Reading Hospital
Reading Hospital was paid $58.34M by Medicaid between Jan 2018 and Dec 2024, across 572 billing codes. Its largest line is 99284, emergency room visit (serious) — 17% of everything it billed.
WEST READING, PA 19611
Next to other Surgery Physician 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 | 2,991 | $353K | |
| 2019 | 19,469 | $581K | |
| 2020 | 194,105 | $6.71M | |
| 2021 | 632,476 | $23.35M | |
| 2022 | 260,209 | $10.19M | |
| 2023 | 267,255 | $9.65M | |
| 2024incomplete | 209,342 | $7.50M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 72,852 | 70,302 | $9.81M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 117,147 | 92,226 | $6.63M |
| 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 | 7.4% | 48,717 | 46,790 | $4.31M |
| G0378 | Hospital observation service, per hour | 6.4% | 3,844 | 3,572 | $3.76M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.4% | 32,425 | 31,569 | $3.12M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 37,963 | 22,028 | $2.40M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.0% | 14,058 | 13,189 | $2.36M |
| 87631 | 3.4% | 13,573 | 13,334 | $1.96M | |
| X0621 | 2.4% | 6,150 | 3,677 | $1.38M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 7,920 | 7,227 | $791K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 10,601 | 8,012 | $715K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 6,622 | 6,579 | $692K |
560 more codes
| J9271 | Injection, pembrolizumab, 1 mg | 1.1% | 223 | $631K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.1% | 4,045 | $617K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 9,490 | $539K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18,108 | $502K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 17,640 | $502K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,406 | $468K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 91,132 | $466K |
| 80053 | Comprehensive metabolic panel | <1% | 43,689 | $457K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 7,088 | $323K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 15,560 | $313K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 3,183 | $309K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 10,537 | $305K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 17,296 | $304K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 19,926 | $303K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 33,040 | $297K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 3,305 | $277K |
| 87536 | <1% | 2,465 | $276K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,200 | $262K |
| 87481 | <1% | 3,853 | $260K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 4,380 | $259K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 8,132 | $259K |
| 80050 | General health panel | <1% | 4,891 | $247K |
| 95811 | <1% | 477 | $244K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,361 | $243K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,346 | $230K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 828 | $230K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,650 | $227K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 24,296 | $211K |
| 80061 | Lipid panel | <1% | 14,322 | $203K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 1,136 | $198K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 4,780 | $179K |
| 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 | <1% | 3,023 | $176K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 21,317 | $172K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,654 | $167K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,863 | $163K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 7,673 | $161K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 3,835 | $155K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 4,081 | $151K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 681 | $138K |
| 86360 | <1% | 2,173 | $137K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 11,630 | $133K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 4,659 | $132K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 7,860 | $132K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 432 | $131K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 576 | $127K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 3,928 | $127K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 439 | $120K |
| 84484 | <1% | 15,742 | $119K | |
| 86780 | <1% | 7,471 | $119K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,671 | $114K |
| 93975 | <1% | 977 | $110K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,979 | $109K |
| 62323 | <1% | 344 | $107K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,822 | $107K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 4,927 | $106K |
| 86359 | <1% | 2,174 | $103K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 128 | $101K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 5,344 | $99K |
| G0008 | Administration of influenza virus vaccine | <1% | 12,549 | $97K |
| 87480 | <1% | 3,945 | $96K | |
| 76830 | Ultrasound, transvaginal | <1% | 2,020 | $96K |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,558 | $92K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 501 | $91K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 7,438 | $90K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,130 | $90K |
| 82248 | <1% | 15,443 | $89K | |
| 84702 | <1% | 5,021 | $86K | |
| 83735 | <1% | 15,978 | $86K | |
| 87660 | <1% | 3,565 | $85K | |
| 81003 | <1% | 26,588 | $85K | |
| J1750 | Injection, iron dextran, 50 mg | <1% | 3,634 | $82K |
| Q5108 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | <1% | 91 | $81K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,405 | $80K |
| 82728 | <1% | 6,791 | $79K | |
| 81001 | <1% | 26,691 | $78K | |
| 83970 | <1% | 1,754 | $76K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 1,446 | $74K |
| 86803 | <1% | 3,706 | $72K | |
| 87150 | <1% | 1,557 | $70K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 1,110 | $69K |
| T1001 | Nursing assessment / evaluation | <1% | 1,002 | $69K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,172 | $67K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 3,463 | $65K |
| 99188 | <1% | 3,336 | $65K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,273 | $64K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 307 | $64K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 1,159 | $63K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 22,397 | $62K |
| 87510 | <1% | 3,633 | $62K | |
| 77066 | Tomosynthesis, mammo | <1% | 706 | $62K |
| 81513 | <1% | 947 | $60K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 390 | $57K |
| 93971 | <1% | 948 | $54K | |
| 82607 | <1% | 4,372 | $54K | |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 514 | $53K |
| 81025 | <1% | 13,323 | $51K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,443 | $51K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | <1% | 87 | $51K |
| 76642 | <1% | 1,229 | $51K | |
| 97162 | <1% | 1,156 | $49K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 6,279 | $48K |
| 85610 | <1% | 15,016 | $47K | |
| 83880 | <1% | 1,730 | $46K | |
| 74183 | <1% | 128 | $46K | |
| 99429 | <1% | 228 | $46K | |
| 90651 | <1% | 978 | $45K | |
| 88342 | <1% | 1,082 | $44K | |
| 92551 | <1% | 4,742 | $44K | |
| 58558 | <1% | 66 | $43K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 222 | $43K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,789 | $41K |
| 97161 | <1% | 1,139 | $41K | |
| 72141 | <1% | 189 | $40K | |
| 77065 | Tomosynthesis, mammo | <1% | 544 | $38K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 1,616 | $37K |
| 99173 | <1% | 5,625 | $37K | |
| 86850 | <1% | 4,765 | $37K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 247 | $36K |
| 96376 | <1% | 1,255 | $36K | |
| 86762 | <1% | 1,898 | $36K | |
| 76770 | <1% | 884 | $36K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 810 | $35K |
| 83540 | <1% | 4,240 | $35K | |
| 90715 | <1% | 2,917 | $35K | |
| 70496 | <1% | 264 | $35K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,047 | $35K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 93 | $34K |
| 85730 | <1% | 5,963 | $34K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,803 | $34K |
| 87340 | <1% | 2,368 | $33K | |
| 76536 | <1% | 701 | $33K | |
| 83655 | <1% | 3,635 | $33K | |
| 86480 | <1% | 426 | $33K | |
| 86618 | <1% | 642 | $32K | |
| 87040 | <1% | 1,989 | $31K | |
| 85027 | <1% | 4,388 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,996 | $30K |
| 83690 | <1% | 6,718 | $30K | |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 1,607 | $29K |
| 87512 | <1% | 1,676 | $29K | |
| J0897 | Injection, denosumab, 1 mg | <1% | 53 | $28K |
| 93970 | <1% | 391 | $28K | |
| 71250 | <1% | 477 | $28K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 481 | $27K |
| 88142 | <1% | 1,608 | $27K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,591 | $27K |
| 49083 | <1% | 153 | $27K | |
| 70498 | <1% | 202 | $25K | |
| 82550 | <1% | 4,311 | $25K | |
| 84439 | <1% | 2,978 | $24K | |
| 82746 | <1% | 2,052 | $24K | |
| 82570 | <1% | 3,186 | $23K | |
| 96417 | <1% | 389 | $22K | |
| 87186 | <1% | 2,642 | $22K | |
| 74019 | <1% | 1,225 | $21K | |
| 72110 | <1% | 1,015 | $21K | |
| 87077 | <1% | 2,757 | $20K | |
| 84403 | <1% | 681 | $20K | |
| 64615 | <1% | 184 | $20K | |
| 76820 | <1% | 760 | $19K | |
| M0239 | Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring | <1% | 82 | $19K |
| 96415 | <1% | 584 | $19K | |
| 90686 | <1% | 2,907 | $19K | |
| 84630 | <1% | 1,312 | $19K | |
| 86901 | <1% | 4,765 | $18K | |
| 86900 | <1% | 4,819 | $18K | |
| 82565 | <1% | 3,478 | $18K | |
| 84146 | <1% | 675 | $18K | |
| 73564 | <1% | 925 | $18K | |
| 84134 | <1% | 891 | $18K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 46 | $18K |
| 83550 | <1% | 3,584 | $17K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 8,470 | $17K |
| 82950 | <1% | 2,424 | $17K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 863 | $17K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 323 | $17K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,881 | $17K |
| 84450 | <1% | 2,639 | $16K | |
| 58661 | <1% | 19 | $16K | |
| 87522 | Neg quan hep c or qual rna | <1% | 396 | $16K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 379 | $16K |
| 12011 | <1% | 167 | $16K | |
| 83605 | <1% | 2,594 | $16K | |
| 93017 | <1% | 461 | $16K | |
| 84153 | <1% | 692 | $16K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 352 | $15K |
| 86140 | <1% | 4,538 | $15K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 74 | $15K |
| 77062 | <1% | 642 | $14K | |
| 73610 | <1% | 758 | $14K | |
| 77336 | <1% | 411 | $14K | |
| 83525 | <1% | 1,070 | $14K | |
| 96411 | <1% | 253 | $14K | |
| 76870 | <1% | 319 | $14K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 430 | $14K |
| 82043 | <1% | 1,579 | $13K | |
| 86038 | <1% | 796 | $13K | |
| 82803 | <1% | 623 | $13K | |
| 86787 | <1% | 616 | $13K | |
| 58300 | <1% | 151 | $13K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 732 | $13K |
| 93226 | <1% | 346 | $13K | |
| 73030 | <1% | 866 | $13K | |
| 74018 | <1% | 925 | $12K | |
| 74178 | <1% | 55 | $12K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 51 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,701 | $12K |
| 84145 | <1% | 651 | $12K | |
| 82962 | <1% | 6,838 | $12K | |
| 85379 | <1% | 1,335 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,307 | $12K |
| 82784 | <1% | 617 | $12K | |
| 76885 | <1% | 116 | $11K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 7,423 | $11K |
| 83520 | <1% | 586 | $11K | |
| 84402 | <1% | 373 | $11K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 1,111 | $11K |
| 90677 | <1% | 1,261 | $11K | |
| 80076 | <1% | 1,217 | $11K | |
| 82670 | <1% | 487 | $11K | |
| 83516 | <1% | 340 | $11K | |
| 12001 | <1% | 209 | $11K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 121 | $11K |
| 73630 | <1% | 1,010 | $11K | |
| 62321 | <1% | 28 | $10K | |
| J1815 | Injection, insulin, per 5 units | <1% | 1,749 | $10K |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 2,025 | $10K |
| 44970 | <1% | 13 | $10K | |
| 84460 | <1% | 1,381 | $10K | |
| 80074 | <1% | 199 | $10K | |
| 83615 | <1% | 1,621 | $10K | |
| 84550 | <1% | 1,648 | $10K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 1,816 | $10K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 1,308 | $10K |
| 77061 | <1% | 432 | $10K | |
| 84703 | <1% | 963 | $10K | |
| 97597 | <1% | 457 | $10K | |
| 86765 | <1% | 761 | $10K | |
| 72156 | <1% | 50 | $10K | |
| 83001 | <1% | 509 | $10K | |
| 70486 | <1% | 144 | $9K | |
| Q9957 | Injection, perflutren lipid microspheres, per ml | <1% | 425 | $9K |
| J2790 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) | <1% | 316 | $9K |
| 84425 | <1% | 1,230 | $9K | |
| 84144 | <1% | 527 | $9K | |
| 83021 | <1% | 423 | $9K | |
| 85652 | <1% | 2,998 | $9K | |
| J3490 | Unclassified drugs | <1% | 6,103 | $9K |
| 0001A | <1% | 497 | $9K | |
| 73130 | <1% | 740 | $8K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 490 | $8K |
| 84481 | <1% | 333 | $8K | |
| 73502 | <1% | 458 | $8K | |
| 88112 | <1% | 282 | $8K | |
| 82947 | <1% | 1,969 | $8K | |
| 83013 | <1% | 117 | $8K | |
| 87081 | <1% | 1,270 | $8K | |
| 84100 | <1% | 1,758 | $8K | |
| 72070 | <1% | 353 | $7K | |
| 77080 | <1% | 125 | $7K | |
| 85018 | <1% | 1,940 | $7K | |
| 96367 | <1% | 657 | $7K | |
| 70491 | <1% | 93 | $7K | |
| 84156 | <1% | 1,599 | $7K | |
| 85384 | <1% | 671 | $7K | |
| 80164 | <1% | 378 | $7K | |
| 87902 | <1% | 57 | $7K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 294 | $6K |
| 0002A | <1% | 324 | $6K | |
| 82330 | <1% | 973 | $6K | |
| 93225 | <1% | 348 | $6K | |
| 86706 | <1% | 424 | $6K | |
| 72050 | <1% | 225 | $6K | |
| 82652 | <1% | 148 | $6K | |
| 86665 | <1% | 228 | $6K | |
| 86696 | <1% | 157 | $6K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 806 | $6K |
| 82553 | <1% | 663 | $6K | |
| 88341 | <1% | 108 | $6K | |
| 86003 | <1% | 70 | $5K | |
| 84520 | <1% | 1,176 | $5K | |
| 84590 | <1% | 374 | $5K | |
| 83921 | <1% | 282 | $5K | |
| 90732 | <1% | 253 | $5K | |
| 97165 | <1% | 143 | $5K | |
| 82627 | <1% | 230 | $5K | |
| 82105 | <1% | 248 | $5K | |
| 87493 | <1% | 123 | $5K | |
| 87070 | <1% | 778 | $5K | |
| 86695 | <1% | 158 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 205 | $5K |
| 82525 | <1% | 351 | $5K | |
| 87252 | <1% | 113 | $5K | |
| 82247 | <1% | 660 | $5K | |
| 83002 | <1% | 240 | $4K | |
| 94762 | <1% | 93 | $4K | |
| 72052 | <1% | 134 | $4K | |
| 86800 | <1% | 210 | $4K | |
| 86431 | <1% | 475 | $4K | |
| 72158 | <1% | 37 | $4K | |
| 87205 | <1% | 953 | $4K | |
| 84165 | <1% | 326 | $4K | |
| 97166 | <1% | 99 | $4K | |
| 73110 | <1% | 356 | $4K | |
| 73590 | <1% | 287 | $4K | |
| 87799 | <1% | 304 | $4K | |
| 87147 | <1% | 879 | $4K | |
| 77412 | <1% | 119 | $4K | |
| 84446 | <1% | 327 | $4K | |
| 81002 | <1% | 1,205 | $4K | |
| 87899 | <1% | 142 | $4K | |
| 82310 | <1% | 512 | $4K | |
| 82378 | <1% | 261 | $4K | |
| 86039 | <1% | 222 | $4K | |
| 93350 | <1% | 104 | $4K | |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | <1% | 177 | $4K |
| 82951 | <1% | 349 | $3K | |
| 72100 | <1% | 180 | $3K | |
| 71271 | <1% | 60 | $3K | |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 17 | $3K |
| C1769 | Guide wire | <1% | 360 | $3K |
| 93321 | <1% | 222 | $3K | |
| 87015 | <1% | 352 | $3K | |
| 94729 | <1% | 119 | $3K | |
| 74022 | <1% | 140 | $3K | |
| 82533 | <1% | 228 | $3K | |
| 93296 | <1% | 288 | $3K | |
| 93308 | <1% | 203 | $3K | |
| 86334 | <1% | 147 | $3K | |
| 83498 | <1% | 131 | $3K | |
| 84132 | <1% | 747 | $3K | |
| 58301 | <1% | 30 | $3K | |
| 81511 | <1% | 29 | $3K | |
| 86235 | <1% | 57 | $3K | |
| 85014 | <1% | 1,074 | $3K | |
| 73562 | <1% | 185 | $3K | |
| G0498 | Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion | <1% | 22 | $3K |
| 83721 | <1% | 267 | $3K | |
| 80051 | <1% | 519 | $3K | |
| 10060 | <1% | 60 | $3K | |
| 86617 | <1% | 67 | $3K | |
| 87253 | <1% | 85 | $3K | |
| 78264 | <1% | 28 | $3K | |
| 86664 | <1% | 132 | $3K | |
| 86376 | <1% | 297 | $3K | |
| 82800 | <1% | 296 | $3K | |
| 82977 | <1% | 263 | $2K | |
| 73080 | <1% | 235 | $2K | |
| 84295 | <1% | 578 | $2K | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 4,989 | $2K |
| 99001 | <1% | 248 | $2K | |
| H0034 | Medication training and support, per 15 minutes | <1% | 108 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17,722 | $2K |
| 95816 | <1% | 186 | $2K | |
| 84436 | <1% | 231 | $2K | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 23,682 | $2K |
| 94726 | <1% | 87 | $2K | |
| 86255 | <1% | 121 | $2K | |
| 86663 | <1% | 131 | $2K | |
| 84480 | <1% | 248 | $2K | |
| 73090 | <1% | 199 | $2K | |
| J0185 | Injection, aprepitant, 1 mg | <1% | 39 | $2K |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 4,056 | $2K |
| 73552 | <1% | 132 | $2K | |
| 90474 | <1% | 201 | $2K | |
| 90621 | <1% | 45 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 14 | $2K |
| 86769 | <1% | 164 | $2K | |
| 73700 | <1% | 40 | $2K | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 1,275 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 270 | $2K |
| 77334 | <1% | 50 | $2K | |
| 73560 | <1% | 153 | $2K | |
| 90750 | <1% | 58 | $2K | |
| 87045 | <1% | 265 | $2K | |
| 88304 | <1% | 335 | $2K | |
| Q0114 | Fern test | <1% | 173 | $2K |
| 82040 | <1% | 472 | $2K | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 2,670 | $2K |
| 90682 | <1% | 369 | $2K | |
| 96040 | <1% | 29 | $2K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 1,266 | $2K |
| 96401 | <1% | 102 | $2K | |
| 86708 | <1% | 103 | $2K | |
| 70360 | <1% | 155 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 36 | $2K |
| 88307 | <1% | 198 | $2K | |
| 72040 | <1% | 97 | $2K | |
| 86481 | <1% | 26 | $2K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 64 | $2K |
| 73140 | <1% | 170 | $1K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 468 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 8,279 | $1K |
| 76882 | <1% | 202 | $1K | |
| 96160 | <1% | 2,677 | $1K | |
| 76801 | <1% | 30 | $1K | |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | <1% | 158 | $1K |
| 82010 | <1% | 344 | $1K | |
| 85045 | <1% | 290 | $1K | |
| 87625 | <1% | 39 | $1K | |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 2,900 | $1K |
| 11043 | <1% | 29 | $1K | |
| 11982 | <1% | 12 | $1K | |
| 72170 | <1% | 129 | $1K | |
| 88346 | <1% | 79 | $1K | |
| 86704 | <1% | 80 | $1K | |
| J2704 | Injection, propofol, 10 mg | <1% | 7,154 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 18 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $1K |
| 90633 | <1% | 136 | $1K | |
| 93880 | <1% | 26 | $1K | |
| 72081 | <1% | 47 | $1K | |
| 86160 | <1% | 34 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,594 | $1K |
| 87272 | <1% | 54 | $978.63 | |
| 73060 | <1% | 98 | $961.20 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 5,173 | $931.49 |
| 59025 | Fetal non-stress test | <1% | 176 | $929.83 |
| 84160 | <1% | 137 | $922.07 | |
| 87046 | <1% | 269 | $914.57 | |
| 80178 | <1% | 117 | $903.42 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 536 | $894.79 |
| 90656 | <1% | 272 | $884.98 | |
| 96368 | <1% | 120 | $877.66 | |
| 90670 | <1% | 43 | $845.78 | |
| 99152 | <1% | 239 | $825.50 | |
| 90744 | <1% | 209 | $825.39 | |
| 76825 | <1% | 41 | $761.47 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,826 | $757.84 |
| J0640 | Injection, leucovorin calcium, per 50 mg | <1% | 21 | $755.44 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 13,731 | $750.81 |
| 80197 | <1% | 76 | $738.39 | |
| 87269 | <1% | 54 | $733.67 | |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | <1% | 1,844 | $726.94 |
| 86225 | <1% | 42 | $699.25 | |
| 87088 | <1% | 84 | $681.31 | |
| 97163 | <1% | 13 | $671.90 | |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | <1% | 1,089 | $661.56 |
| 86645 | <1% | 29 | $650.92 | |
| 84466 | <1% | 40 | $647.31 | |
| J1630 | Injection, haloperidol, up to 5 mg | <1% | 1,611 | $611.01 |
| 12002 | <1% | 14 | $607.31 | |
| 72131 | <1% | 15 | $600.60 | |
| J2060 | Injection, lorazepam, 2 mg | <1% | 3,028 | $598.76 |
| 86308 | <1% | 76 | $598.70 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 2,716 | $593.07 |
| 85007 | <1% | 127 | $581.90 | |
| 99406 | <1% | 204 | $577.72 | |
| 85460 | <1% | 57 | $572.45 | |
| 93325 | <1% | 15 | $536.72 | |
| 90734 | <1% | 132 | $516.20 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 2,356 | $510.75 |
| 83930 | <1% | 225 | $497.35 | |
| 87517 | <1% | 13 | $493.74 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $477.92 |
| 99153 | Mod sedat endo service >5yrs | <1% | 253 | $466.31 |
| 82785 | <1% | 31 | $435.42 | |
| 96523 | <1% | 28 | $397.28 | |
| 80177 | <1% | 35 | $392.87 | |
| 84305 | <1% | 14 | $379.24 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $377.74 |
| 73522 | <1% | 17 | $371.23 | |
| 84155 | <1% | 111 | $368.72 | |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 3,163 | $367.96 |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 288 | $361.80 |
| 86592 | <1% | 85 | $356.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 25 | $347.90 |
| 94760 | <1% | 225 | $343.88 | |
| 83010 | <1% | 27 | $342.12 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 1,050 | $340.19 |
| 94681 | <1% | 15 | $338.93 | |
| J3480 | Injection, potassium chloride, per 2 meq | <1% | 1,261 | $331.39 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | $320.71 |
| 82140 | <1% | 89 | $312.68 | |
| 95819 | <1% | 26 | $310.29 | |
| 87102 | <1% | 32 | $298.05 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 6,466 | $297.76 |
| 82390 | <1% | 26 | $293.84 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 2,145 | $293.59 |
| 87641 | <1% | 13 | $277.92 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 3,467 | $274.12 |
| G0010 | Administration of hepatitis b vaccine | <1% | 69 | $266.30 |
| 0071A | <1% | 493 | $265.00 | |
| J7042 | 5% dextrose/normal saline (500 ml = 1 unit) | <1% | 1,512 | $264.48 |
| 80069 | <1% | 47 | $260.34 | |
| 94010 | <1% | 42 | $259.50 | |
| 86580 | <1% | 47 | $258.12 | |
| 86644 | <1% | 13 | $257.19 | |
| 85041 | <1% | 75 | $256.70 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 544 | $244.11 |
| 87209 | <1% | 13 | $235.25 | |
| 82103 | <1% | 12 | $228.65 | |
| 94060 | <1% | 24 | $218.67 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 1,896 | $217.59 |
| 43775 | <1% | 12 | $211.72 | |
| 82150 | <1% | 40 | $210.20 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 644 | $181.36 |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | <1% | 100 | $179.34 |
| 96402 | <1% | 15 | $166.72 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 294 | $161.51 |
| 81050 | <1% | 31 | $160.29 | |
| OP250 | <1% | 90 | $140.66 | |
| J1953 | Injection, levetiracetam, 10 mg | <1% | 18 | $135.12 |
| 74220 | <1% | 12 | $133.69 | |
| 0072A | <1% | 464 | $132.00 | |
| C9113 | Injection, pantoprazole sodium, per vial | <1% | 253 | $102.62 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 3,078 | $99.82 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 8,256 | $99.37 |
| 88302 | <1% | 31 | $93.95 | |
| 87075 | <1% | 13 | $91.60 | |
| 87177 | <1% | 13 | $87.85 | |
| 73660 | <1% | 14 | $76.59 | |
| J0692 | Injection, cefepime hydrochloride, 500 mg | <1% | 39 | $72.29 |
| 77001 | <1% | 16 | $56.83 | |
| 0003A | <1% | 12 | $44.00 | |
| 96161 | <1% | 4,263 | $42.61 | |
| J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | <1% | 334 | $41.25 |
| 85651 | <1% | 15 | $40.65 | |
| 96127 | <1% | 1,845 | $29.68 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 14 | $18.39 |
| 99441 | <1% | 14 | $18.00 | |
| 88300 | <1% | 26 | $16.29 | |
| J7510 | Prednisolone oral, per 5 mg | <1% | 32 | $15.15 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 716 | $14.16 |
| J1940 | Injection, furosemide, up to 20 mg | <1% | 21 | $8.38 |
| 99205 | Prolong outpt/office vis | <1% | 25 | $0.01 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 807 | $0.00 |
| 0124A | 0% | 188 | $0.00 | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 0% | 706 | $0.00 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 0% | 172 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 592 | $0.00 |
| J2323 | Injection, natalizumab, 1 mg | 0% | 42 | $0.00 |
| J0137 | Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg | 0% | 24 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 232 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 268 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 696 | $0.00 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 0% | 14 | $0.00 |
| 91320 | 0% | 201 | $0.00 | |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 0% | 23 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 90 | $0.00 |
| J0736 | Injection, clindamycin phosphate, 300 mg | 0% | 14 | $0.00 |
| J3105 | Injection, terbutaline sulfate, up to 1 mg | 0% | 13 | $0.00 |
| J9190 | Injection, fluorouracil, 500 mg | 0% | 23 | $0.00 |
| J7606 | Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms | 0% | 73 | $0.00 |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | 0% | 13 | $0.00 |
| 3046F | 0% | 38 | $0.00 | |
| 90619 | 0% | 140 | $0.00 | |
| 90673 | 0% | 21 | $0.00 | |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 0% | 27 | $0.00 |
| 0051A | 0% | 523 | $0.00 | |
| 90480 | 0% | 140 | $0.00 | |
| 90375 | 0% | 26 | $0.00 | |
| 00000 | 0% | 9,376 | $0.00 | |
| 90698 | 0% | 229 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 101 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 0% | 327 | $0.00 |
| 0082A | 0% | 12 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| 0052A | 0% | 47 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 26 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| STC Pediatrics LLC | Philadelphia, PA | $12.21M |
| STC Pediatrics LLC | Philadelphia, PA | $8.73M |
| Tower Health Medical Group | West Reading, PA | $7.99M |
| Tower Health Medical Group | West Reading, PA | $2.54M |
| Chestnut Hill Clinic Company, LLC | Philadelphia, PA | $2.28M |
| STC Pediatrics LLC | Philadelphia, PA | $2.14M |
| STC Pediatrics LLC | Philadelphia, PA | $2.04M |
| Tower Direct LLC | West Reading, PA | $1.95M |
| STC Pediatrics LLC | Philadelphia, PA | $1.82M |
| STC Pediatrics LLC | Philadelphia, PA | $1.18M |
| STC Pediatrics LLC | Philadelphia, PA | $997K |
| STC Pediatrics LLC | Jenkintown, PA | $836K |
| Tower Health Medical Group | West Reading, PA | $835K |
| STC Pediatrics LLC | Philadelphia, PA | $795K |
| STC Pediatrics LLC | Philadelphia, PA | $784K |
| Tower Health Medical Group | Wyomissing, PA | $733K |
| STC Pediatrics LLC | Philadelphia, PA | $711K |
| Tower Health Medical Group | Reading, PA | $698K |
| Tower Health Medical Group | West Reading, PA | $613K |
| STC Pediatrics LLC | Philadelphia, PA | $502K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.