Medicaid Provider Spending

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

CLEARFIELD HOSPITAL (DBA PENN HIGHLANDS CLEARFIELD EFF 7/01/14)

NPI: 1740604776 · CLEARFIELD, PA 16830 · Professional Counselor · NPI assigned 02/11/2014

$409K
Total Medicaid Paid
12,790
Total Claims
11,318
Beneficiaries
103
Codes Billed
2021-07
First Month
2023-01
Last Month

Provider Details

Authorized OfficialCAIN, BILL (CFO)
Parent OrganizationCLEARFIELD HOSPITAL
NPI Enumeration Date02/11/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 10,912 $360K
2022 1,831 $44K
2023 47 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 755 197 $78K
99283 Emergency department visit for the evaluation and management, moderate severity 840 816 $68K
99284 Emergency department visit for the evaluation and management, high severity 455 435 $55K
G0378 Hospital observation service, per hour 12 12 $28K
87631 167 165 $25K
T1015 Clinic visit/encounter, all-inclusive 372 116 $18K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 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 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 271 267 $8K
80053 Comprehensive metabolic panel 671 617 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 41 38 $6K
80050 General health panel 119 115 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 872 782 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 112 111 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 110 108 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 139 133 $4K
80061 Lipid panel 269 267 $4K
77067 Screening mammography, bilateral, including computer-aided detection 37 37 $3K
84443 Thyroid stimulating hormone (TSH) 121 120 $3K
71275 Computed tomographic angiography, chest, with contrast material 15 13 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 29 29 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 236 218 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27 27 $2K
86618 74 70 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 71 70 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 71 70 $2K
83735 280 239 $2K
80048 Basic metabolic panel (calcium, ionized) 193 173 $2K
71046 Radiologic examination, chest; 2 views 107 104 $2K
96375 Therapeutic injection; each additional sequential IV push 97 90 $2K
87086 Culture, bacterial; quantitative colony count, urine 162 156 $1K
84484 167 147 $1K
83036 Hemoglobin; glycosylated (A1C) 186 184 $1K
71045 Radiologic examination, chest; single view 184 171 $1K
84439 140 138 $1K
70450 Computed tomography, head or brain; without contrast material 18 18 $1K
83880 37 35 $1K
81001 327 311 $960.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 80 62 $922.02
87081 155 153 $869.44
96361 Intravenous infusion, hydration; each additional hour 57 51 $841.50
82728 66 66 $805.20
83721 63 63 $805.20
87077 91 89 $773.19
85027 104 100 $760.84
86617 16 16 $753.28
73630 60 57 $733.70
87480 28 28 $699.72
87660 28 28 $690.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 563 545 $679.40
82607 51 50 $672.10
84702 39 37 $632.10
87186 66 65 $589.60
82043 69 69 $554.40
83690 116 106 $550.00
86038 34 33 $511.50
82570 71 71 $503.68
73610 28 27 $494.40
85610 136 101 $462.00
80076 50 49 $446.85
87040 24 24 $446.60
85730 83 77 $445.50
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $408.16
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $390.12
84153 16 14 $375.20
90715 12 12 $333.15
73130 26 25 $328.90
72110 16 16 $321.75
83605 46 41 $299.20
84481 12 12 $283.25
87510 28 28 $282.24
J7030 Infusion, normal saline solution , 1000 cc 721 668 $275.70
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 13 13 $271.70
73564 17 14 $271.26
83540 32 32 $269.70
82784 13 12 $268.66
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 15 $259.38
84703 25 25 $248.38
85379 32 30 $244.86
85652 70 68 $214.50
82746 16 16 $211.20
84460 27 27 $205.92
84450 27 27 $203.84
86140 64 62 $188.10
84550 29 29 $185.22
81025 41 38 $180.40
84100 29 26 $144.20
82150 27 25 $126.50
73110 14 14 $126.50
86431 15 14 $119.00
82565 16 15 $112.80
81003 34 34 $109.12
83615 13 13 $94.92
83550 15 15 $77.00
86592 15 15 $66.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 74 70 $47.88
J2270 Injection, morphine sulfate, up to 10 mg 18 15 $34.68
J1885 Injection, ketorolac tromethamine, per 15 mg 490 458 $33.27
J2405 Injection, ondansetron hydrochloride, per 1 mg 413 381 $21.96
J1170 Injection, hydromorphone, up to 4 mg 34 26 $20.76
36415 Collection of venous blood by venipuncture 37 30 $0.00
A9585 Injection, gadobutrol, 0.1 ml 13 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 108 108 $0.00