Medicaid Provider Spending

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

NPI: 1730158981 · HANOVER, PA 17331 · General Acute Care Hospital · NPI assigned 03/17/2006

$2.92M
Total Medicaid Paid
105,118
Total Claims
93,311
Beneficiaries
153
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMITSTIFER, GREGORY (CFO)
NPI Enumeration Date03/17/2006

Related Entities

Other providers sharing the same authorized official: MITSTIFER, GREGORY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $7K
2019 113 $2K
2020 10,163 $271K
2021 49,660 $1.23M
2022 11,920 $369K
2023 17,752 $505K
2024 15,429 $532K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,778 9,443 $971K
99283 Emergency department visit for the evaluation and management, moderate severity 5,680 5,512 $410K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,397 1,336 $184K
T1015 Clinic visit/encounter, all-inclusive 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 1,108 1,069 $92K
80053 Comprehensive metabolic panel 7,387 6,871 $77K
74177 Computed tomography, abdomen and pelvis; with contrast material 482 455 $73K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,511 2,337 $65K
G0378 Hospital observation service, per hour 135 127 $64K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,298 10,634 $61K
80050 General health panel 1,135 1,109 $50K
X0621 245 123 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,609 1,516 $46K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,204 3,057 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 520 469 $27K
80061 Lipid panel 1,902 1,866 $27K
71046 Radiologic examination, chest; 2 views 1,962 1,892 $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 429 384 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 711 679 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 661 647 $22K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 585 574 $18K
84443 Thyroid stimulating hormone (TSH) 817 793 $18K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 365 353 $18K
80048 Basic metabolic panel (calcium, ionized) 2,159 2,014 $17K
70450 Computed tomography, head or brain; without contrast material 316 309 $16K
77067 Screening mammography, bilateral, including computer-aided detection 200 197 $16K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 371 362 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material 182 177 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 221 220 $14K
96375 Therapeutic injection; each additional sequential IV push 813 742 $13K
87086 Culture, bacterial; quantitative colony count, urine 1,471 1,364 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 785 640 $11K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 454 260 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 379 371 $9K
84703 989 946 $9K
84484 944 865 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 380 372 $8K
83036 Hemoglobin; glycosylated (A1C) 1,139 1,118 $8K
96361 Intravenous infusion, hydration; each additional hour 722 643 $8K
83605 1,061 985 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 184 180 $6K
71275 Computed tomographic angiography, chest, with contrast material 37 37 $6K
81001 2,109 1,990 $6K
84702 356 282 $5K
83880 175 166 $5K
83735 948 785 $5K
82728 475 463 $5K
83690 1,059 1,007 $5K
86803 257 252 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,539 2,360 $4K
93971 84 82 $4K
87150 103 102 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 191 184 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 146 142 $4K
77063 Screening digital breast tomosynthesis, bilateral 197 194 $4K
87186 487 458 $4K
85027 585 530 $4K
80081 42 41 $4K
84439 435 423 $3K
71250 54 53 $3K
83540 451 437 $3K
87081 525 508 $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 606 584 $3K
82570 409 360 $3K
82607 242 239 $3K
85610 810 644 $3K
71045 Radiologic examination, chest; single view 401 376 $3K
80076 297 281 $2K
86850 304 206 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 107 101 $2K
85379 205 201 $2K
82043 242 240 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 225 215 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $2K
87631 13 12 $2K
83550 375 363 $2K
87040 100 94 $1K
73610 82 80 $1K
87088 193 187 $1K
82784 84 83 $1K
74018 120 114 $1K
93017 40 38 $1K
86900 330 229 $1K
12001 13 13 $1K
86901 322 221 $1K
85652 402 369 $1K
84403 38 37 $1K
82950 156 154 $1K
86140 374 348 $1K
84550 156 135 $1K
87077 144 133 $979.96
76642 27 26 $849.28
G0463 Hospital outpatient clinic visit for assessment and management of a patient 201 173 $837.88
73630 71 71 $726.66
76536 15 15 $709.74
86038 44 42 $654.34
87340 40 39 $590.24
84481 25 25 $528.96
85730 99 92 $512.83
87205 115 99 $508.40
84100 102 89 $501.33
76830 Ultrasound, transvaginal 12 12 $496.58
96376 66 54 $470.40
J1885 Injection, ketorolac tromethamine, per 15 mg 3,034 2,721 $468.61
85014 147 142 $447.68
82565 70 63 $443.67
85018 145 140 $441.41
J3490 Unclassified drugs 602 471 $417.09
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 19 13 $370.03
J2704 Injection, propofol, 10 mg 571 457 $347.12
73564 16 15 $300.54
99000 48 47 $288.00
86618 13 12 $284.85
73130 25 24 $276.80
86317 12 12 $272.48
84156 62 45 $250.12
86592 58 56 $249.20
83615 33 29 $246.29
80143 32 29 $237.12
83993 12 12 $236.97
80179 29 27 $225.18
83516 55 53 $214.92
87070 31 25 $212.96
82150 40 36 $200.75
J2270 Injection, morphine sulfate, up to 10 mg 611 519 $189.61
36415 Collection of venous blood by venipuncture 213 130 $184.28
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,541 2,169 $164.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,200 1,014 $163.90
87329 13 13 $161.91
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 26 $160.07
83525 13 12 $138.60
94060 13 13 $114.57
86430 12 12 $93.80
87045 13 13 $90.43
J0696 Injection, ceftriaxone sodium, per 250 mg 507 407 $81.99
J3010 Injection, fentanyl citrate, 0.1 mg 475 348 $80.13
87046 13 13 $54.92
81025 14 13 $50.80
81003 13 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 850 776 $35.28
J1200 Injection, diphenhydramine hcl, up to 50 mg 620 524 $34.57
J2250 Injection, midazolam hydrochloride, per 1 mg 328 231 $17.85
J3475 Injection, magnesium sulfate, per 500 mg 273 231 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 40 38 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 33 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 40 38 $0.00
J1756 Injection, iron sucrose, 1 mg 32 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 107 81 $0.00
J2060 Injection, lorazepam, 2 mg 61 50 $0.00
A9573 Injection, gadopiclenol, 1 ml 53 52 $0.00
A9585 Injection, gadobutrol, 0.1 ml 151 148 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 56 51 $0.00