Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Abington › NPI 1811992084
Hospital

Abington Memorial Hospital

Abington Memorial Hospital was paid $16.59M by Medicaid between Jan 2018 and Dec 2024, across 253 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.

33Billing provider infoABINGTON MEMORIAL HOSPITAL
ABINGTON, PA 19001
33aNPI1811992084assigned 06/15/2005
28Total paid$16.59M
24GClaims278,835
24DCodes billed253
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#19 of 154
Median peer was paid$2.82M
This provider vs. median5.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALSH, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018141$5K
2019742$28K
202055,681$3.50M
202196,214$5.88M
202224,747$2.53M
202352,097$2.71M
2024incomplete49,213$1.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 25,903 24,774 $5.82M
G0378 Hospital observation service, per hour 21% 4,693 2,628 $3.56M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 9,617 9,293 $2.64M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.9% 7,228 6,682 $476K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.8% 3,014 2,908 $469K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 2.6% 7,196 5,313 $430K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.5% 2,845 2,674 $420K
77067 Screening mammography, bilateral, including computer-aided detection 1.4% 2,593 2,573 $235K
76818 1.2% 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 <1% 2,333 2,196 $159K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,727 2,557 $140K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 720 677 $121K
241 more codes
99213 Doctor's office visit, returning patient (routine) <1% 2,439 $105K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,491 $97K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 700 $82K
99214 Doctor's office visit, returning patient (more involved) <1% 1,191 $77K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,823 $68K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 542 $65K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,614 $57K
80053 Comprehensive metabolic panel <1% 9,740 $53K
76801 <1% 1,074 $48K
96361 Intravenous infusion, hydration; each additional hour <1% 1,992 $48K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,089 $44K
76830 Ultrasound, transvaginal <1% 857 $40K
59025 Fetal non-stress test <1% 1,011 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,170 $38K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,044 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 555 $37K
T1001 Nursing assessment / evaluation <1% 230 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,220 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 22,109 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 335 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 608 $29K
80048 Basic metabolic panel (calcium, ionized) <1% 5,989 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 420 $27K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 145 $27K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 553 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,302 $23K
76813 <1% 325 $23K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,304 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 404 $22K
71046 Radiologic examination, chest; 2 views <1% 1,956 $22K
96375 Therapeutic injection; each additional sequential IV push <1% 2,481 $21K
93976 <1% 172 $21K
76642 <1% 433 $20K
84443 Thyroid stimulating hormone (TSH) <1% 1,708 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 782 $20K
77066 Tomosynthesis, mammo <1% 174 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 698 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 262 $16K
70450 Computed tomography, head or brain; without contrast material <1% 999 $13K
97162 <1% 262 $12K
76536 <1% 201 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 705 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 77 $10K
93971 <1% 276 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 401 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 73 $10K
99215 Doctor's office visit, returning patient (complex) <1% 98 $9K
77065 Tomosynthesis, mammo <1% 120 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,158 $9K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 584 $9K
80061 Lipid panel <1% 786 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 333 $9K
99429 <1% 88 $9K
71250 <1% 143 $8K
96417 <1% 126 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 770 $7K
84702 <1% 1,720 $7K
93975 <1% 81 $7K
93325 <1% 72 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 144 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 758 $7K
73564 <1% 393 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 224 $6K
70551 Magnetic resonance imaging, brain; without contrast material <1% 42 $6K
76770 <1% 115 $6K
72100 <1% 291 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,722 $5K
71045 Radiologic examination, chest; single view <1% 1,995 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 258 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 178 $5K
84484 <1% 2,987 $5K
72141 <1% 28 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 107 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,453 $4K
73030 <1% 288 $4K
86803 <1% 236 $4K
76825 <1% 57 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 343 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 508 $4K
83880 <1% 478 $4K
85027 <1% 1,363 $4K
86703 <1% 218 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 119 $3K
96411 <1% 68 $3K
J1756 Injection, iron sucrose, 1 mg <1% 51 $3K
73630 <1% 349 $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 <1% 347 $3K
99204 Doctor's office visit, new patient (more involved) <1% 26 $3K
96415 <1% 99 $3K
73610 <1% 250 $3K
86780 <1% 308 $3K
36415 Collection of venous blood by venipuncture <1% 5,586 $3K
93970 <1% 80 $3K
85610 <1% 2,630 $3K
29125 <1% 25 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 13 $3K
90715 <1% 231 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 641 $3K
76827 <1% 57 $3K
81001 <1% 3,486 $3K
86850 <1% 1,100 $3K
A9585 Injection, gadobutrol, 0.1 ml <1% 478 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 389 $3K
80076 <1% 1,130 $3K
76641 <1% 45 $3K
93017 <1% 69 $2K
59430 <1% 36 $2K
86900 <1% 1,539 $2K
83735 <1% 1,238 $2K
0011A <1% 49 $2K
73130 <1% 172 $2K
85730 <1% 1,497 $2K
29515 <1% 14 $2K
83690 <1% 1,884 $2K
73502 <1% 136 $2K
82570 <1% 325 $2K
D1110 Prophylaxis - adult <1% 58 $2K
80320 <1% 351 $2K
86901 <1% 1,463 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 391 $2K
87631 <1% 61 $2K
96367 <1% 73 $2K
82728 <1% 291 $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 <1% 138 $1K
76820 <1% 36 $1K
82607 <1% 234 $1K
80329 <1% 333 $1K
85379 <1% 727 $1K
81003 <1% 1,781 $1K
90686 <1% 193 $1K
77080 <1% 27 $1K
72050 <1% 51 $1K
87040 <1% 489 $1K
83540 <1% 256 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 28 $1K
70486 <1% 25 $1K
82247 <1% 341 $1K
D0120 Dental checkup, returning patient <1% 57 $991.10
84439 <1% 243 $953.25
72110 <1% 39 $937.56
82043 <1% 114 $845.40
76775 <1% 13 $802.92
77062 <1% 38 $765.45
82746 <1% 130 $723.63
96376 <1% 787 $691.87
87186 <1% 235 $658.43
82550 <1% 529 $640.41
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 126 $640.38
87340 <1% 70 $631.05
90658 <1% 78 $622.00
J3490 Unclassified drugs <1% 3,303 $608.40
90746 <1% 12 $587.20
90474 <1% 353 $582.81
83605 <1% 452 $581.44
88720 <1% 99 $555.22
83550 <1% 222 $519.17
87077 <1% 188 $491.96
86762 <1% 40 $485.33
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 12 $479.00
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 33 $477.46
J2704 Injection, propofol, 10 mg <1% 1,832 $471.22
90461 <1% 123 $468.15
86706 <1% 64 $447.69
J1170 Injection, hydromorphone, up to 4 mg <1% 3,977 $415.02
82248 <1% 95 $389.21
81025 <1% 134 $387.44
82378 <1% 29 $384.15
Q0114 Fern test <1% 57 $371.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 63 $360.34
77061 <1% 16 $353.94
A9270 Non-covered item or service <1% 19,095 $338.32
84156 <1% 116 $324.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,318 $295.61
86140 <1% 223 $247.57
81002 <1% 98 $247.53
90670 <1% 628 $247.46
74018 <1% 24 $235.69
90460 Immunization administration through 18 years of age via any route, first or only component <1% 120 $234.15
85652 <1% 182 $228.63
84100 <1% 350 $227.99
90682 <1% 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 <1% 111 $191.85
74022 <1% 14 $174.20
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,642 $164.26
83986 <1% 72 $161.74
80050 General health panel <1% 43 $149.95
87081 <1% 104 $143.38
88342 <1% 14 $138.48
94664 <1% 70 $125.47
73110 <1% 18 $123.81
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,815 $114.79
90648 <1% 500 $112.09
73080 <1% 12 $111.53
87070 <1% 84 $98.91
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,674 $96.74
84075 <1% 120 $75.48
84155 <1% 161 $73.05
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,744 $62.95
82040 <1% 159 $61.69
J1644 Injection, heparin sodium, per 1000 units <1% 1,563 $58.98
J2270 Injection, morphine sulfate, up to 10 mg <1% 343 $51.18
83615 <1% 33 $50.94
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,279 $45.01
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 28 $42.40
J1815 Injection, insulin, per 5 units <1% 1,500 $41.61
84460 <1% 67 $37.20
82553 <1% 19 $30.24
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 973 $28.04
J2060 Injection, lorazepam, 2 mg <1% 523 $18.58
88304 <1% 12 $17.62
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,279 $16.54
J0690 Injection, cefazolin sodium, 500 mg <1% 453 $15.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 16 $14.07
90723 <1% 440 $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 <1% 108 $13.01
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,361 $11.86
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,833 $8.06
94760 <1% 18 $3.96
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 756 $3.50
S0028 Injection, famotidine, 20 mg <1% 36 $2.98
90680 <1% 429 $2.18
36416 <1% 21 $1.50
90681 <1% 19 $0.16
91301 <1% 13 $0.04
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 338 $0.01
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 46 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 156 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 193 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 231 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 92 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 36 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 181 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 0% 23 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 151 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 187 $0.00
90473 0% 19 $0.00
J7999 Compounded drug, not otherwise classified 0% 105 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 37 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 109 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 14 $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 officialWALSH, MICHAEL (VICE-PRESIDENT)
Same official

Other billing entities under WALSH, MICHAEL

Full network →
ProviderLocationPaid
Lansdale Hospital CorporationLansdale, PA$2.70M
Dignity HealthCapitola, CA$873K
Abington Memorial HospitalAbington, PA$734K
Abington Memorial HospitalJenkintown, PA$300K
Abington Memorial HospitalAbington, PA$250K
Abington Memorial HospitalWillow Grove, PA$214K
Abington Memorial HospitalWarminster, PA$164K
Abington Memorial HospitalLansdale, PA$160K
Abington Memorial HospitalPhiladelphia, PA$157K
Abington Memorial HospitalJenkintown, PA$147K
Abington Memorial HospitalAbington, PA$143K
Mike Walsh Physical Therapy, LLCDover, DE$108K
Abington Memorial HospitalAbington, PA$96K
Abington Memorial HospitalWarminster, PA$96K
Abington Memorial HospitalWarminster, PA$91K
Abington Memorial HospitalAbington, PA$61K
Abington Memorial HospitalFeasterville, PA$61K
Abington Memorial HospitalAbington, PA$42K
Abington Memorial HospitalBlue Bell, PA$28K
Abington Memorial HospitalSouthampton, PA$23K

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