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

Adena Health System

Adena Health System was paid $98.12M by Medicaid between Jan 2018 and Dec 2024, across 694 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 15% of everything it billed.

33Billing provider infoADENA HEALTH SYSTEM
CHILLICOTHE, OH 45601
33aNPI1902839673assigned 07/08/2006
28Total paid$98.12M
24GClaims2,548,012
24DCodes billed694
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#10 of 101
Median peer was paid$22.32M
This provider vs. median4.4×

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$2.0M$4.0M2018201920202021202220232024
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
2018228,670$7.82M
2019220,396$7.67M
2020204,278$9.78M
2021214,137$10.57M
2022242,646$10.19M
2023855,438$28.82M
2024incomplete582,447$23.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15% 215,041 164,768 $14.44M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13% 140,877 129,688 $12.95M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9.3% 85,986 78,637 $9.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.9% 55,090 48,974 $5.76M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.8% 43,650 40,645 $4.74M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.8% 31,634 28,089 $3.71M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.2% 20,405 14,190 $2.13M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 32,341 8,545 $2.08M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 17,137 15,648 $1.66M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 12,907 11,978 $1.36M
G0378 Hospital observation service, per hour 1.3% 23,456 8,119 $1.31M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 5,236 3,790 $1.19M
682 more codes
70450 Computed tomography, head or brain; without contrast material 1.2% 5,532 $1.17M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 9,956 $976K
20610 <1% 7,187 $899K
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% 4,330 $845K
95886 <1% 4,681 $809K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,483 $809K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 7,762 $790K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 11,288 $783K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,785 $765K
96361 Intravenous infusion, hydration; each additional hour <1% 2,299 $707K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,867 $689K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 10,316 $683K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,124 $678K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,049 $616K
80053 Comprehensive metabolic panel <1% 58,965 $555K
90834 Psychotherapy session, about 45 minutes <1% 4,478 $504K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,232 $484K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,077 $478K
80048 Basic metabolic panel (calcium, ionized) <1% 55,751 $453K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 3,194 $451K
J9271 Injection, pembrolizumab, 1 mg <1% 120 $446K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,158 $434K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 4,690 $382K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,064 $379K
59025 Fetal non-stress test <1% 2,254 $374K
87081 <1% 18,387 $365K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 124,627 $360K
29848 <1% 324 $344K
J3490 Unclassified drugs <1% 30,734 $319K
71046 Radiologic examination, chest; 2 views <1% 8,240 $312K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 224 $307K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,765 $305K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,795 $296K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,369 $290K
90837 Psychotherapy session, about an hour <1% 2,149 $287K
20611 <1% 1,404 $285K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,468 $285K
84443 Thyroid stimulating hormone (TSH) <1% 23,814 $280K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,093 $279K
95180 <1% 537 $259K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,228 $253K
64493 <1% 503 $250K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 632 $240K
96127 <1% 2,537 $239K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 4,306 $238K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,713 $232K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,166 $221K
36415 Collection of venous blood by venipuncture <1% 165,634 $220K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 471 $218K
95117 <1% 7,020 $214K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,387 $212K
93458 <1% 274 $207K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,188 $198K
78815 Positron emission tomography (PET) for limited area imaging <1% 414 $197K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 11,755 $191K
11102 <1% 687 $191K
70496 <1% 831 $189K
80061 Lipid panel <1% 20,949 $186K
96415 <1% 836 $184K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 8,810 $179K
47562 <1% 88 $178K
17311 <1% 471 $176K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,188 $176K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,865 $170K
83036 Hemoglobin; glycosylated (A1C) <1% 25,315 $166K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,665 $161K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 10,401 $154K
17110 <1% 1,366 $153K
99204 Doctor's office visit, new patient (more involved) <1% 2,215 $151K
87088 <1% 14,927 $148K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 601 $144K
76830 Ultrasound, transvaginal <1% 1,850 $141K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,920 $140K
73630 <1% 4,789 $138K
64483 <1% 342 $137K
82607 <1% 9,831 $123K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 599 $122K
64635 <1% 329 $121K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 709 $120K
99215 Doctor's office visit, returning patient (complex) <1% 1,370 $119K
97161 <1% 2,166 $119K
95811 <1% 201 $117K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,831 $115K
92557 <1% 1,831 $114K
90791 Psychiatric diagnostic evaluation <1% 528 $114K
76642 <1% 947 $111K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 752 $111K
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% 3,091 $108K
71045 Radiologic examination, chest; single view <1% 20,308 $106K
11721 <1% 4,703 $102K
72141 <1% 674 $101K
93017 <1% 1,440 $101K
86850 <1% 5,450 $100K
73221 <1% 540 $100K
90686 <1% 9,782 $100K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 37,560 $98K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 6,378 $98K
73610 <1% 3,083 $97K
97162 <1% 1,968 $95K
99203 Doctor's office visit, new patient (routine) <1% 1,415 $94K
72100 <1% 4,363 $91K
71250 <1% 1,200 $91K
94060 <1% 820 $90K
90648 <1% 11,134 $88K
95806 <1% 304 $87K
73130 <1% 2,691 $86K
75574 <1% 266 $83K
93975 <1% 980 $83K
84484 <1% 25,847 $82K
17000 <1% 970 $81K
96367 <1% 1,549 $81K
73562 <1% 2,511 $78K
Q3014 Telehealth originating site facility fee <1% 7,059 $77K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 124 $77K
73110 <1% 2,716 $76K
62323 <1% 236 $76K
0352U <1% 4,122 $74K
86780 <1% 4,750 $73K
90677 <1% 2,872 $71K
74174 <1% 1,111 $70K
86900 <1% 5,544 $70K
31575 <1% 517 $70K
90670 <1% 9,549 $69K
95909 <1% 867 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15,438 $66K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,589 $66K
76770 <1% 489 $66K
70491 <1% 296 $65K
73030 <1% 2,812 $64K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 10,759 $64K
93971 <1% 998 $57K
52000 <1% 141 $57K
97165 <1% 955 $56K
80069 <1% 3,408 $56K
96161 <1% 489 $55K
76536 <1% 555 $55K
82728 <1% 6,825 $54K
58661 <1% 32 $54K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,445 $54K
77336 <1% 563 $53K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 342 $53K
80076 <1% 9,282 $52K
74018 <1% 2,130 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 901 $50K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 26,223 $50K
84439 <1% 4,882 $49K
95911 <1% 277 $49K
99385 <1% 764 $49K
71271 <1% 254 $49K
93225 <1% 531 $48K
83970 <1% 2,221 $47K
93970 <1% 407 $47K
95816 <1% 322 $46K
84466 <1% 7,402 $46K
85027 <1% 9,212 $45K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,278 $44K
C1889 Implantable/insertable device, not otherwise classified <1% 1,215 $44K
93922 <1% 626 $43K
92567 <1% 3,148 $43K
72040 <1% 1,604 $43K
73564 <1% 1,930 $43K
94726 <1% 699 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,241 $42K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 36 $42K
86803 <1% 2,899 $41K
82565 <1% 9,662 $40K
82570 <1% 6,584 $40K
83540 <1% 7,778 $40K
90633 <1% 4,958 $40K
77334 <1% 137 $39K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 197 $38K
90715 <1% 2,786 $38K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,917 $37K
43235 <1% 119 $37K
20550 <1% 224 $37K
93454 <1% 46 $37K
87147 <1% 3,663 $36K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,931 $34K
86140 <1% 5,326 $34K
87902 <1% 263 $33K
90651 <1% 1,664 $33K
77386 <1% 82 $32K
94729 <1% 638 $32K
76000 <1% 416 $32K
83735 <1% 14,569 $31K
93880 <1% 449 $30K
87522 Neg quan hep c or qual rna <1% 1,673 $30K
81001 <1% 27,741 $30K
84702 <1% 3,071 $29K
87340 <1% 2,548 $27K
73140 <1% 1,058 $27K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 140 $27K
64494 <1% 461 $27K
90832 Psychotherapy session, about 30 minutes <1% 276 $27K
73080 <1% 989 $27K
86762 <1% 1,577 $27K
36430 <1% 312 $27K
97012 <1% 836 $27K
J1756 Injection, iron sucrose, 1 mg <1% 853 $27K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,114 $26K
72125 Computed tomography, cervical spine; without contrast material <1% 1,803 $26K
29581 <1% 315 $26K
88307 <1% 511 $26K
73502 <1% 1,456 $26K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 42 $25K
72131 <1% 821 $25K
85610 <1% 20,547 $25K
97166 <1% 582 $24K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 849 $24K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 2,489 $24K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 359 $24K
87186 <1% 4,661 $24K
88341 <1% 463 $23K
82248 <1% 15,775 $23K
82043 <1% 4,925 $23K
90723 <1% 4,242 $23K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 692 $23K
73701 <1% 93 $23K
77065 Tomosynthesis, mammo <1% 693 $23K
11100 <1% 145 $23K
86901 <1% 5,546 $22K
20552 <1% 213 $21K
77066 Tomosynthesis, mammo <1% 594 $20K
70498 <1% 881 $20K
77300 <1% 64 $20K
12001 <1% 114 $20K
90680 <1% 3,566 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,254 $20K
90853 Group psychotherapy (other than of a multiple-family group) <1% 176 $20K
94618 <1% 427 $20K
77080 <1% 311 $19K
99205 Prolong outpt/office vis <1% 309 $19K
86038 <1% 1,262 $19K
71101 <1% 516 $19K
83655 <1% 2,235 $19K
99381 <1% 278 $18K
87481 <1% 1,060 $18K
82947 <1% 9,741 $18K
82746 <1% 2,258 $18K
97116 <1% 1,084 $18K
29075 <1% 157 $17K
90716 <1% 1,723 $17K
J7999 Compounded drug, not otherwise classified <1% 1,578 $17K
31231 <1% 78 $17K
84403 <1% 1,345 $17K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 725 $17K
74019 <1% 495 $16K
84460 <1% 3,389 $16K
11104 <1% 48 $16K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 1,627 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,269 $16K
64636 <1% 319 $16K
99384 <1% 253 $16K
90707 <1% 3,466 $16K
87070 <1% 1,898 $15K
73222 <1% 50 $15K
99386 <1% 289 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 468 $15K
11056 <1% 126 $15K
86480 <1% 618 $15K
97016 <1% 566 $15K
73590 <1% 798 $15K
84153 <1% 1,605 $15K
70486 <1% 487 $14K
82948 <1% 9,020 $14K
80074 <1% 1,583 $14K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 974 $14K
73090 <1% 568 $14K
83525 <1% 909 $14K
72072 <1% 508 $14K
87507 <1% 232 $14K
94660 <1% 169 $14K
87510 <1% 746 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,624 $13K
84703 <1% 8,170 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 20,534 $13K
83690 <1% 15,258 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 166 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 230 $12K
91322 <1% 340 $12K
74183 <1% 40 $12K
97802 <1% 131 $12K
84156 <1% 2,792 $11K
72128 <1% 549 $11K
P9016 Red blood cells, leukocytes reduced, each unit <1% 41 $11K
J2469 Injection, palonosetron hcl, 25 mcg <1% 947 $11K
97803 <1% 134 $11K
87480 <1% 746 $11K
90734 <1% 1,640 $11K
90696 <1% 1,313 $11K
76801 <1% 1,177 $11K
84450 <1% 2,262 $11K
86787 <1% 1,367 $11K
83880 <1% 5,184 $10K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 962 $10K
73522 <1% 592 $10K
86376 <1% 954 $10K
81003 <1% 16,041 $10K
96376 <1% 4,050 $10K
93226 <1% 170 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,014 $10K
96368 <1% 709 $10K
99407 <1% 307 $10K
83001 <1% 861 $10K
85652 <1% 4,235 $10K
73560 <1% 377 $10K
99152 <1% 1,422 $9K
82077 <1% 4,265 $9K
99406 <1% 578 $9K
90620 <1% 658 $9K
93296 <1% 669 $9K
85730 <1% 7,634 $9K
J7120 Ringers lactate infusion, up to 1000 cc <1% 19,533 $9K
92523 <1% 109 $9K
84146 <1% 735 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 12,296 $9K
80197 <1% 436 $9K
72070 <1% 447 $9K
82670 <1% 599 $9K
87205 <1% 1,900 $8K
82533 <1% 1,150 $8K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 459 $8K
11719 <1% 362 $8K
72114 <1% 537 $8K
81025 <1% 8,448 $8K
95861 <1% 25 $8K
84402 <1% 580 $8K
87660 <1% 753 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 515 $8K
86431 <1% 978 $8K
82247 <1% 817 $8K
83605 <1% 6,852 $7K
77290 <1% 18 $7K
11730 <1% 56 $7K
82105 <1% 1,050 $7K
36410 <1% 516 $7K
J7030 Infusion, normal saline solution , 1000 cc <1% 10,954 $7K
11750 <1% 20 $7K
86706 <1% 525 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 229 $7K
64615 <1% 38 $7K
00840 <1% 606 $7K
99383 <1% 98 $7K
82950 <1% 1,037 $7K
84550 <1% 1,951 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 124 $6K
73700 <1% 66 $6K
84481 <1% 799 $6K
84520 <1% 1,613 $6K
77412 <1% 123 $6K
84480 <1% 753 $6K
90700 <1% 1,288 $6K
83002 <1% 614 $6K
72110 <1% 348 $6K
58300 <1% 70 $6K
86160 <1% 921 $6K
82550 <1% 1,652 $6K
J8501 Aprepitant, oral, 5 mg <1% 435 $6K
84270 <1% 443 $6K
86200 <1% 692 $5K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 20 $5K
95885 <1% 47 $5K
62370 <1% 154 $5K
64450 <1% 97 $5K
83516 <1% 558 $5K
86800 <1% 661 $5K
73060 <1% 248 $5K
84100 <1% 2,366 $5K
85018 <1% 3,982 $5K
98926 <1% 121 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 20,282 $5K
86256 <1% 566 $4K
86592 <1% 349 $4K
97035 <1% 52 $4K
86334 <1% 591 $4K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,633 $4K
80143 <1% 2,932 $4K
C1769 Guide wire <1% 1,314 $4K
80051 <1% 312 $4K
87077 <1% 510 $4K
86364 <1% 354 $4K
69210 <1% 344 $4K
82977 <1% 720 $4K
73552 <1% 254 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,762 $4K
74022 <1% 103 $4K
82627 <1% 233 $4K
83993 <1% 196 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,349 $4K
95908 <1% 570 $4K
H1003 Prenatal care, at-risk enhanced service; education <1% 669 $4K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing <1% 828 $4K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,674 $4K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 63 $4K
C8924 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study <1% 23 $4K
88342 <1% 1,161 $4K
99153 Mod sedat endo service >5yrs <1% 872 $4K
90674 <1% 424 $4K
96523 <1% 63 $3K
84144 <1% 153 $3K
86308 <1% 378 $3K
72052 <1% 151 $3K
88142 <1% 255 $3K
82784 <1% 625 $3K
87800 <1% 200 $3K
86235 <1% 623 $3K
62369 <1% 41 $3K
82803 <1% 2,986 $3K
84132 <1% 983 $3K
80320 <1% 167 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,442 $3K
84165 <1% 860 $3K
86694 <1% 299 $3K
84145 <1% 642 $3K
73040 <1% 15 $3K
20526 <1% 16 $3K
90661 <1% 348 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 372 $3K
82951 <1% 160 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 16 $3K
87529 <1% 149 $3K
83521 <1% 859 $3K
85379 <1% 3,108 $3K
J1453 Injection, fosaprepitant, 1 mg <1% 233 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,217 $3K
11900 <1% 42 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 3,970 $3K
88304 <1% 1,473 $3K
83615 <1% 1,135 $3K
87040 <1% 3,244 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 2,859 $3K
84155 <1% 982 $3K
86258 <1% 224 $3K
86665 <1% 336 $3K
86618 <1% 265 $2K
76870 <1% 208 $2K
83498 <1% 180 $2K
81015 <1% 960 $2K
20605 <1% 19 $2K
90656 <1% 376 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 6,758 $2K
90710 <1% 475 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 267 $2K
92551 <1% 27 $2K
12011 <1% 15 $2K
80179 <1% 2,894 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,972 $2K
J2704 Injection, propofol, 10 mg <1% 25,918 $2K
76981 <1% 165 $2K
20600 <1% 16 $2K
80164 <1% 208 $2K
10060 <1% 22 $2K
43249 <1% 16 $2K
76641 <1% 19 $2K
99195 <1% 178 $2K
93270 <1% 14 $2K
80202 <1% 93 $2K
88184 <1% 22 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 132 $2K
88185 <1% 44 $2K
64415 <1% 32 $2K
90461 <1% 6,120 $2K
82150 <1% 1,863 $2K
85014 <1% 806 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,806 $2K
82040 <1% 207 $2K
97163 <1% 42 $2K
82952 <1% 135 $2K
00731 <1% 1,406 $2K
86003 <1% 230 $2K
95115 <1% 37 $2K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 3,551 $2K
99382 <1% 27 $1K
36416 <1% 4,920 $1K
11720 <1% 83 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 4,885 $1K
93288 <1% 132 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,478 $1K
95024 <1% 140 $1K
17003 <1% 608 $1K
93298 <1% 92 $1K
72146 <1% 16 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 3,111 $1K
80329 <1% 116 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,650 $1K
83721 <1% 168 $1K
90688 <1% 133 $1K
84478 <1% 312 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,301 $1K
85520 <1% 784 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,757 $1K
82140 <1% 700 $996.00
11301 <1% 12 $994.18
72220 <1% 41 $975.12
90381 <1% 118 $971.95
J3010 Injection, fentanyl citrate, 0.1 mg <1% 20,185 $970.23
00811 <1% 665 $963.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,899 $952.29
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg <1% 530 $901.70
86704 <1% 80 $883.70
83921 <1% 277 $858.50
87106 <1% 524 $855.95
82103 <1% 118 $846.08
86580 <1% 43 $845.00
82010 <1% 708 $842.09
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,876 $806.08
82465 <1% 213 $770.32
93289 <1% 50 $720.63
86381 <1% 92 $707.76
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 3,334 $695.13
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,470 $679.88
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 666 $653.98
94010 <1% 13 $638.06
86147 <1% 19 $625.46
82378 <1% 226 $609.93
83010 <1% 100 $582.71
51798 <1% 286 $576.20
83520 <1% 31 $559.26
G0008 Administration of influenza virus vaccine <1% 1,016 $556.99
86696 <1% 46 $536.40
90474 <1% 906 $531.89
90380 <1% 64 $520.45
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 251 $508.60
86039 <1% 70 $506.36
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% 60 $487.48
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 2,864 $480.41
76942 <1% 478 $464.52
90744 <1% 49 $455.40
73660 <1% 16 $443.21
82374 <1% 129 $440.23
J0694 Injection, cefoxitin sodium, 1 gm <1% 50 $439.90
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 18,322 $427.05
87581 <1% 29 $412.52
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,458 $408.54
72050 <1% 18 $393.65
A4648 Tissue marker, implantable, any type, each <1% 236 $374.38
96417 <1% 697 $369.59
J0780 Injection, prochlorperazine, up to 10 mg <1% 734 $346.17
82390 <1% 65 $344.20
C9113 Injection, pantoprazole sodium, per vial <1% 156 $324.76
01400 <1% 38 $317.64
J2060 Injection, lorazepam, 2 mg <1% 1,488 $298.07
82785 <1% 35 $292.81
J0360 Injection, hydralazine hcl, up to 20 mg <1% 355 $288.02
97535 Self-care/home management training, each 15 minutes <1% 25 $286.62
J9045 Injection, carboplatin, 50 mg <1% 36 $275.59
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,594 $267.04
90649 <1% 26 $265.30
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 538 $261.80
84295 <1% 144 $256.12
84207 <1% 30 $249.51
90694 <1% 220 $248.37
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 29 $245.00
88300 <1% 179 $241.19
84075 <1% 140 $236.72
87075 <1% 257 $231.71
82787 <1% 60 $229.08
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 13,619 $226.94
82435 <1% 129 $225.47
86757 <1% 23 $225.21
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,301 $222.39
J3480 Injection, potassium chloride, per 2 meq <1% 1,445 $221.22
90698 <1% 41 $218.76
87486 <1% 29 $213.28
86920 <1% 22 $210.46
86705 <1% 12 $209.88
85045 <1% 106 $207.80
85613 <1% 48 $199.17
87476 <1% 20 $190.87
90714 <1% 14 $190.78
82310 <1% 40 $189.60
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 364 $175.00
G0009 Administration of pneumococcal vaccine <1% 295 $174.74
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 523 $164.60
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 1,476 $157.94
82652 <1% 24 $153.93
84630 <1% 30 $148.69
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,644 $140.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 42 $129.00
C2617 Stent, non-coronary, temporary, without delivery system <1% 115 $124.69
84134 <1% 29 $124.25
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg <1% 120 $123.56
90653 <1% 127 $122.64
J2550 Injection, promethazine hcl, up to 50 mg <1% 395 $121.82
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 502 $120.88
C1729 Catheter, drainage <1% 148 $120.07
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,519 $116.14
86812 <1% 15 $104.36
80177 <1% 15 $101.31
A9585 Injection, gadobutrol, 0.1 ml <1% 1,770 $99.60
72170 <1% 13 $97.29
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,536 $96.06
82525 <1% 13 $91.84
J2270 Injection, morphine sulfate, up to 10 mg <1% 488 $91.69
82365 <1% 100 $91.07
84300 <1% 76 $85.48
87468 <1% 12 $77.95
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 173 $77.78
51702 <1% 37 $75.02
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% 881 $74.07
J3360 Injection, diazepam, up to 5 mg <1% 16 $70.63
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg <1% 25 $68.17
J0456 Injection, azithromycin, 500 mg <1% 252 $67.62
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 131 $66.64
J1940 Injection, furosemide, up to 20 mg <1% 602 $65.92
87430 <1% 150 $65.41
J0571 Buprenorphine, oral, 1 mg <1% 30 $64.05
83090 <1% 26 $61.11
88108 <1% 71 $57.16
J0736 Injection, clindamycin phosphate, 300 mg <1% 33 $57.01
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg <1% 90 $55.28
J8540 Dexamethasone, oral, 0.25 mg <1% 97 $53.86
J1630 Injection, haloperidol, up to 5 mg <1% 316 $53.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,257 $51.09
88173 <1% 25 $48.14
12032 <1% 13 $40.60
87469 <1% 12 $38.97
87484 <1% 12 $38.97
94375 <1% 49 $38.84
J1836 Injection, metronidazole, 10 mg <1% 450 $37.67
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 9,866 $33.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,600 $33.20
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 786 $32.79
J1171 Injection, hydromorphone, 0.1 mg <1% 200 $31.56
J1956 Injection, levofloxacin, 250 mg <1% 216 $28.52
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 44 $28.17
82330 <1% 25 $26.43
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 739 $25.83
Q0164 Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 465 $24.19
90662 <1% 42 $22.75
99495 <1% 195 $17.64
83935 <1% 25 $16.78
J1010 Injection, methylprednisolone acetate, 1 mg <1% 609 $16.25
86695 <1% 13 $16.08
J1790 Injection, droperidol, up to 5 mg <1% 245 $15.69
85347 <1% 36 $13.48
J1920 Injection, labetalol hydrochloride, 5 mg <1% 420 $12.64
94760 <1% 1,982 $10.57
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 403 $8.83
J7510 Prednisolone oral, per 5 mg <1% 38 $5.98
J1596 Injection, glycopyrrolate, 0.1 mg <1% 567 $4.39
J2305 Injection, nitroglycerin, 5 mg <1% 267 $4.02
J3590 Unclassified biologics <1% 12 $1.76
C1758 Catheter, ureteral <1% 482 $1.25
94761 <1% 2,927 $0.07
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,873 $0.00
01810 0% 774 $0.00
99218 0% 137 $0.00
92504 0% 136 $0.00
01830 0% 228 $0.00
23350 0% 15 $0.00
88302 0% 35 $0.00
00812 0% 147 $0.00
00400 0% 32 $0.00
95874 0% 13 $0.00
87420 0% 16 $0.00
72202 0% 49 $0.00
00918 0% 47 $0.00
92579 0% 15 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 16 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 0% 14 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 0% 19 $0.00
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 0% 75 $0.00
A9270 Non-covered item or service 0% 479 $0.00
72020 0% 670 $0.00
00813 0% 1,038 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 582 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 925 $0.00
87807 0% 153 $0.00
99243 0% 171 $0.00
77001 0% 42 $0.00
00790 0% 151 $0.00
00126 0% 116 $0.00
90480 0% 131 $0.00
95249 0% 13 $0.00
96380 0% 40 $0.00
01480 0% 60 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 33 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 14 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 0% 24 $0.00
95910 0% 17 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 0% 12 $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 officialROSENBERGER, ROBERT (CFO)
Same official

Other billing entities under ROSENBERGER, ROBERT

Full network →
ProviderLocationPaid
Valley Medical Facilities, INC.Sewickley, PA$19.37M
Valley Medical Facilities INCBeaver, PA$10.29M
Valley Medical Facilities INCSewickley, PA$4.22M
Valley Medical Facilities, INC.Sewickley, PA$3.71M
Valley Medical Facilities, INC.Mc Kees Rocks, PA$1.86M
Valley Medical Facilities INCMc Kees Rocks, PA$80K
Valley Medical Facilities, INC.Wexford, PA$32K
Valley Medical Facilities, INC.Bellevue, PA$1K

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