Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST JOSEPH REGIONAL HEALTH NETWORK

NPI: 1699734665 · READING, PA 19605 · General Acute Care Hospital · NPI assigned 03/20/2006

$27.79M
Total Medicaid Paid
483,848
Total Claims
442,380
Beneficiaries
286
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHABALOWSKI, EDWARD (CFO)
NPI Enumeration Date03/20/2006

Related Entities

Other providers sharing the same authorized official: CHABALOWSKI, EDWARD

ProviderCityStateTotal Paid
ST. JOSEPH MEDICAL GROUP READING PA $7.20M
ST JOSEPH REGIONAL HEALTH NETWORK TEMPLE PA $1.02M
ST. JOSEPH REGIONAL HEALTH NETWORK READING PA $907K
ST JOSEPH REGIONAL HEALTH NETWORK STRAUSSTOWN PA $236K
ST. JOSEPH REGIONAL HEALTH NETWORK BLANDON PA $96K
ST. JOSEPH REGIONAL HEALTH NETWORK READING PA $91K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $6K
2019 4,839 $108K
2020 42,310 $1.73M
2021 189,643 $8.30M
2022 88,071 $6.37M
2023 97,801 $6.52M
2024 61,113 $4.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 22,195 21,600 $6.08M
99283 Emergency department visit for the evaluation and management, moderate severity 25,242 24,676 $4.78M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,100 9,754 $3.70M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 17,627 17,366 $2.11M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,822 7,437 $1.09M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,405 2,357 $647K
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 5,960 5,742 $522K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,142 4,058 $463K
71046 Radiologic examination, chest; 2 views 7,855 7,698 $421K
71045 Radiologic examination, chest; single view 7,419 7,135 $364K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,892 1,602 $347K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,171 4,649 $314K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,862 8,606 $278K
96375 Therapeutic injection; each additional sequential IV push 6,868 5,164 $261K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,476 2,399 $247K
96361 Intravenous infusion, hydration; each additional hour 5,716 5,319 $243K
59025 Fetal non-stress test 1,844 1,027 $239K
80053 Comprehensive metabolic panel 29,176 27,320 $237K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,268 683 $235K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,253 7,097 $228K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,014 988 $223K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,826 7,451 $165K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,212 28,201 $159K
G0378 Hospital observation service, per hour 323 304 $157K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 286 275 $155K
36415 Collection of venous blood by venipuncture 43,318 38,318 $148K
70450 Computed tomography, head or brain; without contrast material 1,557 1,519 $136K
74176 Computed tomography, abdomen and pelvis; without contrast material 929 901 $136K
80061 Lipid panel 10,135 9,940 $132K
77067 Screening mammography, bilateral, including computer-aided detection 1,501 1,458 $127K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 417 413 $111K
87480 4,347 4,254 $87K
87660 4,351 4,258 $86K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 442 433 $81K
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 4,468 4,324 $75K
84443 Thyroid stimulating hormone (TSH) 4,250 4,141 $75K
93975 434 419 $75K
87510 4,334 4,241 $71K
71275 Computed tomographic angiography, chest, with contrast material 351 342 $68K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 227 225 $66K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,438 2,402 $65K
T1015 Clinic visit/encounter, all-inclusive 1,073 370 $62K
76830 Ultrasound, transvaginal 732 715 $58K
84702 5,626 5,318 $57K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 533 494 $57K
82728 4,080 3,969 $51K
83036 Hemoglobin; glycosylated (A1C) 6,242 6,089 $51K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,951 3,779 $47K
97161 790 781 $45K
80050 General health panel 2,256 2,200 $43K
86803 2,646 2,597 $41K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 728 397 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,944 1,502 $40K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 813 766 $39K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 853 831 $38K
87490 1,581 1,486 $38K
87631 250 240 $38K
84484 3,421 3,081 $37K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 72 71 $34K
76705 Ultrasound, abdominal, real time with image documentation; limited 486 474 $34K
G0475 Hiv antigen/antibody, combination assay, screening 1,974 1,960 $34K
73564 678 608 $32K
96367 787 426 $32K
84466 2,392 2,303 $30K
80048 Basic metabolic panel (calcium, ionized) 4,093 3,460 $30K
86696 1,562 1,414 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 199 195 $28K
77063 Screening digital breast tomosynthesis, bilateral 958 925 $27K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 93 90 $26K
73610 601 560 $26K
76642 453 423 $26K
83735 5,507 4,695 $26K
86900 543 512 $25K
73630 662 614 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 605 480 $25K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 1,640 1,608 $24K
70551 Magnetic resonance imaging, brain; without contrast material 117 117 $24K
93971 289 274 $23K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 762 375 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,110 430 $23K
72141 86 85 $23K
77066 Tomosynthesis, mammo 241 231 $23K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 433 359 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 310 302 $23K
72110 480 474 $22K
77065 Tomosynthesis, mammo 361 348 $22K
86480 299 292 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete 270 262 $21K
83655 1,709 1,696 $21K
73030 571 530 $21K
87086 Culture, bacterial; quantitative colony count, urine 2,598 2,457 $21K
87340 1,918 1,887 $20K
93970 148 146 $19K
93017 241 231 $19K
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 776 768 $19K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 52 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 219 213 $19K
83690 4,649 4,469 $19K
82607 1,606 1,572 $19K
76770 276 264 $18K
76801 232 221 $17K
87081 2,376 2,332 $17K
97162 275 272 $17K
83540 2,513 2,421 $16K
81001 7,031 6,768 $15K
73130 435 363 $15K
85027 2,284 2,140 $15K
86618 324 317 $15K
82150 3,873 3,736 $15K
72050 283 274 $15K
83525 1,180 1,148 $14K
76536 191 190 $14K
73110 402 343 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 465 462 $14K
87150 302 291 $14K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 304 289 $13K
73562 334 299 $13K
97802 235 223 $13K
82784 513 501 $13K
80081 133 130 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 164 103 $12K
93225 245 236 $12K
86003 148 131 $12K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 496 479 $12K
84439 1,181 1,144 $11K
86592 2,710 2,654 $11K
85610 2,993 1,743 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 464 445 $11K
72100 209 205 $10K
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 210 195 $10K
80074 142 138 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 126 113 $10K
82746 883 864 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 366 169 $9K
62323 15 14 $9K
73502 220 213 $9K
74018 210 193 $8K
83970 210 200 $8K
71250 112 108 $8K
86038 497 491 $7K
84403 262 240 $7K
82570 1,051 986 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,139 2,954 $7K
80076 722 671 $6K
84146 285 273 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 135 115 $6K
97803 231 228 $6K
84480 478 467 $6K
73221 26 26 $6K
87186 662 635 $6K
64483 18 13 $6K
36430 24 13 $5K
81003 2,349 2,284 $5K
73140 136 129 $5K
96417 68 36 $5K
93880 62 61 $5K
83001 257 245 $5K
82043 652 621 $5K
73080 140 124 $5K
86850 324 306 $5K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 292 266 $5K
97165 92 89 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 239 170 $4K
95819 29 27 $4K
77085 71 70 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 53 49 $4K
85018 1,338 1,315 $4K
85652 1,294 1,240 $4K
85014 1,332 1,310 $4K
83721 357 343 $4K
82077 133 124 $4K
86140 804 768 $3K
87077 409 398 $3K
76641 44 38 $3K
83002 163 155 $3K
83718 416 415 $3K
87040 241 216 $3K
86706 250 247 $3K
85730 566 531 $3K
86430 372 366 $3K
82330 266 245 $3K
86704 200 197 $3K
86901 320 302 $3K
82248 425 398 $3K
82397 673 610 $3K
A9585 Injection, gadobutrol, 0.1 ml 467 454 $3K
80320 83 74 $2K
82950 385 374 $2K
86762 142 142 $2K
82565 486 455 $2K
85007 593 576 $2K
84100 423 371 $2K
83615 364 348 $2K
87147 333 311 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 69 68 $2K
87070 277 266 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 215 209 $2K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 87 86 $2K
82947 468 459 $2K
84436 288 281 $2K
86787 133 133 $2K
82550 282 273 $2K
82465 439 438 $2K
80051 336 320 $2K
84153 76 76 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 153 152 $2K
82785 102 101 $2K
83605 278 251 $2K
J7030 Infusion, normal saline solution , 1000 cc 3,483 3,012 $2K
84450 261 253 $2K
73590 47 42 $2K
84156 370 338 $2K
84402 54 52 $2K
71271 28 28 $1K
84460 235 223 $1K
81025 276 270 $1K
84520 361 344 $1K
83516 121 107 $1K
82670 50 50 $1K
82962 1,031 780 $1K
85379 132 129 $1K
84550 216 205 $1K
87088 145 140 $1K
96376 205 138 $1K
87522 Neg quan hep c or qual rna 28 27 $1K
84481 54 54 $1K
94060 12 12 $1K
72072 16 16 $935.85
84165 71 71 $930.57
87205 204 196 $898.10
85378 105 99 $824.76
72082 12 12 $798.22
72070 14 14 $797.00
85046 119 112 $786.71
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 33 $752.75
82951 50 48 $747.54
97022 80 24 $732.42
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 113 113 $726.37
86200 39 39 $651.54
J2270 Injection, morphine sulfate, up to 10 mg 1,008 809 $650.55
83020 42 42 $604.03
87427 26 25 $602.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,844 1,401 $599.78
94760 241 208 $576.75
86235 17 12 $559.62
J1885 Injection, ketorolac tromethamine, per 15 mg 3,232 2,903 $540.63
90715 16 15 $420.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,731 2,919 $396.98
86703 15 15 $381.75
83883 39 39 $350.84
J2704 Injection, propofol, 10 mg 1,557 1,319 $342.91
88304 29 28 $318.44
82627 13 13 $305.55
86617 12 12 $277.12
J1170 Injection, hydromorphone, up to 4 mg 581 407 $272.83
J7120 Ringers lactate infusion, up to 1000 cc 1,526 1,259 $272.45
87045 25 25 $244.77
J3475 Injection, magnesium sulfate, per 500 mg 110 70 $218.38
86160 14 13 $216.30
87341 24 24 $212.86
87046 25 25 $208.31
85660 40 40 $197.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 814 531 $131.72
82952 29 28 $121.56
J0690 Injection, cefazolin sodium, 500 mg 613 447 $118.57
87328 12 12 $113.24
J3010 Injection, fentanyl citrate, 0.1 mg 1,304 1,125 $77.82
J1644 Injection, heparin sodium, per 1000 units 89 41 $43.93
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 933 425 $41.00
J8540 Dexamethasone, oral, 0.25 mg 183 167 $32.80
J2765 Injection, metoclopramide hcl, up to 10 mg 58 52 $23.72
J2060 Injection, lorazepam, 2 mg 74 51 $20.23
J2250 Injection, midazolam hydrochloride, per 1 mg 1,153 974 $12.22
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 69 66 $12.13
J0696 Injection, ceftriaxone sodium, per 250 mg 41 39 $11.48
3044F 339 329 $0.03
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 180 166 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 327 120 $0.00
J1756 Injection, iron sucrose, 1 mg 154 66 $0.00
J1171 Injection, hydromorphone, 0.1 mg 31 24 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 68 60 $0.00
3061F 66 62 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 58 36 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 103 62 $0.00
J3490 Unclassified drugs 32 26 $0.00