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

Jefferson Health - Northeast

Jefferson Health - Northeast was paid $5.50M by Medicaid between Oct 2019 and Dec 2024, across 183 billing codes. Its largest line is G0378, Hospital observation service, per hour — 20% of everything it billed.

33Billing provider infoJEFFERSON HEALTH - NORTHEAST
PHILADELPHIA, PA 19114
33aNPI1801963343assigned 11/29/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$5.50M
24GClaims121,690
24DCodes billed183
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#53 of 154
Median peer was paid$2.82M
This provider vs. median1.9×

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$200K$400K2018201920202021202220232024
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
2019201$5K
202021,051$1.10M
202154,851$2.62M
202212,375$559K
202314,750$479K
2024incomplete18,462$742K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0378 Hospital observation service, per hour 20% 1,710 983 $1.12M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 6,135 5,891 $1.05M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 5,635 5,397 $1.01M
78815 Positron emission tomography (PET) for limited area imaging 7.1% 492 483 $392K
62323 4.1% 385 369 $223K
77067 Screening mammography, bilateral, including computer-aided detection 3.8% 2,296 2,272 $212K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.3% 1,700 1,637 $183K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.9% 1,220 1,178 $157K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2.4% 1,904 1,827 $131K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.4% 688 422 $78K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 530 512 $69K
76642 1.2% 1,336 1,267 $67K
171 more codes
77063 Screening digital breast tomosynthesis, bilateral <1% 2,311 $54K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 847 $51K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 406 $47K
77066 Tomosynthesis, mammo <1% 449 $44K
95886 <1% 541 $35K
77065 Tomosynthesis, mammo <1% 368 $26K
71046 Radiologic examination, chest; 2 views <1% 1,808 $23K
36000 <1% 799 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 164 $21K
0001A <1% 433 $20K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 738 $19K
0002A <1% 333 $19K
94729 <1% 632 $19K
76641 <1% 322 $18K
70450 Computed tomography, head or brain; without contrast material <1% 1,143 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 442 $17K
94726 <1% 612 $16K
76830 Ultrasound, transvaginal <1% 333 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 254 $15K
94060 <1% 674 $15K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 19 $15K
97161 <1% 241 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 355 $13K
96375 Therapeutic injection; each additional sequential IV push <1% 1,325 $12K
76770 <1% 257 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 370 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,397 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 4,854 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,047 $9K
95909 <1% 216 $8K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 165 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 264 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,518 $8K
72125 Computed tomography, cervical spine; without contrast material <1% 500 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,681 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 93 $7K
71250 <1% 122 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 481 $6K
73630 <1% 417 $5K
76536 <1% 93 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 94 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 27 $4K
70486 <1% 150 $4K
72100 <1% 173 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 465 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 74 $4K
97803 <1% 82 $4K
71045 Radiologic examination, chest; single view <1% 1,137 $3K
0004A <1% 63 $3K
C1769 Guide wire <1% 137 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 773 $3K
77336 <1% 66 $3K
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 <1% 194 $3K
84484 <1% 1,499 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $3K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 210 $3K
93971 <1% 72 $3K
A9585 Injection, gadobutrol, 0.1 ml <1% 161 $3K
77080 <1% 53 $3K
73030 <1% 218 $2K
73610 <1% 207 $2K
77061 <1% 78 $2K
85730 <1% 1,169 $2K
80053 Comprehensive metabolic panel <1% 695 $2K
0012A <1% 31 $2K
95911 <1% 28 $2K
76000 <1% 217 $2K
73564 <1% 198 $2K
73130 <1% 191 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $2K
80076 <1% 1,092 $1K
0003A <1% 19 $1K
85610 <1% 1,302 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 27 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 275 $962.27
85027 <1% 561 $904.09
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 175 $898.83
0011A <1% 36 $890.96
90715 <1% 180 $795.99
96361 Intravenous infusion, hydration; each additional hour <1% 349 $787.25
84443 Thyroid stimulating hormone (TSH) <1% 327 $782.81
77062 <1% 30 $762.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 502 $751.99
83735 <1% 1,022 $740.70
86900 <1% 482 $720.02
97802 <1% 12 $714.82
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 34 $714.75
86850 <1% 436 $707.80
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 38 $668.38
83690 <1% 893 $658.03
76376 <1% 31 $654.16
76801 <1% 13 $613.57
J2704 Injection, propofol, 10 mg <1% 2,223 $597.24
93975 <1% 14 $585.69
80320 <1% 176 $566.37
82805 <1% 54 $543.64
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 116 $510.78
86901 <1% 458 $442.22
83880 <1% 115 $440.71
73562 <1% 18 $399.86
72040 <1% 24 $379.35
84702 <1% 108 $363.50
81003 <1% 781 $339.48
J3490 Unclassified drugs <1% 3,153 $328.86
A9270 Non-covered item or service <1% 7,049 $318.75
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 71 $311.89
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 966 $306.14
83605 <1% 316 $292.36
85379 <1% 195 $287.03
96367 <1% 23 $254.85
84703 <1% 125 $245.42
80329 <1% 92 $221.08
73110 <1% 30 $209.59
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 143 $203.06
81001 <1% 471 $181.71
J2270 Injection, morphine sulfate, up to 10 mg <1% 883 $176.19
82962 <1% 557 $165.03
36415 Collection of venous blood by venipuncture <1% 976 $162.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,141 $161.30
99152 <1% 78 $159.90
87086 Culture, bacterial; quantitative colony count, urine <1% 100 $150.73
J7030 Infusion, normal saline solution , 1000 cc <1% 618 $146.74
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,853 $137.92
87088 <1% 136 $120.86
73502 <1% 14 $113.37
73590 <1% 12 $99.30
J0690 Injection, cefazolin sodium, 500 mg <1% 801 $78.29
83036 Hemoglobin; glycosylated (A1C) <1% 115 $77.29
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,904 $71.92
J1644 Injection, heparin sodium, per 1000 units <1% 716 $69.94
J1170 Injection, hydromorphone, up to 4 mg <1% 237 $67.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 3,303 $51.92
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 650 $47.43
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,918 $46.72
82550 <1% 54 $41.36
84100 <1% 127 $37.81
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,269 $37.09
J1815 Injection, insulin, per 5 units <1% 488 $29.34
87040 <1% 12 $28.00
99153 Mod sedat endo service >5yrs <1% 17 $24.32
80061 Lipid panel <1% 43 $21.85
88307 <1% 13 $18.63
J1956 Injection, levofloxacin, 250 mg <1% 31 $7.10
81025 <1% 26 $6.89
S0028 Injection, famotidine, 20 mg <1% 28 $4.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 235 $3.78
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 80 $3.39
J2060 Injection, lorazepam, 2 mg <1% 52 $2.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 104 $0.60
91300 <1% 181 $0.08
96376 0% 350 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 662 $0.00
88342 0% 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 117 $0.00
86140 0% 16 $0.00
J7999 Compounded drug, not otherwise classified 0% 112 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 13 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 46 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 348 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 617 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 956 $0.00
87186 0% 48 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 15 $0.00
J1453 Injection, fosaprepitant, 1 mg 0% 53 $0.00
87631 0% 58 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 220 $0.00
C1758 Catheter, ureteral 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 15 $0.00
J9271 Injection, pembrolizumab, 1 mg 0% 82 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 38 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 28 $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 officialGALUP, RICHARD (PRESIDENT)
Same official

Other billing entities under GALUP, RICHARD

Full network →
ProviderLocationPaid
Jefferson Health - NortheastPhiladelphia, PA$14.48M
Jefferson Health - NortheastLanghorne, PA$1.71M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.