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

UPMC Lock Haven

UPMC Lock Haven was paid $1.17M by Medicaid between Dec 2019 and Mar 2023, across 82 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.

33Billing provider infoUPMC LOCK HAVEN
LOCK HAVEN, PA 17745
33aNPI1841712882assigned 07/12/2017
28Total paid$1.17M
24GClaims35,713
24DCodes billed82
24AFirst – last monthDec 2019 – Mar 2023
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#102 of 154
Median peer was paid$2.82M
This provider vs. median0.4×

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$50K$100K2018201920202021202220232024
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
201929$2K
20204,149$113K
202123,032$693K
20226,982$298K
20231,521$61K
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% 4,180 3,872 $406K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 2,608 2,511 $188K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10.0% 871 816 $116K
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 7.5% 1,108 1,072 $88K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3.6% 86 85 $42K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.1% 1,462 1,367 $37K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.4% 174 169 $28K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.3% 353 334 $27K
G0378 Hospital observation service, per hour 2.2% 50 24 $25K
80053 Comprehensive metabolic panel 2.1% 2,558 2,325 $24K
96375 Therapeutic injection; each additional sequential IV push 1.5% 938 858 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 3,476 3,113 $17K
70 more codes
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.3% 242 $15K
70450 Computed tomography, head or brain; without contrast material 1.2% 259 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 684 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 703 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,087 $9K
80048 Basic metabolic panel (calcium, ionized) <1% 977 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 231 $7K
71045 Radiologic examination, chest; single view <1% 858 $5K
83880 <1% 231 $5K
84484 <1% 584 $4K
84443 Thyroid stimulating hormone (TSH) <1% 184 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 95 $3K
81001 <1% 1,342 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 455 $3K
80061 Lipid panel <1% 268 $3K
73630 <1% 309 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 100 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 81 $3K
96361 Intravenous infusion, hydration; each additional hour <1% 244 $2K
83690 <1% 556 $2K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 201 $2K
73610 <1% 132 $2K
71046 Radiologic examination, chest; 2 views <1% 164 $2K
84703 <1% 194 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 326 $2K
83735 <1% 320 $2K
85730 <1% 237 $1K
80050 General health panel <1% 29 $1K
87077 <1% 232 $1K
87186 <1% 196 $1K
84439 <1% 180 $1K
85610 <1% 494 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 228 $1K
87040 <1% 61 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 29 $1K
84702 <1% 59 $942.42
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 28 $886.28
J7030 Infusion, normal saline solution , 1000 cc <1% 733 $863.34
85379 <1% 91 $777.51
76536 <1% 13 $738.86
83605 <1% 117 $715.60
80076 <1% 98 $652.96
80329 <1% 45 $614.60
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,287 $563.82
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 14 $538.96
82962 <1% 339 $536.60
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 15 $449.37
73130 <1% 34 $338.78
82803 <1% 12 $323.53
J2270 Injection, morphine sulfate, up to 10 mg <1% 153 $285.36
85027 <1% 54 $259.55
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 24 $257.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 307 $256.94
87081 <1% 39 $214.76
87430 <1% 31 $206.01
85652 <1% 73 $190.82
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 695 $136.50
81025 <1% 47 $135.60
73030 <1% 13 $87.75
87070 <1% 19 $84.18
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 58 $67.74
87205 <1% 19 $61.85
J3490 Unclassified drugs <1% 41 $42.37
J3010 Injection, fentanyl citrate, 0.1 mg <1% 127 $31.04
J2060 Injection, lorazepam, 2 mg <1% 96 $15.79
J7050 Infusion, normal saline solution, 250 cc <1% 15 $5.76
36415 Collection of venous blood by venipuncture <1% 540 $2.95
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 40 $2.60
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 48 $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 officialYOST, ROGER (CFO)
Same official

Other billing entities under YOST, ROGER

Full network →
ProviderLocationPaid
UPMC WilliamsportWilliamsport, PA$9.69M
UPMC WilliamsportWilliamsport, PA$4.00M
Charles Cole Memorial HospitalCoudersport, PA$3.64M
UPMC MuncyMuncy, PA$1.04M
Cole Care, INC.Coudersport, PA$290K
UPMC MuncyMuncy, PA$37K
UPMC MuncyMuncy, PA$185.83
Charles Cole Memorial D/B/A UPMC ColeCoudersport, PA$0.00

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