Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MONROEVILLE › WEST PENN ALLEGHENY HEALTH SYSTEM INC.

WEST PENN ALLEGHENY HEALTH SYSTEM INC.

NPI: 1679592380 · MONROEVILLE, PA 15146 · General Acute Care Hospital · NPI assigned 07/19/2006

$8.24M
Total Medicaid Paid
282,261
Total Claims
216,476
Beneficiaries
225
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, RICK (VICE PRESIDENT, FINANCE)
Parent OrganizationTHE WESTERN PENNSYLVANIA HOSPITAL
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: FRIES, RICK

ProviderCityStateTotal Paid
JEFFERSON REGIONAL MEDICAL CENTER CLAIRTON PA $12.73M
WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH PA $12.69M
WEST PENN ALLEGHENY HEALTH SYSTEM INC. PITTSBURGH PA $10.81M
ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS PA $6.09M
CANONSBURG GENERAL HOSPITAL CANONSBURG PA $2.97M
GROVE CITY MEDICAL CENTER GROVE CITY PA $2.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 218 $12K
2020 29,146 $630K
2021 125,183 $3.07M
2022 41,136 $1.41M
2023 52,387 $1.82M
2024 34,191 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 3,043 2,784 $2.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,340 12,614 $2.04M
99284 Emergency department visit for the evaluation and management, high severity 6,091 5,940 $883K
99283 Emergency department visit for the evaluation and management, moderate severity 6,665 6,519 $847K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,929 1,862 $198K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,994 6,590 $109K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,521 2,307 $96K
80053 Comprehensive metabolic panel 13,281 11,879 $87K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,297 1,271 $85K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,096 19,031 $72K
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 1,126 1,078 $67K
T1015 Clinic visit/encounter, all-inclusive 978 629 $66K
70450 Computed tomography, head or brain; without contrast material 1,747 1,666 $66K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,096 1,086 $64K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,387 2,333 $63K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,442 1,409 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,329 2,274 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,041 6,521 $36K
96375 Therapeutic injection; each additional sequential IV push 4,062 3,503 $35K
80048 Basic metabolic panel (calcium, ionized) 6,786 5,690 $31K
70498 313 305 $29K
99282 Emergency department visit for the evaluation and management, low to moderate severity 280 276 $27K
71275 Computed tomographic angiography, chest, with contrast material 229 215 $25K
84443 Thyroid stimulating hormone (TSH) 1,042 1,004 $23K
77067 Screening mammography, bilateral, including computer-aided detection 225 223 $21K
84484 4,089 3,578 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 173 172 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material 300 295 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 280 269 $17K
80299 761 696 $17K
84703 2,734 2,618 $17K
0002A 359 358 $16K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 419 419 $16K
87481 431 423 $16K
96361 Intravenous infusion, hydration; each additional hour 1,729 1,444 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 506 500 $15K
72125 Computed tomography, cervical spine; without contrast material 328 313 $15K
80061 Lipid panel 1,149 1,110 $14K
84702 1,086 910 $13K
83880 925 864 $13K
80050 General health panel 357 347 $13K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 431 423 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 414 409 $12K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 228 228 $11K
71045 Radiologic examination, chest; single view 2,428 2,294 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 55 53 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 147 145 $10K
0001A 357 354 $10K
71046 Radiologic examination, chest; 2 views 1,020 991 $9K
86803 471 464 $9K
83735 2,705 2,175 $9K
70496 116 112 $9K
96376 1,705 914 $8K
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 456 450 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 668 593 $8K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 100 100 $7K
87086 Culture, bacterial; quantitative colony count, urine 1,039 979 $7K
76642 140 123 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,579 868 $7K
83690 2,644 2,493 $7K
70486 105 104 $6K
84999 2,347 2,093 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 503 455 $6K
93971 150 141 $6K
81001 3,440 3,271 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 563 259 $6K
83605 1,592 1,287 $6K
83036 Hemoglobin; glycosylated (A1C) 992 975 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 294 288 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 169 164 $5K
76830 Ultrasound, transvaginal 128 124 $5K
86850 783 751 $4K
86780 252 245 $4K
77063 Screening digital breast tomosynthesis, bilateral 165 164 $4K
84439 520 485 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 289 262 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 32 31 $4K
87340 233 229 $3K
87070 526 505 $3K
80076 521 495 $3K
85730 1,073 984 $3K
85379 533 503 $3K
86762 132 130 $3K
85027 736 624 $3K
82570 397 351 $3K
93975 45 41 $3K
36415 Collection of venous blood by venipuncture 6,632 4,931 $3K
73610 209 192 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 365 200 $3K
84466 199 188 $3K
77066 Tomosynthesis, mammo 28 28 $3K
87563 169 167 $3K
85610 1,439 1,231 $3K
81003 1,212 1,172 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 76 75 $2K
87081 442 436 $2K
82550 622 580 $2K
82728 235 218 $2K
87205 529 505 $2K
86900 792 757 $2K
87186 322 313 $2K
J2785 Injection, regadenoson, 0.1 mg 82 66 $2K
86901 785 750 $2K
73630 222 200 $2K
84145 236 227 $2K
87040 297 278 $2K
J7030 Infusion, normal saline solution , 1000 cc 9,830 7,164 $2K
73560 206 194 $2K
93017 105 105 $2K
82553 411 385 $2K
82043 190 187 $2K
76801 47 44 $2K
84100 572 398 $2K
82607 223 214 $2K
73130 197 171 $2K
80320 260 234 $2K
84550 249 201 $2K
73030 135 128 $2K
83615 220 177 $1K
71250 35 33 $1K
83540 204 195 $1K
82805 94 87 $1K
80349 141 135 $1K
90715 284 271 $1K
87480 41 40 $1K
70551 Magnetic resonance imaging, brain; without contrast material 30 29 $1K
87077 169 166 $1K
87660 41 40 $1K
93970 30 27 $1K
72131 38 36 $1K
82565 232 215 $971.70
J2704 Injection, propofol, 10 mg 3,807 2,641 $960.25
82962 1,466 751 $958.89
86140 400 384 $937.60
81025 494 478 $917.18
86618 46 45 $909.45
85652 417 397 $853.82
J3490 Unclassified drugs 3,172 2,263 $816.34
J2270 Injection, morphine sulfate, up to 10 mg 2,819 1,672 $767.05
87075 113 106 $750.78
76536 12 12 $657.71
73502 52 50 $636.22
87147 202 193 $585.17
76775 14 14 $576.60
80329 118 106 $558.36
87510 28 28 $556.92
72100 39 39 $555.33
84156 135 104 $549.30
83001 25 25 $547.01
86592 119 117 $522.71
73110 74 64 $519.00
88342 15 15 $399.18
77062 13 13 $359.52
74018 30 25 $351.90
84146 12 12 $347.04
59025 Fetal non-stress test 74 51 $333.00
0003A 12 12 $324.00
82746 57 51 $317.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 51 $306.15
82950 38 37 $304.36
J7120 Ringers lactate infusion, up to 1000 cc 3,802 3,016 $303.82
73590 31 28 $289.32
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 312 246 $248.78
J1815 Injection, insulin, per 5 units 1,852 440 $231.59
J3010 Injection, fentanyl citrate, 0.1 mg 4,224 2,909 $211.50
J0696 Injection, ceftriaxone sodium, per 250 mg 1,467 894 $210.80
J1885 Injection, ketorolac tromethamine, per 15 mg 5,579 4,199 $200.07
73562 15 14 $189.16
C9113 Injection, pantoprazole sodium, per vial 1,242 636 $180.07
J1644 Injection, heparin sodium, per 1000 units 4,162 1,391 $175.11
72040 13 13 $156.85
J1170 Injection, hydromorphone, up to 4 mg 834 546 $152.82
97162 144 137 $152.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,568 5,534 $147.03
86038 12 12 $128.20
87210 40 38 $116.49
J0690 Injection, cefazolin sodium, 500 mg 1,797 1,204 $112.29
94760 464 312 $107.47
88304 36 36 $98.38
97166 166 158 $95.98
97165 29 27 $92.60
J0330 Injection, succinylcholine chloride, up to 20 mg 389 334 $75.96
99152 39 37 $73.06
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 61 61 $70.56
87088 12 12 $70.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,751 2,178 $68.04
J0780 Injection, prochlorperazine, up to 10 mg 266 223 $63.86
73080 13 13 $63.25
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12 12 $61.10
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,421 1,162 $55.45
82140 31 27 $49.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $47.88
82330 26 26 $42.89
J3370 Injection, vancomycin hcl, 500 mg 187 89 $38.92
J2060 Injection, lorazepam, 2 mg 542 377 $36.87
95816 15 14 $29.70
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 366 300 $27.18
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 28 25 $24.74
J2250 Injection, midazolam hydrochloride, per 1 mg 2,834 2,452 $18.90
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 19 12 $17.17
J2370 Injection, phenylephrine hcl, up to 1 ml 143 109 $17.16
85018 17 14 $16.62
J2765 Injection, metoclopramide hcl, up to 10 mg 298 238 $16.42
J3475 Injection, magnesium sulfate, per 500 mg 416 331 $15.14
97161 68 65 $12.37
J1650 Injection, enoxaparin sodium, 10 mg 270 107 $10.83
A9270 Non-covered item or service 33,739 7,081 $10.53
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,425 1,315 $10.10
S0030 Injection, metronidazole, 500 mg 62 40 $6.66
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 114 90 $6.44
J7999 Compounded drug, not otherwise classified 133 125 $3.47
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,192 1,748 $0.09
J1171 Injection, hydromorphone, 0.1 mg 17 13 $0.00
97116 23 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 109 96 $0.00
0004A 17 17 $0.00
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 36 32 $0.00
C1769 Guide wire 12 12 $0.00
J7050 Infusion, normal saline solution, 250 cc 186 124 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 33 25 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 105 59 $0.00
J3480 Injection, potassium chloride, per 2 meq 61 26 $0.00
82077 16 14 $0.00
97535 Self-care/home management training, each 15 minutes 17 12 $0.00
94762 17 14 $0.00