Hospital
UPMC Hanover
UPMC Hanover was paid $2.92M by Medicaid between Apr 2018 and Dec 2024, across 153 billing codes. Its largest line is 99284, emergency room visit (serious) — 33% of everything it billed.
33Billing provider infoUPMC HANOVER
HANOVER, PA 17331
HANOVER, PA 17331
33aNPI1730158981assigned 03/17/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.92M
24GClaims105,118
24DCodes billed153
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#77 of 154
Median peer was paid$2.82M
This provider vs. median1.0×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 81 | $7K | |
| 2019 | 113 | $2K | |
| 2020 | 10,163 | $271K | |
| 2021 | 49,660 | $1.23M | |
| 2022 | 11,920 | $369K | |
| 2023 | 17,752 | $505K | |
| 2024incomplete | 15,429 | $532K |
Box 24 · Service lines
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 | 33% | 9,778 | 9,443 | $971K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 5,680 | 5,512 | $410K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.3% | 1,397 | 1,336 | $184K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.2% | 6,165 | 1,597 | $180K |
| 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 | 3.2% | 1,108 | 1,069 | $92K |
| 80053 | Comprehensive metabolic panel | 2.6% | 7,387 | 6,871 | $77K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.5% | 482 | 455 | $73K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.2% | 2,511 | 2,337 | $65K |
| G0378 | Hospital observation service, per hour | 2.2% | 135 | 127 | $64K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 11,298 | 10,634 | $61K |
| 80050 | General health panel | 1.7% | 1,135 | 1,109 | $50K |
| X0621 | 1.6% | 245 | 123 | $47K |
141 more codes
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.6% | 1,609 | $46K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.1% | 3,204 | $32K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 520 | $27K |
| 80061 | Lipid panel | <1% | 1,902 | $27K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,962 | $26K |
| 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% | 429 | $25K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 711 | $24K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 661 | $22K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 585 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 817 | $18K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 365 | $18K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,159 | $17K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 316 | $16K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 200 | $16K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 371 | $15K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 182 | $14K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 221 | $14K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 813 | $13K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,471 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 785 | $11K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 454 | $10K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 379 | $9K |
| 84703 | <1% | 989 | $9K | |
| 84484 | <1% | 944 | $9K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 380 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,139 | $8K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 722 | $8K |
| 83605 | <1% | 1,061 | $8K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 184 | $6K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 37 | $6K |
| 81001 | <1% | 2,109 | $6K | |
| 84702 | <1% | 356 | $5K | |
| 83880 | <1% | 175 | $5K | |
| 83735 | <1% | 948 | $5K | |
| 82728 | <1% | 475 | $5K | |
| 83690 | <1% | 1,059 | $5K | |
| 86803 | <1% | 257 | $5K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 2,539 | $4K |
| 93971 | <1% | 84 | $4K | |
| 87150 | <1% | 103 | $4K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 191 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 146 | $4K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 197 | $4K |
| 87186 | <1% | 487 | $4K | |
| 85027 | <1% | 585 | $4K | |
| 80081 | <1% | 42 | $4K | |
| 84439 | <1% | 435 | $3K | |
| 71250 | <1% | 54 | $3K | |
| 83540 | <1% | 451 | $3K | |
| 87081 | <1% | 525 | $3K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 606 | $3K |
| 82570 | <1% | 409 | $3K | |
| 82607 | <1% | 242 | $3K | |
| 85610 | <1% | 810 | $3K | |
| 71045 | Radiologic examination, chest; single view | <1% | 401 | $3K |
| 80076 | <1% | 297 | $2K | |
| 86850 | <1% | 304 | $2K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 107 | $2K |
| 85379 | <1% | 205 | $2K | |
| 82043 | <1% | 242 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 225 | $2K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 12 | $2K |
| 87631 | <1% | 13 | $2K | |
| 83550 | <1% | 375 | $2K | |
| 87040 | <1% | 100 | $1K | |
| 73610 | <1% | 82 | $1K | |
| 87088 | <1% | 193 | $1K | |
| 82784 | <1% | 84 | $1K | |
| 74018 | <1% | 120 | $1K | |
| 93017 | <1% | 40 | $1K | |
| 86900 | <1% | 330 | $1K | |
| 12001 | <1% | 13 | $1K | |
| 86901 | <1% | 322 | $1K | |
| 85652 | <1% | 402 | $1K | |
| 84403 | <1% | 38 | $1K | |
| 82950 | <1% | 156 | $1K | |
| 86140 | <1% | 374 | $1K | |
| 84550 | <1% | 156 | $1K | |
| 87077 | <1% | 144 | $979.96 | |
| 76642 | <1% | 27 | $849.28 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 201 | $837.88 |
| 73630 | <1% | 71 | $726.66 | |
| 76536 | <1% | 15 | $709.74 | |
| 86038 | <1% | 44 | $654.34 | |
| 87340 | <1% | 40 | $590.24 | |
| 84481 | <1% | 25 | $528.96 | |
| 85730 | <1% | 99 | $512.83 | |
| 87205 | <1% | 115 | $508.40 | |
| 84100 | <1% | 102 | $501.33 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $496.58 |
| 96376 | <1% | 66 | $470.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,034 | $468.61 |
| 85014 | <1% | 147 | $447.68 | |
| 82565 | <1% | 70 | $443.67 | |
| 85018 | <1% | 145 | $441.41 | |
| J3490 | Unclassified drugs | <1% | 602 | $417.09 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $370.03 |
| J2704 | Injection, propofol, 10 mg | <1% | 571 | $347.12 |
| 73564 | <1% | 16 | $300.54 | |
| 99000 | <1% | 48 | $288.00 | |
| 86618 | <1% | 13 | $284.85 | |
| 73130 | <1% | 25 | $276.80 | |
| 86317 | <1% | 12 | $272.48 | |
| 84156 | <1% | 62 | $250.12 | |
| 86592 | <1% | 58 | $249.20 | |
| 83615 | <1% | 33 | $246.29 | |
| 80143 | <1% | 32 | $237.12 | |
| 83993 | <1% | 12 | $236.97 | |
| 80179 | <1% | 29 | $225.18 | |
| 83516 | <1% | 55 | $214.92 | |
| 87070 | <1% | 31 | $212.96 | |
| 82150 | <1% | 40 | $200.75 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 611 | $189.61 |
| 36415 | Collection of venous blood by venipuncture | <1% | 213 | $184.28 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,541 | $164.98 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,200 | $163.90 |
| 87329 | <1% | 13 | $161.91 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $160.07 |
| 83525 | <1% | 13 | $138.60 | |
| 94060 | <1% | 13 | $114.57 | |
| 86430 | <1% | 12 | $93.80 | |
| 87045 | <1% | 13 | $90.43 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 507 | $81.99 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 475 | $80.13 |
| 87046 | <1% | 13 | $54.92 | |
| 81025 | <1% | 14 | $50.80 | |
| 81003 | <1% | 13 | $38.96 | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 850 | $35.28 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 620 | $34.57 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 328 | $17.85 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 273 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 13 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 0% | 40 | $0.00 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 33 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 40 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 32 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 107 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 0% | 61 | $0.00 |
| A9573 | Injection, gadopiclenol, 1 ml | 0% | 53 | $0.00 |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 151 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 56 | $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.
From NPPES
Who's on the registration
Authorized officialMITSTIFER, GREGORY (CFO)
| Provider | Location | Paid |
|---|---|---|
| UPMC Pinnacle Hospitals | Harrisburg, PA | $26.92M |
| UPMC Memorial | York, PA | $6.74M |
| UPMC Carlisle | Carlisle, PA | $3.56M |
| UPMC Lititz | Lititz, PA | $2.49M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.