Medicaid Provider Spending

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

UPMC ST MARGARET

NPI: 1790795359 · PITTSBURGH, PA 15215 · 282N00000X

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

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 12,360 11,953 $1.78M
G0378 Hospital observation per hr 3,717 1,468 $912K
99285 3,280 3,126 $520K
99283 2,793 2,708 $250K
74177 1,386 1,349 $176K
96374 7,306 6,959 $131K
T1015 Clinic service 4,257 3,865 $112K
73721 390 381 $93K
72148 464 453 $69K
70551 345 335 $59K
95811 140 135 $59K
71275 393 389 $54K
72141 244 232 $52K
85025 14,723 12,471 $50K
73221 209 205 $49K
70553 249 244 $47K
96375 3,784 3,405 $45K
80048 8,794 7,217 $43K
93005 6,164 5,768 $39K
80053 5,313 4,735 $36K
70450 914 879 $36K
74176 580 562 $33K
66984 31 27 $32K
43239 112 112 $29K
84484 4,370 3,994 $27K
0241U 481 466 $26K
93306 550 540 $26K
71250 398 387 $23K
U0003 Cov-19 amp prb hgh thruput 462 434 $21K
78452 190 184 $20K
71260 322 320 $19K
71045 3,443 3,307 $17K
80050 380 377 $14K
62323 166 163 $14K
80076 2,602 2,447 $14K
83605 2,795 2,584 $14K
84443 781 764 $13K
83880 650 619 $13K
83690 3,875 3,640 $12K
85730 2,896 2,761 $12K
71046 1,041 1,018 $11K
80307 361 325 $11K
93971 222 211 $11K
76705 382 369 $11K
J3490 Drugs unclassified injection 3,409 2,160 $11K
72125 254 244 $10K
45380 43 43 $10K
96361 721 467 $9K
70496 88 86 $9K
Q9967 Locm 300-399mg/ml iodine,1ml 6,427 6,056 $9K
76536 184 182 $8K
85610 3,844 3,462 $8K
96365 417 340 $8K
82306 291 284 $7K
76700 136 132 $7K
Q3014 Telehealth facility fee 541 513 $7K
80061 665 657 $7K
76856 175 170 $7K
83735 1,868 1,471 $7K
70498 69 67 $6K
64721 13 13 $6K
93970 132 124 $6K
87635 162 159 $6K
A9577 Inj multihance 1,393 1,357 $6K
72100 330 328 $6K
76830 148 145 $5K
76770 186 180 $5K
87040 549 358 $5K
87086 1,030 981 $5K
J1815 Insulin injection 715 353 $5K
96372 777 547 $5K
93017 220 214 $5K
71271 57 56 $5K
82803 271 257 $4K
84703 675 657 $4K
88305 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 Normal saline solution infus 10,130 5,972 $3K
83036 694 686 $3K
73560 323 311 $3K
J8501 Oral aprepitant 392 364 $3K
82607 345 334 $3K
73610 214 210 $3K
J1170 Hydromorphone injection 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 170 169 $2K
82728 238 233 $2K
86850 367 341 $2K
96159 67 40 $2K
74018 208 200 $2K
99282 39 39 $2K
70486 40 39 $2K
70491 28 28 $2K
J2795 Ropivacaine hcl injection 1,132 1,038 $2K
84100 674 513 $2K
85027 777 551 $2K
94060 194 191 $2K
J2785 Regadenoson injection 114 114 $2K
99281 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 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 Cefazolin sodium injection 2,078 1,651 $1K
J1040 Methylprednisolone 80 mg inj 256 251 $1K
86901 368 342 $1K
86900 369 343 $1K
80051 243 230 $1K
96366 197 103 $989.76
87491 54 52 $948.42
81003 476 466 $936.34
87591 56 54 $927.68
G0297 Ldct for lung ca screen 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 29 28 $748.70
J1885 Ketorolac tromethamine inj 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 Fentanyl citrate injection 3,584 2,508 $518.74
87624 13 13 $502.92
82977 63 56 $444.11
76870 12 12 $390.92
J1650 Inj enoxaparin sodium 1,419 698 $387.73
87205 161 149 $378.73
J2405 Ondansetron hcl injection 8,410 6,509 $378.64
J1100 Dexamethasone sodium phos 3,101 2,742 $329.06
87430 76 72 $318.15
J1644 Inj heparin sodium per 1000u 1,383 639 $314.17
Q9963 Hocm 350-399mg/ml iodine,1ml 211 207 $285.66
96360 12 12 $278.32
J0780 Prochlorperazine injection 332 234 $235.66
72110 12 12 $226.93
90715 17 16 $216.22
J0696 Ceftriaxone sodium injection 1,010 743 $215.67
73080 25 25 $202.40
J7050 Normal saline solution infus 2,692 1,702 $195.99
87147 13 12 $158.40
J7040 Normal saline solution infus 1,043 887 $158.23
94640 101 60 $158.11
76937 58 56 $153.08
J2930 Methylprednisolone injection 109 97 $152.53
J2250 Inj midazolam hydrochloride 3,278 2,609 $143.46
11102 15 13 $142.57
Q9966 Locm 200-299mg/ml iodine,1ml 341 337 $142.01
J0171 Adrenalin epinephrine inject 43 38 $131.41
87340 15 14 $124.72
82140 45 40 $117.32
J1200 Diphenhydramine hcl injectio 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 Admin influenza virus vac 12 12 $77.00
87210 28 26 $73.39
84550 14 13 $67.98
J2060 Lorazepam injection 506 409 $67.63
36415 2,031 1,278 $64.20
S0119 Ondansetron 4 mg 355 198 $63.93
87102 16 15 $63.05
C9399 Unclassified drugs or biolog 45 41 $62.66
82043 13 13 $61.60
J2765 Metoclopramide hcl injection 293 244 $50.69
82270 14 14 $38.20
96376 258 150 $34.70
J2704 Inj, propofol, 10 mg 985 769 $33.35
J3480 Inj potassium chloride 193 59 $26.80
J0131 Inj, acetaminophen (nos) 1,745 1,548 $25.00
J2001 Lidocaine injection 1,631 1,594 $23.47
88304 135 134 $22.95
J7512 Prednisone ir or dr oral 1mg 512 396 $19.35
97161 14 13 $16.38
J7620 Albuterol ipratrop non-comp 1,178 654 $14.49
J2270 Morphine sulfate injection 268 157 $10.35
J1940 Furosemide injection 21 12 $7.20
J7613 Albuterol non-comp unit 68 38 $2.09
A4216 Sterile water/saline, 10 ml 52 48 $1.44
Q0243 Casirivimab and imdevimab 15 13 $0.05
C9803 Hopd covid-19 spec collect 28 25 $0.00
J1756 Iron sucrose injection 72 39 $0.00
J1171 Inj, hydromorphone, 0.1 mg 120 92 $0.00
S0028 Injection, famotidine, 20 mg 100 71 $0.00
S0020 Injection, bupivicaine hydro 197 186 $0.00
A9579 Gad-base mr contrast nos,1ml 154 154 $0.00
J7999 Compounded drug, noc 1,336 950 $0.00
A9500 Tc99m sestamibi 44 40 $0.00