Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MONONGAHELA › MONONGAHELA VALLEY HOSPITAL, INC.

MONONGAHELA VALLEY HOSPITAL, INC.

NPI: 1639353428 · MONONGAHELA, PA 15063 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 12/28/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STRISHOCK, JOURDAN controls 16+ related entities in our dataset. Read more

$3.93M
Total Medicaid Paid
135,639
Total Claims
120,192
Beneficiaries
185
Codes Billed
2019-12
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSTRISHOCK, JOURDAN (COMPLIANCE SUPERVISOR)
Parent OrganizationPENN HIGHLANDS HEALTHCARE
NPI Enumeration Date12/28/2007

Related Entities

Other providers sharing the same authorized official: STRISHOCK, JOURDAN

ProviderCityStateTotal Paid
HIGHLANDS HOSPITAL AND HEALTH CENTER CONNELLSVILLE PA $4.47M
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $3.58M
DUBOIS REGIONAL MEDICAL CENTER CLEARFIELD PA $1.79M
TYRONE HOSPITAL TYRONE PA $1.44M
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC CLEARFIELD PA $177K
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC SAINT MARYS PA $134K
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC DU BOIS PA $29K
HIGHLANDS HOSPITAL AND HEALTH CENTER CONNELLSVILLE PA $16K
DUBOIS REGIONAL MEDICAL CENTER DU BOIS PA $10K
J C BLAIR MEMORIAL HOSPITAL STATE COLLEGE PA $7K
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $4K
JC BLAIR MEMORIAL HOSPITAL HUNTINGDON PA $2K
MONONGAHELA VALLEY HOSPITAL, INC. MONONGAHELA PA $404.23
J. C. BLAIR MEMORIAL HOSPITAL HUNTINGDON PA $346.50
MONONGAHELA VALLEY HOSPITAL, INC UNIONTOWN PA $320.93
MON-VALE ONCOLOGY, INC. MONONGAHELA PA $309.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 161 $791.17
2020 12,987 $348K
2021 80,385 $2.49M
2022 22,390 $583K
2023 19,716 $507K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 792 747 $1.07M
99284 Emergency department visit for the evaluation and management, high severity 6,456 6,294 $723K
99283 Emergency department visit for the evaluation and management, moderate severity 4,439 4,351 $347K
T1015 Clinic visit/encounter, all-inclusive 5,461 1,811 $297K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,802 1,744 $174K
74177 Computed tomography, abdomen and pelvis; with contrast material 617 592 $84K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 815 805 $76K
80053 Comprehensive metabolic panel 7,753 6,928 $71K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,304 2,223 $57K
80050 General health panel 1,190 1,170 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,032 9,077 $48K
71275 Computed tomographic angiography, chest, with contrast material 280 277 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,383 5,019 $41K
70450 Computed tomography, head or brain; without contrast material 710 695 $36K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,068 1,008 $36K
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 402 393 $32K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 201 199 $30K
77067 Screening mammography, bilateral, including computer-aided detection 322 322 $28K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 733 732 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 367 359 $23K
71045 Radiologic examination, chest; single view 3,566 3,431 $21K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 514 479 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 526 513 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 719 715 $19K
84484 2,781 2,424 $19K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 720 716 $19K
96375 Therapeutic injection; each additional sequential IV push 1,644 1,226 $18K
80061 Lipid panel 1,313 1,298 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 847 635 $17K
83735 3,521 2,889 $16K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 74 74 $15K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 53 53 $15K
72125 Computed tomography, cervical spine; without contrast material 216 215 $15K
85730 2,848 2,658 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 352 351 $12K
87481 166 86 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 152 83 $12K
80048 Basic metabolic panel (calcium, ionized) 2,408 1,936 $12K
84443 Thyroid stimulating hormone (TSH) 589 581 $11K
81001 4,507 4,372 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 123 123 $11K
87625 265 264 $11K
85610 3,869 3,543 $10K
84703 1,005 981 $10K
71046 Radiologic examination, chest; 2 views 828 811 $10K
93975 87 87 $9K
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 402 393 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 224 224 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,007 1,948 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 177 177 $8K
77063 Screening digital breast tomosynthesis, bilateral 322 322 $8K
76830 Ultrasound, transvaginal 168 168 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 182 180 $7K
88342 150 147 $7K
87480 222 217 $6K
87660 222 217 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 179 177 $5K
73564 240 232 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 411 400 $5K
87086 Culture, bacterial; quantitative colony count, urine 786 750 $5K
71250 99 97 $5K
72131 76 75 $5K
83690 1,259 1,202 $5K
83880 277 263 $5K
76641 70 65 $5K
85378 680 656 $4K
82607 399 388 $4K
0001A 88 88 $4K
83036 Hemoglobin; glycosylated (A1C) 822 814 $4K
70551 Magnetic resonance imaging, brain; without contrast material 37 36 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 778 509 $4K
83605 785 725 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 87 86 $4K
93971 66 65 $4K
0002A 83 83 $4K
A9585 Injection, gadobutrol, 0.1 ml 450 444 $4K
73610 217 214 $4K
J2785 Injection, regadenoson, 0.1 mg 90 90 $4K
96367 337 206 $3K
87040 462 438 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 546 314 $3K
80076 433 423 $3K
84702 169 131 $3K
73630 270 265 $3K
93017 173 173 $3K
J3490 Unclassified drugs 698 571 $3K
84439 350 341 $3K
76536 59 59 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $3K
93970 42 40 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 39 37 $3K
0004A 47 47 $2K
87077 422 406 $2K
82728 222 214 $2K
84153 99 98 $2K
87070 368 348 $2K
82150 571 552 $2K
83540 276 267 $2K
72141 13 12 $2K
86803 94 92 $2K
77066 Tomosynthesis, mammo 28 26 $2K
73030 118 116 $2K
81025 608 560 $2K
87186 304 293 $2K
84436 187 186 $2K
82550 426 374 $2K
82043 196 195 $1K
80074 32 32 $1K
86850 335 314 $1K
82570 202 199 $1K
84100 316 202 $1K
82746 146 139 $1K
83550 243 234 $1K
94729 41 41 $1K
73130 88 87 $1K
72110 47 47 $909.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 133 128 $898.98
73502 40 38 $897.13
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 76 75 $813.39
J1815 Injection, insulin, per 5 units 120 92 $765.60
86900 338 317 $759.08
70486 12 12 $758.39
86038 54 53 $753.58
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $750.61
87275 66 66 $746.50
86140 302 256 $736.00
85651 284 268 $713.53
87205 172 158 $695.31
86901 338 317 $646.04
94727 40 40 $645.12
90715 38 38 $558.20
82565 100 98 $524.76
81514 59 59 $520.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,875 1,713 $519.59
J7120 Ringers lactate infusion, up to 1000 cc 1,097 968 $505.73
83970 14 14 $488.72
J0696 Injection, ceftriaxone sodium, per 250 mg 527 352 $422.45
97161 96 94 $389.75
J3535 Drug administered through a metered dose inhaler 30 29 $336.00
94060 40 40 $335.28
88312 13 13 $317.55
36415 Collection of venous blood by venipuncture 12,550 11,375 $286.85
11043 15 13 $285.77
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 13 $278.40
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 113 107 $255.18
88313 14 14 $252.45
J1170 Injection, hydromorphone, up to 4 mg 393 294 $252.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 708 606 $250.65
77062 14 14 $250.01
86592 54 54 $248.44
82378 17 12 $244.13
97165 13 13 $226.95
82553 102 88 $207.84
J2704 Injection, propofol, 10 mg 511 474 $175.78
87510 222 217 $157.20
73110 14 14 $152.40
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,875 1,632 $140.57
87081 784 765 $113.49
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 124 124 $108.88
J1200 Injection, diphenhydramine hcl, up to 50 mg 517 469 $96.25
J0690 Injection, cefazolin sodium, 500 mg 329 280 $47.36
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 87 86 $46.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 735 326 $44.06
A4657 Syringe, with or without needle, each 1,096 1,061 $32.85
J2270 Injection, morphine sulfate, up to 10 mg 42 37 $28.90
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 18 14 $26.64
J3475 Injection, magnesium sulfate, per 500 mg 18 12 $24.80
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 113 89 $17.60
J1644 Injection, heparin sodium, per 1000 units 275 119 $15.17
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 364 270 $15.04
J2060 Injection, lorazepam, 2 mg 46 38 $12.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 81 $11.00
J3010 Injection, fentanyl citrate, 0.1 mg 356 337 $10.13
J2250 Injection, midazolam hydrochloride, per 1 mg 379 357 $7.79
J3480 Injection, potassium chloride, per 2 meq 56 29 $7.70
J1650 Injection, enoxaparin sodium, 10 mg 199 104 $7.10
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 64 64 $0.00
A4550 Surgical trays 143 142 $0.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 21 14 $0.00
A4628 Oral and/or oropharyngeal suction catheter, each 44 43 $0.00
A4615 Cannula, nasal 180 170 $0.00
36591 66 41 $0.00
87276 66 66 $0.00
87280 17 17 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 12 12 $0.00