Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Clearfield Hospital (Dba Penn Highlands Clearfield Eff 7/01/14)

Clearfield Hospital (Dba Penn Highlands Clearfield Eff 7/01/14) was paid $409K by Medicaid between Jul 2021 and Jan 2023, across 103 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 19% of everything it billed.

33Billing provider infoCLEARFIELD HOSPITAL (DBA PENN HIGHLANDS CLEARFIELD EFF 7/01/14)
CLEARFIELD, PA 16830
33aNPI1740604776assigned 02/11/2014
33bProvider typeProfessional Counselor
28Total paid$409K
24GClaims12,790
24DCodes billed103
24AFirst – last monthJul 2021 – Jan 2023
Compared with peers

Next to other Professional Counselor providers in Pennsylvania

Rank by total paid#33 of 414
Median peer was paid$61K
This provider vs. median6.8×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
202110,912$360K
20221,831$44K
202347$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 19% 755 197 $78K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 840 816 $68K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 455 435 $55K
G0378 Hospital observation service, per hour 6.7% 12 12 $28K
87631 6.2% 167 165 $25K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.5% 372 116 $18K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.3% 119 111 $18K
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 2.5% 122 121 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.9% 271 267 $8K
80053 Comprehensive metabolic panel 1.8% 671 617 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.6% 41 38 $6K
80050 General health panel 1.3% 119 115 $6K
91 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 872 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.1% 112 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.0% 110 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 139 $4K
80061 Lipid panel <1% 269 $4K
77067 Screening mammography, bilateral, including computer-aided detection <1% 37 $3K
84443 Thyroid stimulating hormone (TSH) <1% 121 $3K
71275 Computed tomographic angiography, chest, with contrast material <1% 15 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 29 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 236 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 27 $2K
86618 <1% 74 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 71 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 71 $2K
83735 <1% 280 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 193 $2K
71046 Radiologic examination, chest; 2 views <1% 107 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 97 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 162 $1K
84484 <1% 167 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 186 $1K
71045 Radiologic examination, chest; single view <1% 184 $1K
84439 <1% 140 $1K
70450 Computed tomography, head or brain; without contrast material <1% 18 $1K
83880 <1% 37 $1K
81001 <1% 327 $960.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 80 $922.02
87081 <1% 155 $869.44
96361 Intravenous infusion, hydration; each additional hour <1% 57 $841.50
82728 <1% 66 $805.20
83721 <1% 63 $805.20
87077 <1% 91 $773.19
85027 <1% 104 $760.84
86617 <1% 16 $753.28
73630 <1% 60 $733.70
87480 <1% 28 $699.72
87660 <1% 28 $690.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 563 $679.40
82607 <1% 51 $672.10
84702 <1% 39 $632.10
87186 <1% 66 $589.60
82043 <1% 69 $554.40
83690 <1% 116 $550.00
86038 <1% 34 $511.50
82570 <1% 71 $503.68
73610 <1% 28 $494.40
85610 <1% 136 $462.00
80076 <1% 50 $446.85
87040 <1% 24 $446.60
85730 <1% 83 $445.50
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 12 $408.16
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 12 $390.12
84153 <1% 16 $375.20
90715 <1% 12 $333.15
73130 <1% 26 $328.90
72110 <1% 16 $321.75
83605 <1% 46 $299.20
84481 <1% 12 $283.25
87510 <1% 28 $282.24
J7030 Infusion, normal saline solution , 1000 cc <1% 721 $275.70
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 13 $271.70
73564 <1% 17 $271.26
83540 <1% 32 $269.70
82784 <1% 13 $268.66
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15 $259.38
84703 <1% 25 $248.38
85379 <1% 32 $244.86
85652 <1% 70 $214.50
82746 <1% 16 $211.20
84460 <1% 27 $205.92
84450 <1% 27 $203.84
86140 <1% 64 $188.10
84550 <1% 29 $185.22
81025 <1% 41 $180.40
84100 <1% 29 $144.20
82150 <1% 27 $126.50
73110 <1% 14 $126.50
86431 <1% 15 $119.00
82565 <1% 16 $112.80
81003 <1% 34 $109.12
83615 <1% 13 $94.92
83550 <1% 15 $77.00
86592 <1% 15 $66.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 74 $47.88
J2270 Injection, morphine sulfate, up to 10 mg <1% 18 $34.68
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 490 $33.27
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 413 $21.96
J1170 Injection, hydromorphone, up to 4 mg <1% 34 $20.76
36415 Collection of venous blood by venipuncture 0% 37 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 108 $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 officialCAIN, BILL (CFO)
Parent organizationCLEARFIELD HOSPITAL