3370 Injection, vancomycin hcl, 500 mg 20 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 933 925 $0.00
J3480 Injection, potassium chloride, per 2 meq 35 27 $0.00
84311 40 40 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 127 127 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 48 39 $0.00
J2785 Injection, regadenoson, 0.1 mg 46 46 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 38 28 $0.00
J1630 Injection, haloperidol, up to 5 mg 15 13 $0.00