Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PITTSBURGH › UPMC MERCY

UPMC MERCY

NPI: 1881695146 · PITTSBURGH, PA 15219 · Clinic/Center · NPI assigned 08/09/2005

$16.68M
Total Medicaid Paid
541,308
Total Claims
450,445
Beneficiaries
324
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, EILEEN (CFO)
NPI Enumeration Date08/09/2005

Related Entities

Other providers sharing the same authorized official: SIMMONS, EILEEN

ProviderCityStateTotal Paid
UPMC MAGEE-WOMENS HOSPITAL PITTSBURGH PA $43.08M
UPMC MAGEE-WOMENS HOSPITAL PITTSBURGH PA $68K
SUTHERLAND FAMILY PRACTICE INC. SUTHERLAND VA $11K
UPMC MERCY PITTSBURGH PA $326.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $278.45
2019 415 $8K
2020 53,160 $1.32M
2021 232,335 $6.91M
2022 91,627 $2.90M
2023 93,297 $3.05M
2024 70,445 $2.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 37,026 35,543 $6.02M
G0378 Hospital observation service, per hour 8,389 3,183 $2.26M
99283 Emergency department visit for the evaluation and management, moderate severity 19,757 18,790 $2.03M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,559 11,092 $2.00M
T1015 Clinic visit/encounter, all-inclusive 14,401 12,983 $398K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,156 17,290 $327K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,391 2,338 $279K
70450 Computed tomography, head or brain; without contrast material 4,307 4,144 $204K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 209 195 $180K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,783 3,406 $165K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 41,293 34,704 $140K
80053 Comprehensive metabolic panel 17,891 16,422 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,287 17,113 $117K
80048 Basic metabolic panel (calcium, ionized) 20,007 16,172 $96K
96375 Therapeutic injection; each additional sequential IV push 7,955 7,057 $89K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,586 1,558 $83K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 319 312 $81K
72125 Computed tomography, cervical spine; without contrast material 1,421 1,387 $70K
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 1,204 1,142 $69K
71045 Radiologic examination, chest; single view 13,108 12,485 $66K
71275 Computed tomographic angiography, chest, with contrast material 506 494 $65K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 331 324 $64K
73221 261 253 $59K
70551 Magnetic resonance imaging, brain; without contrast material 348 342 $57K
84484 9,082 8,280 $55K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 383 373 $49K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 140 139 $49K
J0475 Injection, baclofen, 10 mg 538 522 $46K
71260 Computed tomography, thorax, diagnostic; with contrast material 742 735 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 597 569 $36K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 466 290 $34K
73610 2,329 2,144 $34K
99282 Emergency department visit for the evaluation and management, low to moderate severity 600 573 $34K
73630 3,819 3,519 $34K
72141 187 184 $34K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 271 270 $33K
J3490 Unclassified drugs 13,629 7,994 $32K
70498 239 235 $30K
83735 9,229 6,309 $29K
16020 1,423 1,030 $28K
70496 215 213 $28K
70486 509 498 $27K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 576 562 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 213 208 $26K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 119 117 $22K
Q3014 Telehealth originating site facility fee 1,397 1,313 $22K
80050 General health panel 574 551 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 670 621 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 336 325 $19K
73030 1,448 1,372 $18K
84100 6,802 4,482 $18K
76801 435 422 $17K
93975 192 187 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 54 50 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,160 1,652 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 978 948 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 525 515 $15K
83690 4,835 4,538 $15K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 459 305 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 982 952 $15K
93971 296 276 $14K
71250 317 301 $14K
84443 Thyroid stimulating hormone (TSH) 988 947 $14K
73564 793 762 $13K
80061 Lipid panel 1,396 1,342 $13K
84703 1,824 1,800 $12K
81025 4,751 4,560 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 133 132 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,099 9,463 $12K
71046 Radiologic examination, chest; 2 views 1,040 997 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 588 537 $11K
J1815 Injection, insulin, per 5 units 1,442 759 $11K
90715 1,690 1,635 $10K
85730 2,668 2,564 $10K
96367 525 350 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 571 551 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 470 446 $10K
85610 4,676 4,126 $10K
74183 24 24 $10K
80076 1,793 1,642 $9K
82803 401 380 $9K
83036 Hemoglobin; glycosylated (A1C) 1,995 1,929 $8K
72100 437 432 $8K
J7120 Ringers lactate infusion, up to 1000 cc 26,044 12,534 $8K
83605 1,633 1,456 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 51 $8K
76830 Ultrasound, transvaginal 193 191 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 837 803 $8K
J2785 Injection, regadenoson, 0.1 mg 153 146 $7K
81003 3,585 3,414 $7K
93017 266 260 $7K
83880 383 362 $7K
73502 434 419 $7K
73562 472 457 $7K
82962 5,332 3,461 $6K
11721 759 740 $6K
73590 531 500 $6K
76536 156 152 $6K
73700 113 112 $6K
73560 392 367 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 231 225 $6K
87040 590 369 $6K
87086 Culture, bacterial; quantitative colony count, urine 1,132 1,052 $6K
76775 173 168 $6K
J3535 Drug administered through a metered dose inhaler 1,227 1,157 $6K
73130 672 638 $6K
62370 262 250 $6K
96361 Intravenous infusion, hydration; each additional hour 523 388 $5K
81002 2,338 2,249 $5K
85027 1,575 1,353 $5K
80305 821 785 $5K
82728 551 538 $5K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 152 145 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 105 105 $5K
43235 25 25 $5K
80329 462 443 $4K
86850 985 948 $4K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 742 721 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 271 154 $4K
87905 467 452 $4K
43248 12 12 $4K
82607 514 495 $4K
85379 560 546 $4K
93970 71 71 $4K
J1170 Injection, hydromorphone, up to 4 mg 9,657 5,039 $4K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 233 226 $4K
G0008 Administration of influenza virus vaccine 477 456 $4K
73110 445 425 $4K
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 63 59 $3K
64642 80 74 $3K
87808 462 447 $3K
82565 1,213 1,171 $3K
73552 266 255 $3K
84439 675 630 $3K
94729 139 133 $3K
86702 322 314 $3K
70544 17 17 $3K
84153 150 141 $3K
83540 504 487 $3K
81001 1,533 1,463 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 39 39 $3K
86701 322 314 $3K
82550 567 512 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 377 285 $3K
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 572 523 $2K
J8501 Aprepitant, oral, 5 mg 362 316 $2K
87186 487 459 $2K
87390 321 313 $2K
72131 48 46 $2K
82784 90 84 $2K
94726 119 112 $2K
86901 989 952 $2K
74178 12 12 $2K
86900 988 952 $2K
87205 828 795 $2K
74018 230 219 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 712 614 $2K
82043 351 341 $2K
82330 404 380 $2K
82746 240 234 $2K
72170 290 287 $2K
87077 399 378 $2K
J7030 Infusion, normal saline solution , 1000 cc 2,931 1,783 $2K
84702 150 142 $2K
J3370 Injection, vancomycin hcl, 500 mg 1,165 646 $2K
85576 127 121 $2K
85652 822 761 $2K
83550 491 474 $2K
86140 821 758 $2K
86706 142 138 $2K
82977 200 180 $2K
87075 328 306 $1K
72040 111 111 $1K
P9045 Infusion, albumin (human), 5%, 250 ml 198 26 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 42 41 $1K
73090 183 176 $1K
J0690 Injection, cefazolin sodium, 500 mg 3,630 2,511 $1K
87070 426 401 $1K
87340 113 111 $1K
73060 167 163 $1K
73080 172 167 $1K
93923 26 26 $1K
J0780 Injection, prochlorperazine, up to 10 mg 2,104 1,896 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,370 8,750 $1K
87522 Neg quan hep c or qual rna 31 31 $1K
36430 14 12 $1K
97162 311 297 $1K
C9399 Unclassified drugs or biologicals 186 160 $1K
86803 76 75 $1K
86704 82 80 $958.93
86780 79 75 $948.53
88342 60 56 $944.97
94060 135 127 $881.11
J1644 Injection, heparin sodium, per 1000 units 2,561 982 $870.30
84520 308 296 $869.04
J3010 Injection, fentanyl citrate, 0.1 mg 7,334 5,691 $867.07
97161 191 187 $831.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,626 3,918 $824.81
J1650 Injection, enoxaparin sodium, 10 mg 3,201 1,255 $813.79
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 16 16 $805.40
82105 42 39 $763.91
76937 211 197 $742.52
J1030 Injection, methylprednisolone acetate, 40 mg 162 153 $723.76
88112 41 37 $716.95
76870 25 25 $715.75
85007 322 290 $691.48
82947 375 348 $691.07
95991 107 91 $684.02
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,344 11,455 $650.58
70491 12 12 $639.38
84134 62 55 $619.02
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 518 461 $577.06
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 20 20 $575.43
90682 129 113 $569.38
86038 55 54 $567.15
80177 57 53 $553.94
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 20 12 $521.85
85014 343 322 $514.60
83970 16 14 $513.27
J0696 Injection, ceftriaxone sodium, per 250 mg 2,212 1,824 $496.39
77002 12 12 $484.07
11056 13 12 $478.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 132 131 $471.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 414 191 $456.20
0001A 18 18 $452.00
76942 143 133 $432.06
S0020 Injection, bupivicaine hydrochloride, 30 ml 961 808 $419.06
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $409.11
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 560 334 $390.00
86592 124 119 $371.96
83615 88 73 $364.39
82378 47 40 $357.48
J2795 Injection, ropivacaine hydrochloride, 1 mg 214 179 $356.00
29581 43 36 $329.56
72110 14 14 $328.92
73070 33 30 $325.30
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,582 2,199 $311.01
80051 95 92 $288.22
84132 109 100 $283.28
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 1,443 1,057 $276.43
73140 44 43 $272.07
99153 Mod sedat endo service >5yrs 143 135 $264.02
87147 74 72 $258.83
J7999 Compounded drug, not otherwise classified 3,953 2,304 $257.93
90674 73 72 $250.78
J2060 Injection, lorazepam, 2 mg 2,107 1,625 $246.05
J1630 Injection, haloperidol, up to 5 mg 933 787 $242.64
85018 152 142 $235.05
84165 25 25 $233.96
96376 549 277 $224.85
93308 12 12 $212.85
V2632 Posterior chamber intraocular lens 65 61 $212.04
J2250 Injection, midazolam hydrochloride, per 1 mg 6,077 5,348 $207.73
74220 20 18 $207.07
87081 82 77 $192.70
J7050 Infusion, normal saline solution, 250 cc 2,633 1,769 $186.06
S0028 Injection, famotidine, 20 mg 937 766 $183.30
36415 Collection of venous blood by venipuncture 3,453 2,315 $182.98
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 423 192 $173.98
J2270 Injection, morphine sulfate, up to 10 mg 250 161 $169.75
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 14 14 $160.64
J3475 Injection, magnesium sulfate, per 500 mg 730 658 $155.26
84295 54 54 $154.71
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 160 135 $152.72
73600 25 24 $147.47
88304 184 181 $144.95
82570 29 27 $143.58
J3470 Injection, hyaluronidase, up to 150 units 45 35 $141.84
J2704 Injection, propofol, 10 mg 3,491 2,807 $140.24
86705 12 12 $137.91
87088 28 26 $126.06
94761 203 185 $113.70
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 13 $94.38
J1953 Injection, levetiracetam, 10 mg 108 81 $93.00
J2765 Injection, metoclopramide hcl, up to 10 mg 389 332 $88.46
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 14 12 $85.20
85049 51 49 $75.66
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 797 655 $75.24
J3480 Injection, potassium chloride, per 2 meq 374 253 $74.15
29540 15 12 $74.10
95874 77 68 $72.81
J1040 Injection, methylprednisolone acetate, 80 mg 14 12 $69.96
S0077 Injection, clindamycin phosphate, 300 mg 57 44 $69.53
J3360 Injection, diazepam, up to 5 mg 15 12 $59.08
J0360 Injection, hydralazine hcl, up to 20 mg 36 25 $47.44
64643 18 15 $44.77
82270 16 16 $42.32
J0330 Injection, succinylcholine chloride, up to 20 mg 247 203 $40.44
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,048 1,514 $38.91
J8540 Dexamethasone, oral, 0.25 mg 68 46 $28.89
J1940 Injection, furosemide, up to 20 mg 57 31 $28.26
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,783 2,439 $27.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 93 83 $26.28
99152 15 15 $26.14
J1580 Injection, garamycin, gentamicin, up to 80 mg 20 14 $24.36
J3411 Injection, thiamine hcl, 100 mg 20 12 $24.32
89051 17 13 $23.10
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,390 765 $20.51
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,050 622 $20.06
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 547 417 $14.00
94760 116 84 $13.45
64644 13 12 $13.33
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 25 24 $3.93
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 77 39 $1.18
Q0243 Injection, casirivimab and imdevimab, 2400 mg 120 117 $0.69
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 127 120 $0.48
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 35 29 $0.12
91300 12 12 $0.08
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 591 576 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 70 69 $0.00
C1769 Guide wire 56 54 $0.00
90677 12 12 $0.00
Q0247 Injection, sotrovimab, 500 mg 37 37 $0.00
90673 27 27 $0.00
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 37 12 $0.00
J1790 Injection, droperidol, up to 5 mg 13 12 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 15 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 385 358 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 160 158 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 266 261 $0.00
J1171 Injection, hydromorphone, 0.1 mg 303 202 $0.00
90750 12 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 41 38 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 26 26 $0.00