Tyrone Hospital
Tyrone Hospital was paid $1.44M by Medicaid between Feb 2018 and Dec 2024, across 76 billing codes. Its largest line is 99283, emergency room visit (moderate) — 42% of everything it billed.
TYRONE, PA 16686
Next to other Critical Access Hospital providers in Pennsylvania
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28 | $1K | |
| 2020 | 3,114 | $57K | |
| 2021 | 16,040 | $409K | |
| 2022 | 6,299 | $319K | |
| 2023 | 5,948 | $297K | |
| 2024incomplete | 5,778 | $357K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 42% | 8,885 | 7,935 | $612K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 4,430 | 3,785 | $383K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.5% | 2,016 | 1,891 | $65K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 4.0% | 501 | 493 | $58K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 1,243 | 1,203 | $44K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.7% | 266 | 236 | $38K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.7% | 789 | 446 | $38K |
| 87631 | 2.7% | 259 | 257 | $38K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 221 | 219 | $21K |
| 80053 | Comprehensive metabolic panel | 1.4% | 2,154 | 1,999 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 3,018 | 2,823 | $14K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 403 | 385 | $10K |
64 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 546 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 746 | $6K |
| 80061 | Lipid panel | <1% | 507 | $6K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 88 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 408 | $6K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 29 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 398 | $5K |
| 80050 | General health panel | <1% | 99 | $5K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 61 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 188 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 500 | $3K |
| 83735 | <1% | 544 | $3K | |
| 87797 | <1% | 128 | $3K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 97 | $3K |
| 84484 | <1% | 348 | $3K | |
| 81001 | <1% | 833 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 314 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 348 | $2K |
| 83690 | <1% | 435 | $2K | |
| 83721 | <1% | 199 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 149 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 266 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 47 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 33 | $1K |
| 85610 | <1% | 407 | $1K | |
| 85730 | <1% | 200 | $1K | |
| 83880 | <1% | 47 | $1K | |
| 73610 | <1% | 53 | $969.15 | |
| 81003 | <1% | 320 | $823.76 | |
| 85027 | <1% | 133 | $731.10 | |
| 71045 | Radiologic examination, chest; single view | <1% | 105 | $702.73 |
| 84439 | <1% | 100 | $691.62 | |
| 73630 | <1% | 57 | $581.37 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,667 | $553.42 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 16 | $494.08 |
| 87077 | <1% | 90 | $440.17 | |
| 82570 | <1% | 70 | $388.42 | |
| 82043 | <1% | 55 | $346.00 | |
| 90715 | <1% | 12 | $286.39 | |
| 81025 | <1% | 81 | $234.70 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 46 | $212.85 |
| 85379 | <1% | 29 | $207.76 | |
| 87081 | <1% | 57 | $204.10 | |
| 87184 | <1% | 28 | $199.60 | |
| 73130 | <1% | 15 | $171.08 | |
| 80305 | <1% | 24 | $166.41 | |
| 73030 | <1% | 15 | $159.23 | |
| 82607 | <1% | 14 | $144.30 | |
| 82553 | <1% | 17 | $109.38 | |
| 87088 | <1% | 14 | $92.80 | |
| 82550 | <1% | 20 | $85.93 | |
| 85652 | <1% | 26 | $78.75 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $76.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 834 | $62.02 |
| 82150 | <1% | 13 | $60.50 | |
| J3490 | Unclassified drugs | <1% | 76 | $31.75 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 16 | $16.08 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 175 | $8.25 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 406 | $5.92 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 111 | $2.81 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 77 | $0.85 |
| J2704 | Injection, propofol, 10 mg | <1% | 96 | $0.59 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 162 | $0.24 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 12 | $0.11 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital and Health Center | Connellsville, PA | $4.47M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.93M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.58M |
| Dubois Regional Medical Center | Clearfield, PA | $1.79M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.