Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PITTSBURGH › UPMC ST MARGARET

UPMC ST MARGARET

NPI: 1790795359 · PITTSBURGH, PA 15215 · General Acute Care Hospital · NPI assigned 08/08/2006

$5.40M
Total Medicaid Paid
222,321
Total Claims
185,700
Beneficiaries
223
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRITZ, BRIAN (CFO)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: FRITZ, BRIAN

ProviderCityStateTotal Paid
UPMC HORIZON GREENVILLE PA $8.63M
UPMC JAMESON NEW CASTLE PA $6.82M
UPMC JAMESON NEW CASTLE PA $3K
UPMC HORIZON GREENVILLE PA $1K
UPMC ST. MARGARET PITTSBURGH PA $948.62

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 65 $144.76
2020 22,722 $498K
2021 107,596 $2.93M
2022 38,808 $807K
2023 34,048 $694K
2024 19,082 $474K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,360 11,953 $1.78M
G0378 Hospital observation service, per hour 3,717 1,468 $912K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,280 3,126 $520K
99283 Emergency department visit for the evaluation and management, moderate severity 2,793 2,708 $250K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,386 1,349 $176K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,306 6,959 $131K
T1015 Clinic visit/encounter, all-inclusive 4,257 3,865 $112K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 390 381 $93K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 464 453 $69K
70551 Magnetic resonance imaging, brain; without contrast material 345 335 $59K
95811 140 135 $59K
71275 Computed tomographic angiography, chest, with contrast material 393 389 $54K
72141 244 232 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,723 12,471 $50K
73221 209 205 $49K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 249 244 $47K
96375 Therapeutic injection; each additional sequential IV push 3,784 3,405 $45K
80048 Basic metabolic panel (calcium, ionized) 8,794 7,217 $43K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,164 5,768 $39K
80053 Comprehensive metabolic panel 5,313 4,735 $36K
70450 Computed tomography, head or brain; without contrast material 914 879 $36K
74176 Computed tomography, abdomen and pelvis; without contrast material 580 562 $33K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 31 27 $32K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 112 112 $29K
84484 4,370 3,994 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 481 466 $26K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 550 540 $26K
71250 398 387 $23K
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 462 434 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 190 184 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material 322 320 $19K
71045 Radiologic examination, chest; single view 3,443 3,307 $17K
80050 General health panel 380 377 $14K
62323 166 163 $14K
80076 2,602 2,447 $14K
83605 2,795 2,584 $14K
84443 Thyroid stimulating hormone (TSH) 781 764 $13K
83880 650 619 $13K
83690 3,875 3,640 $12K
85730 2,896 2,761 $12K
71046 Radiologic examination, chest; 2 views 1,041 1,018 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 361 325 $11K
93971 222 211 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 382 369 $11K
J3490 Unclassified drugs 3,409 2,160 $11K
72125 Computed tomography, cervical spine; without contrast material 254 244 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 43 43 $10K
96361 Intravenous infusion, hydration; each additional hour 721 467 $9K
70496 88 86 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,427 6,056 $9K
76536 184 182 $8K
85610 3,844 3,462 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 417 340 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 291 284 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 136 132 $7K
Q3014 Telehealth originating site facility fee 541 513 $7K
80061 Lipid panel 665 657 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 175 170 $7K
83735 1,868 1,471 $7K
70498 69 67 $6K
64721 13 13 $6K
93970 132 124 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 162 159 $6K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,393 1,357 $6K
72100 330 328 $6K
76830 Ultrasound, transvaginal 148 145 $5K
76770 186 180 $5K
87040 549 358 $5K
87086 Culture, bacterial; quantitative colony count, urine 1,030 981 $5K
J1815 Injection, insulin, per 5 units 715 353 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 777 547 $5K
93017 220 214 $5K
71271 57 56 $5K
82803 271 257 $4K
84703 675 657 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 494 491 $4K
85379 611 598 $4K
94729 182 179 $4K
81001 2,161 2,067 $4K
94726 181 178 $4K
93226 116 114 $4K
96158 91 56 $4K
64415 13 13 $3K
82565 894 869 $3K
J7030 Infusion, normal saline solution , 1000 cc 10,130 5,972 $3K
83036 Hemoglobin; glycosylated (A1C) 694 686 $3K
73560 323 311 $3K
J8501 Aprepitant, oral, 5 mg 392 364 $3K
82607 345 334 $3K
73610 214 210 $3K
J1170 Injection, hydromorphone, up to 4 mg 6,453 3,047 $3K
73030 258 252 $3K
74178 14 14 $3K
93975 26 26 $3K
73630 347 336 $3K
84439 421 410 $3K
73502 204 201 $3K
81025 1,088 1,055 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 170 169 $2K
82728 238 233 $2K
86850 367 341 $2K
96159 67 40 $2K
74018 208 200 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 39 39 $2K
70486 40 39 $2K
70491 28 28 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,132 1,038 $2K
84100 674 513 $2K
85027 777 551 $2K
94060 194 191 $2K
J2785 Injection, regadenoson, 0.1 mg 114 114 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 64 58 $2K
73130 217 208 $2K
88342 78 78 $2K
93225 116 114 $2K
85652 758 701 $2K
86140 705 648 $1K
87186 311 295 $1K
86618 96 93 $1K
J7120 Ringers lactate infusion, up to 1000 cc 4,402 3,038 $1K
83540 240 235 $1K
86803 116 115 $1K
87077 343 322 $1K
82550 288 261 $1K
82962 1,298 700 $1K
84702 87 73 $1K
84134 77 73 $1K
J0690 Injection, cefazolin sodium, 500 mg 2,078 1,651 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 256 251 $1K
86901 368 342 $1K
86900 369 343 $1K
80051 243 230 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 197 103 $989.76
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 54 52 $948.42
81003 476 466 $936.34
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 56 54 $927.68
G0297 Low dose ct scan (ldct) for lung cancer screening 15 15 $905.39
72040 72 71 $890.48
82746 127 125 $887.73
97162 255 248 $876.99
84520 279 268 $872.52
87075 194 179 $843.90
83550 232 227 $801.48
87070 223 203 $800.45
73110 100 97 $777.45
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 29 28 $748.70
J1885 Injection, ketorolac tromethamine, per 15 mg 5,389 4,539 $746.93
86038 56 53 $707.68
96156 13 13 $700.65
73700 12 12 $694.40
97166 154 149 $656.81
87081 173 167 $598.17
82947 263 252 $588.49
80047 76 73 $560.86
84145 61 56 $537.56
J3010 Injection, fentanyl citrate, 0.1 mg 3,584 2,508 $518.74
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $502.92
82977 63 56 $444.11
76870 12 12 $390.92
J1650 Injection, enoxaparin sodium, 10 mg 1,419 698 $387.73
87205 161 149 $378.73
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,410 6,509 $378.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,101 2,742 $329.06
87430 76 72 $318.15
J1644 Injection, heparin sodium, per 1000 units 1,383 639 $314.17
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 211 207 $285.66
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $278.32
J0780 Injection, prochlorperazine, up to 10 mg 332 234 $235.66
72110 12 12 $226.93
90715 17 16 $216.22
J0696 Injection, ceftriaxone sodium, per 250 mg 1,010 743 $215.67
73080 25 25 $202.40
J7050 Infusion, normal saline solution, 250 cc 2,692 1,702 $195.99
87147 13 12 $158.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,043 887 $158.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 101 60 $158.11
76937 58 56 $153.08
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 109 97 $152.53
J2250 Injection, midazolam hydrochloride, per 1 mg 3,278 2,609 $143.46
11102 15 13 $142.57
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 341 337 $142.01
J0171 Injection, adrenalin, epinephrine, 0.1 mg 43 38 $131.41
87340 15 14 $124.72
82140 45 40 $117.32
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,017 852 $109.58
76942 157 155 $95.04
80329 12 12 $92.73
73562 13 13 $90.75
94761 236 225 $79.70
80305 18 17 $79.02
G0008 Administration of influenza virus vaccine 12 12 $77.00
87210 28 26 $73.39
84550 14 13 $67.98
J2060 Injection, lorazepam, 2 mg 506 409 $67.63
36415 Collection of venous blood by venipuncture 2,031 1,278 $64.20
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 355 198 $63.93
87102 16 15 $63.05
C9399 Unclassified drugs or biologicals 45 41 $62.66
82043 13 13 $61.60
J2765 Injection, metoclopramide hcl, up to 10 mg 293 244 $50.69
82270 14 14 $38.20
96376 258 150 $34.70
J2704 Injection, propofol, 10 mg 985 769 $33.35
J3480 Injection, potassium chloride, per 2 meq 193 59 $26.80
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,745 1,548 $25.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,631 1,594 $23.47
88304 135 134 $22.95
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 512 396 $19.35
97161 14 13 $16.38
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,178 654 $14.49
J2270 Injection, morphine sulfate, up to 10 mg 268 157 $10.35
J1940 Injection, furosemide, up to 20 mg 21 12 $7.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 68 38 $2.09
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 52 48 $1.44
Q0243 Injection, casirivimab and imdevimab, 2400 mg 15 13 $0.05
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 25 $0.00
J1756 Injection, iron sucrose, 1 mg 72 39 $0.00
J1171 Injection, hydromorphone, 0.1 mg 120 92 $0.00
S0028 Injection, famotidine, 20 mg 100 71 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 197 186 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 154 154 $0.00
J7999 Compounded drug, not otherwise classified 1,336 950 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 44 40 $0.00