Medicaid Provider Spending

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

ABINGTON MEMORIAL HOSPITAL

NPI: 1811992084 · ABINGTON, PA 19001 · General Acute Care Hospital · NPI assigned 06/15/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALSH, MICHAEL controls 20+ related entities in our dataset. Read more

$16.59M
Total Medicaid Paid
278,835
Total Claims
228,973
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALSH, MICHAEL (VICE-PRESIDENT)
NPI Enumeration Date06/15/2005

Related Entities

Other providers sharing the same authorized official: WALSH, MICHAEL

ProviderCityStateTotal Paid
LANSDALE HOSPITAL CORPORATION LANSDALE PA $2.70M
DIGNITY HEALTH CAPITOLA CA $873K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $734K
ABINGTON MEMORIAL HOSPITAL JENKINTOWN PA $300K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $250K
ABINGTON MEMORIAL HOSPITAL WILLOW GROVE PA $214K
ABINGTON MEMORIAL HOSPITAL WARMINSTER PA $164K
ABINGTON MEMORIAL HOSPITAL LANSDALE PA $160K
ABINGTON MEMORIAL HOSPITAL PHILADELPHIA PA $157K
ABINGTON MEMORIAL HOSPITAL JENKINTOWN PA $147K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $143K
MIKE WALSH PHYSICAL THERAPY, LLC DOVER DE $108K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $96K
ABINGTON MEMORIAL HOSPITAL WARMINSTER PA $96K
ABINGTON MEMORIAL HOSPITAL WARMINSTER PA $91K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $61K
ABINGTON MEMORIAL HOSPITAL FEASTERVILLE PA $61K
ABINGTON MEMORIAL HOSPITAL ABINGTON PA $42K
ABINGTON MEMORIAL HOSPITAL BLUE BELL PA $28K
ABINGTON MEMORIAL HOSPITAL SOUTHAMPTON PA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141 $5K
2019 742 $28K
2020 55,681 $3.50M
2021 96,214 $5.88M
2022 24,747 $2.53M
2023 52,097 $2.71M
2024 49,213 $1.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 25,903 24,774 $5.82M
G0378 Hospital observation service, per hour 4,693 2,628 $3.56M
99283 Emergency department visit for the evaluation and management, moderate severity 9,617 9,293 $2.64M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,228 6,682 $476K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,014 2,908 $469K
T1015 Clinic visit/encounter, all-inclusive 7,196 5,313 $430K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,845 2,674 $420K
77067 Screening mammography, bilateral, including computer-aided detection 2,593 2,573 $235K
76818 2,807 1,585 $207K
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 2,333 2,196 $159K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,727 2,557 $140K
99281 Emergency department visit for the evaluation and management, self-limited or minor 720 677 $121K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,439 2,222 $105K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,491 1,441 $97K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 700 677 $82K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,191 1,147 $77K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,823 1,288 $68K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 542 363 $65K
77063 Screening digital breast tomosynthesis, bilateral 2,614 2,568 $57K
80053 Comprehensive metabolic panel 9,740 7,960 $53K
76801 1,074 975 $48K
96361 Intravenous infusion, hydration; each additional hour 1,992 1,808 $48K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,089 983 $44K
76830 Ultrasound, transvaginal 857 833 $40K
59025 Fetal non-stress test 1,011 839 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,170 963 $38K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,044 1,008 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 555 537 $37K
T1001 Nursing assessment / evaluation 230 225 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,220 7,488 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,109 18,252 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 335 329 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 608 529 $29K
80048 Basic metabolic panel (calcium, ionized) 5,989 5,203 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 420 330 $27K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 145 143 $27K
71260 Computed tomography, thorax, diagnostic; with contrast material 553 537 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,302 1,087 $23K
76813 325 316 $23K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,304 1,283 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 404 340 $22K
71046 Radiologic examination, chest; 2 views 1,956 1,909 $22K
96375 Therapeutic injection; each additional sequential IV push 2,481 1,927 $21K
93976 172 158 $21K
76642 433 389 $20K
84443 Thyroid stimulating hormone (TSH) 1,708 1,616 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 782 341 $20K
77066 Tomosynthesis, mammo 174 171 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 698 631 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete 262 255 $16K
70450 Computed tomography, head or brain; without contrast material 999 949 $13K
97162 262 241 $12K
76536 201 196 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 705 671 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 77 75 $10K
93971 276 270 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 401 388 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 73 72 $10K
99215 Prolong outpt/office vis 98 97 $9K
77065 Tomosynthesis, mammo 120 103 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,158 1,117 $9K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 584 130 $9K
80061 Lipid panel 786 760 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 333 328 $9K
99429 88 85 $9K
71250 143 137 $8K
96417 126 94 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 770 730 $7K
84702 1,720 1,591 $7K
93975 81 78 $7K
93325 72 71 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 144 144 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 758 718 $7K
73564 393 356 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 224 207 $6K
70551 Magnetic resonance imaging, brain; without contrast material 42 41 $6K
76770 115 113 $6K
72100 291 283 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,722 6,276 $5K
71045 Radiologic examination, chest; single view 1,995 1,883 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 258 234 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 178 169 $5K
84484 2,987 2,379 $5K
72141 28 26 $5K
71275 Computed tomographic angiography, chest, with contrast material 107 106 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,453 1,358 $4K
73030 288 258 $4K
86803 236 229 $4K
76825 57 56 $4K
72125 Computed tomography, cervical spine; without contrast material 343 324 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 508 491 $4K
83880 478 452 $4K
85027 1,363 1,122 $4K
86703 218 213 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 119 118 $3K
96411 68 45 $3K
J1756 Injection, iron sucrose, 1 mg 51 25 $3K
73630 349 311 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 347 336 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $3K
96415 99 75 $3K
73610 250 231 $3K
86780 308 297 $3K
36415 Collection of venous blood by venipuncture 5,586 4,698 $3K
93970 80 76 $3K
85610 2,630 2,193 $3K
29125 25 25 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 13 $3K
90715 231 225 $3K
83036 Hemoglobin; glycosylated (A1C) 641 611 $3K
76827 57 56 $3K
81001 3,486 3,264 $3K
86850 1,100 1,013 $3K
A9585 Injection, gadobutrol, 0.1 ml 478 463 $3K
90472 Immunization administration, each additional vaccine (list separately) 389 382 $3K
80076 1,130 1,049 $3K
76641 45 41 $3K
93017 69 67 $2K
59430 36 35 $2K
86900 1,539 1,410 $2K
83735 1,238 865 $2K
0011A 49 49 $2K
73130 172 147 $2K
85730 1,497 1,371 $2K
29515 14 13 $2K
83690 1,884 1,754 $2K
73502 136 127 $2K
82570 325 308 $2K
D1110 Prophylaxis - adult 58 58 $2K
80320 351 322 $2K
86901 1,463 1,336 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 391 372 $2K
87631 61 61 $2K
96367 73 55 $2K
82728 291 266 $2K
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 138 132 $1K
76820 36 13 $1K
82607 234 219 $1K
80329 333 309 $1K
85379 727 677 $1K
81003 1,781 1,705 $1K
90686 193 187 $1K
77080 27 25 $1K
72050 51 42 $1K
87040 489 339 $1K
83540 256 238 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 28 27 $1K
70486 25 24 $1K
82247 341 289 $1K
D0120 Periodic oral evaluation - established patient 57 57 $991.10
84439 243 231 $953.25
72110 39 39 $937.56
82043 114 110 $845.40
76775 13 12 $802.92
77062 38 38 $765.45
82746 130 125 $723.63
96376 787 524 $691.87
87186 235 226 $658.43
82550 529 460 $640.41
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 126 121 $640.38
87340 70 68 $631.05
90658 78 77 $622.00
J3490 Unclassified drugs 3,303 2,050 $608.40
90746 12 12 $587.20
90474 353 348 $582.81
83605 452 410 $581.44
88720 99 95 $555.22
83550 222 207 $519.17
87077 188 179 $491.96
86762 40 38 $485.33
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $479.00
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 33 32 $477.46
J2704 Injection, propofol, 10 mg 1,832 1,759 $471.22
90461 123 121 $468.15
86706 64 60 $447.69
J1170 Injection, hydromorphone, up to 4 mg 3,977 2,424 $415.02
82248 95 79 $389.21
81025 134 125 $387.44
82378 29 24 $384.15
Q0114 Fern test 57 50 $371.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 63 46 $360.34
77061 16 15 $353.94
A9270 Non-covered item or service 19,095 5,192 $338.32
84156 116 104 $324.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,318 2,046 $295.61
86140 223 206 $247.57
81002 98 92 $247.53
90670 628 625 $247.46
74018 24 24 $235.69
90460 Immunization administration through 18 years of age via any route, first or only component 120 118 $234.15
85652 182 173 $228.63
84100 350 236 $227.99
90682 18 18 $198.24
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 111 99 $191.85
74022 14 12 $174.20
J1650 Injection, enoxaparin sodium, 10 mg 2,642 1,322 $164.26
83986 72 62 $161.74
80050 General health panel 43 32 $149.95
87081 104 103 $143.38
88342 14 13 $138.48
94664 70 58 $125.47
73110 18 15 $123.81
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,815 1,440 $114.79
90648 500 497 $112.09
73080 12 12 $111.53
87070 84 82 $98.91
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,674 3,780 $96.74
84075 120 114 $75.48
84155 161 151 $73.05
J3010 Injection, fentanyl citrate, 0.1 mg 1,744 1,657 $62.95
82040 159 149 $61.69
J1644 Injection, heparin sodium, per 1000 units 1,563 733 $58.98
J2270 Injection, morphine sulfate, up to 10 mg 343 269 $51.18
83615 33 27 $50.94
J1885 Injection, ketorolac tromethamine, per 15 mg 4,279 3,538 $45.01
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 28 26 $42.40
J1815 Injection, insulin, per 5 units 1,500 464 $41.61
84460 67 63 $37.20
82553 19 13 $30.24
J0696 Injection, ceftriaxone sodium, per 250 mg 973 700 $28.04
J2060 Injection, lorazepam, 2 mg 523 363 $18.58
88304 12 12 $17.62
J2765 Injection, metoclopramide hcl, up to 10 mg 1,279 1,059 $16.54
J0690 Injection, cefazolin sodium, 500 mg 453 341 $15.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 16 13 $14.07
90723 440 437 $13.75
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 108 75 $13.01
J2250 Injection, midazolam hydrochloride, per 1 mg 1,361 1,291 $11.86
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,833 1,510 $8.06
94760 18 14 $3.96
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 756 551 $3.50
S0028 Injection, famotidine, 20 mg 36 32 $2.98
90680 429 426 $2.18
36416 21 13 $1.50
90681 19 19 $0.16
91301 13 13 $0.04
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 338 239 $0.01
J2919 Injection, methylprednisolone sodium succinate, 5 mg 46 38 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 156 143 $0.00
J3370 Injection, vancomycin hcl, 500 mg 193 105 $0.00
C9113 Injection, pantoprazole sodium, per vial 231 110 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 92 91 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 36 33 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 181 155 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 23 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 151 104 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 187 140 $0.00
90473 19 19 $0.00
J7999 Compounded drug, not otherwise classified 105 73 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 37 24 $0.00
J1790 Injection, droperidol, up to 5 mg 12 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 109 88 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 14 12 $0.00