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

Upmc Magee-Womens Hospital

Upmc Magee-Womens Hospital was paid $43.08M by Medicaid between Feb 2018 and Dec 2024, across 485 billing codes. Its largest line is 99284, emergency room visit (serious) — 14% of everything it billed.

33Billing provider infoUPMC MAGEE-WOMENS HOSPITAL
PITTSBURGH, PA 15213
33aNPI1952311508assigned 08/08/2006
28Total paid$43.08M
24GClaims1,244,546
24DCodes billed485
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#3 of 154
Median peer was paid$2.82M
This provider vs. median15×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018247$3K
20192,630$95K
2020119,119$5.17M
2021494,145$24.96M
2022246,060$4.92M
2023234,694$4.97M
2024incomplete147,651$2.96M
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 14% 32,247 30,952 $6.15M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 8.2% 99,188 88,781 $3.55M
J9271 Injection, pembrolizumab, 1 mg 6.3% 3,892 3,017 $2.72M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3.2% 15,774 10,356 $1.37M
J9312 Injection, rituximab, 10 mg 2.9% 830 653 $1.23M
J2323 Injection, natalizumab, 1 mg 2.8% 1,963 1,885 $1.20M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.7% 9,928 9,650 $1.16M
J9299 Injection, nivolumab, 1 mg 2.4% 1,136 737 $1.05M
J9173 Injection, durvalumab, 10 mg 2.3% 576 413 $973K
J9306 Injection, pertuzumab, 1 mg 2.2% 1,161 838 $965K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 2.1% 2,160 938 $888K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.7% 3,558 3,433 $753K
473 more codes
99215 Doctor's office visit, returning patient (complex) 1.7% 7,794 $717K
G0378 Hospital observation service, per hour 1.5% 2,077 $659K
59410 1.5% 497 $657K
J9022 Injection, atezolizumab, 10 mg 1.5% 852 $654K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.5% 20,089 $650K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.5% 28,523 $638K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 28,280 $615K
G9012 Other specified case management service not elsewhere classified 1.4% 3,985 $613K
Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg 1.2% 1,833 $531K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,013 $414K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 91,839 $404K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 12,461 $383K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 957 $346K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 8,679 $342K
J2350 Injection, ocrelizumab, 1 mg <1% 198 $321K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,342 $320K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 929 $313K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg <1% 872 $305K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 242 $299K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 15,126 $292K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 2,242 $281K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,997 $270K
93976 <1% 4,773 $259K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 8,083 $255K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 460 $255K
80053 Comprehensive metabolic panel <1% 21,736 $252K
81507 <1% 431 $249K
99213 Doctor's office visit, returning patient (routine) <1% 3,877 $242K
J9264 Injection, paclitaxel protein-bound particles, 1 mg <1% 480 $239K
T1001 Nursing assessment / evaluation <1% 1,142 $234K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 512 $232K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,175 $223K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,300 $209K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,596 $203K
76830 Ultrasound, transvaginal <1% 5,095 $194K
84703 <1% 29,749 $192K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg <1% 356 $191K
96375 Therapeutic injection; each additional sequential IV push <1% 13,749 $186K
76801 <1% 5,849 $182K
59515 <1% 131 $174K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12,677 $151K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 66 $149K
77066 Tomosynthesis, mammo <1% 1,802 $146K
86702 <1% 9,506 $127K
96367 <1% 6,526 $124K
86780 <1% 6,874 $114K
96417 <1% 2,432 $114K
86701 <1% 9,507 $112K
80048 Basic metabolic panel (calcium, ionized) <1% 18,446 $111K
82330 <1% 15,742 $111K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,966 $108K
81025 <1% 17,339 $107K
J0185 Injection, aprepitant, 1 mg <1% 3,496 $103K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,487 $101K
77065 Tomosynthesis, mammo <1% 1,664 $98K
J0897 Injection, denosumab, 1 mg <1% 366 $97K
87390 <1% 9,504 $97K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 2,797 $95K
76642 <1% 2,563 $94K
87086 Culture, bacterial; quantitative colony count, urine <1% 12,353 $93K
99214 Doctor's office visit, returning patient (more involved) <1% 1,177 $92K
76819 Fetal biophysical profile; without non-stress testing <1% 1,725 $91K
96415 <1% 3,008 $89K
84702 <1% 6,536 $85K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg <1% 1,408 $84K
83735 <1% 15,152 $79K
81003 <1% 37,423 $76K
81329 <1% 680 $75K
J9395 Injection, fulvestrant, 25 mg <1% 1,051 $74K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 48 $73K
58571 <1% 120 $71K
87653 <1% 1,611 $68K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 278 $65K
J3490 Unclassified drugs <1% 7,657 $64K
99429 <1% 249 $63K
88185 <1% 250 $61K
J1756 Injection, iron sucrose, 1 mg <1% 11,218 $61K
80050 General health panel <1% 1,274 $58K
83615 <1% 10,289 $56K
78815 Positron emission tomography (PET) for limited area imaging <1% 69 $55K
76813 <1% 996 $55K
84100 <1% 11,413 $53K
80076 <1% 8,655 $52K
71275 Computed tomographic angiography, chest, with contrast material <1% 322 $50K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,345 $50K
11981 <1% 261 $49K
19083 <1% 325 $48K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 1,162 $47K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 2,265 $47K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 2,910 $46K
36430 <1% 425 $45K
96040 <1% 1,709 $44K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 8,216 $44K
J9202 Goserelin acetate implant, per 3.6 mg <1% 765 $44K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 850 $43K
96402 <1% 1,394 $41K
11982 <1% 198 $40K
96361 Intravenous infusion, hydration; each additional hour <1% 3,878 $40K
84443 Thyroid stimulating hormone (TSH) <1% 2,104 $40K
88341 <1% 614 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 630 $37K
96411 <1% 887 $37K
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% 562 $35K
J9070 Cyclophosphamide, 100 mg <1% 573 $34K
58558 <1% 40 $34K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg <1% 68 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 573 $33K
58301 <1% 282 $33K
86300 <1% 1,499 $31K
77080 <1% 573 $31K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,127 $29K
96156 <1% 508 $29K
82728 <1% 3,066 $29K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 435 $29K
58661 <1% 44 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,500 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,058 $28K
J2505 Injection, pegfilgrastim, 6 mg <1% 30 $27K
Q3014 Telehealth originating site facility fee <1% 1,644 $27K
70551 Magnetic resonance imaging, brain; without contrast material <1% 131 $27K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 407 $25K
80055 <1% 1,831 $25K
90715 <1% 2,233 $24K
58300 <1% 457 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 326 $24K
J2997 Injection, alteplase recombinant, 1 mg <1% 563 $23K
82784 <1% 1,454 $23K
88342 <1% 913 $23K
J1930 Injection, lanreotide, 1 mg <1% 40 $23K
Q0112 All potassium hydroxide (koh) preparations <1% 4,336 $22K
83690 <1% 6,557 $21K
J2469 Injection, palonosetron hcl, 25 mcg <1% 5,739 $21K
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 <1% 169 $21K
71046 Radiologic examination, chest; 2 views <1% 1,226 $21K
96401 <1% 654 $20K
82607 <1% 2,014 $20K
57452 <1% 189 $20K
77386 <1% 94 $19K
82105 <1% 1,088 $19K
84460 <1% 6,066 $18K
76827 <1% 483 $18K
81001 <1% 7,694 $18K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 130 $18K
76641 <1% 347 $18K
84450 <1% 6,183 $18K
84550 <1% 3,201 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,598 $17K
86592 <1% 3,962 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 266 $17K
86850 <1% 3,243 $17K
83540 <1% 2,523 $17K
70450 Computed tomography, head or brain; without contrast material <1% 325 $17K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 113 $16K
84163 <1% 946 $16K
P9021 Red blood cells, each unit <1% 175 $16K
19081 <1% 111 $15K
93971 <1% 270 $15K
76820 <1% 614 $15K
83021 <1% 776 $15K
82565 <1% 6,058 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 448 $15K
59820 <1% 25 $14K
96409 <1% 192 $14K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 65 $14K
77049 <1% 62 $14K
J0640 Injection, leucovorin calcium, per 50 mg <1% 4,279 $14K
88360 <1% 470 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 748 $13K
59025 Fetal non-stress test <1% 2,708 $13K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 980 $13K
82950 <1% 1,712 $12K
72197 <1% 27 $12K
84484 <1% 1,909 $12K
82746 <1% 1,352 $12K
90651 <1% 939 $12K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,243 $12K
58662 <1% 18 $12K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 29 $12K
86923 <1% 352 $12K
87522 Neg quan hep c or qual rna <1% 321 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 288 $11K
84439 <1% 1,905 $11K
82570 <1% 1,644 $11K
85027 <1% 2,027 $11K
83986 <1% 4,918 $11K
J9045 Injection, carboplatin, 50 mg <1% 2,726 $11K
96523 <1% 779 $11K
85730 <1% 1,888 $11K
87077 <1% 1,532 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,846 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 25 $10K
J9263 Injection, oxaliplatin, 0.5 mg <1% 3,186 $10K
85610 <1% 3,545 $10K
77334 <1% 113 $10K
76770 <1% 254 $10K
83550 <1% 2,476 $10K
J9267 Injection, paclitaxel, 1 mg <1% 2,570 $10K
57455 <1% 44 $9K
86900 <1% 3,373 $9K
76536 <1% 201 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 171 $9K
82247 <1% 4,807 $9K
86901 <1% 3,373 $9K
88142 <1% 529 $9K
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% 302 $9K
86334 <1% 481 $8K
71045 Radiologic examination, chest; single view <1% 1,699 $8K
C9399 Unclassified drugs or biologicals <1% 195 $8K
88184 <1% 254 $8K
71250 <1% 143 $8K
87497 <1% 207 $8K
G0008 Administration of influenza virus vaccine <1% 771 $8K
83880 <1% 308 $8K
84075 <1% 4,827 $8K
84146 <1% 281 $7K
87340 <1% 557 $7K
82378 <1% 600 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,168 $7K
84403 <1% 306 $7K
80061 Lipid panel <1% 571 $7K
86803 <1% 384 $7K
88237 <1% 43 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 13,750 $7K
84156 <1% 1,720 $7K
96368 <1% 773 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 29 $7K
85018 <1% 3,091 $7K
83605 <1% 1,228 $7K
84520 <1% 4,756 $7K
72141 <1% 29 $6K
77336 <1% 170 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 176 $6K
82977 <1% 833 $6K
81002 <1% 1,647 $6K
87186 <1% 804 $6K
82232 <1% 470 $5K
73564 <1% 299 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 13 $5K
86704 <1% 384 $5K
84165 <1% 530 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 17,334 $5K
70491 <1% 73 $5K
J3535 Drug administered through a metered dose inhaler <1% 319 $5K
86304 <1% 334 $5K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 13 $5K
77412 <1% 124 $5K
J3489 Injection, zoledronic acid, 1 mg <1% 1,230 $5K
84402 <1% 167 $5K
87040 <1% 382 $5K
86902 <1% 196 $4K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 13 $4K
90682 <1% 282 $4K
84155 <1% 4,425 $4K
84153 <1% 332 $4K
P9058 Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit <1% 159 $4K
86706 <1% 342 $4K
36593 <1% 245 $4K
93970 <1% 60 $4K
87102 <1% 444 $4K
58100 <1% 73 $4K
82310 <1% 3,999 $4K
93325 <1% 177 $4K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 482 $4K
82677 <1% 193 $4K
J1815 Injection, insulin, per 5 units <1% 273 $4K
83001 <1% 202 $4K
77295 <1% 14 $3K
88264 <1% 25 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 17,841 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 12,181 $3K
84132 <1% 3,901 $3K
82947 <1% 4,148 $3K
74181 <1% 13 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $3K
86038 <1% 229 $3K
36415 Collection of venous blood by venipuncture <1% 4,953 $3K
86147 <1% 138 $3K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 684 $3K
86301 <1% 244 $3K
84295 <1% 3,791 $3K
82951 <1% 199 $3K
J1626 Injection, granisetron hydrochloride, 100 mcg <1% 7,134 $3K
86235 <1% 45 $3K
J9206 Injection, irinotecan, 20 mg <1% 1,053 $3K
82435 <1% 3,734 $3K
86922 <1% 68 $3K
82962 <1% 1,828 $3K
74018 <1% 205 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,240 $3K
90674 <1% 879 $3K
86708 <1% 178 $2K
73562 <1% 210 $2K
82374 <1% 3,408 $2K
82040 <1% 3,311 $2K
85379 <1% 296 $2K
83970 <1% 55 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 871 $2K
73501 <1% 219 $2K
82248 <1% 300 $2K
38222 <1% 24 $2K
82670 <1% 91 $2K
81000 <1% 466 $2K
76942 <1% 186 $2K
73610 <1% 142 $2K
82550 <1% 376 $2K
85240 <1% 142 $2K
86360 <1% 29 $2K
J9181 Injection, etoposide, 10 mg <1% 221 $2K
72100 <1% 98 $2K
85384 <1% 204 $2K
84480 <1% 302 $2K
73630 <1% 207 $2K
86880 <1% 253 $2K
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 754 $2K
86359 <1% 31 $2K
76857 <1% 95 $2K
82103 <1% 102 $2K
86870 <1% 142 $2K
87205 <1% 456 $2K
73560 <1% 143 $1K
80051 <1% 252 $1K
85041 <1% 503 $1K
85044 <1% 447 $1K
87070 <1% 318 $1K
99203 Doctor's office visit, new patient (routine) <1% 24 $1K
70486 <1% 24 $1K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 13 $1K
S9443 Lactation classes, non-physician provider, per session <1% 25 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,605 $1K
86355 <1% 29 $1K
86357 <1% 29 $1K
86146 <1% 15 $1K
85007 <1% 409 $1K
82150 <1% 304 $1K
73130 <1% 132 $1K
J0670 Injection, mepivacaine hydrochloride, per 10 ml <1% 642 $1K
85732 <1% 139 $1K
80081 <1% 12 $1K
51701 <1% 48 $1K
82533 <1% 124 $1K
36512 <1% 39 $1K
86256 <1% 112 $1K
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,034 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 18 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,804 $1K
86140 <1% 503 $995.04
83010 <1% 95 $992.55
J9171 Injection, docetaxel, 1 mg <1% 230 $981.84
88307 <1% 419 $978.99
99195 <1% 111 $946.02
84425 <1% 151 $940.86
73030 <1% 66 $939.48
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 350 $902.56
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 279 $894.56
85652 <1% 487 $891.15
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,193 $886.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 3,597 $864.64
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 9,294 $858.17
76882 <1% 150 $848.37
88368 <1% 17 $820.43
85597 <1% 30 $807.08
86644 <1% 28 $790.13
73110 <1% 87 $721.93
82043 <1% 96 $678.70
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 1,281 $670.55
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,721 $652.72
85660 <1% 178 $648.08
82952 <1% 183 $645.62
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,610 $639.09
87081 <1% 197 $636.56
77280 <1% 18 $623.80
73502 <1% 31 $616.64
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg <1% 458 $587.05
51798 <1% 60 $586.17
J3480 Injection, potassium chloride, per 2 meq <1% 1,898 $563.97
83030 <1% 119 $552.30
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 288 $549.68
78306 <1% 14 $501.85
J0690 Injection, cefazolin sodium, 500 mg <1% 1,145 $500.64
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,263 $493.89
82627 <1% 24 $476.49
S0028 Injection, famotidine, 20 mg <1% 2,081 $442.32
J9190 Injection, fluorouracil, 500 mg <1% 692 $440.40
J0694 Injection, cefoxitin sodium, 1 gm <1% 329 $428.66
82390 <1% 47 $423.12
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,103 $416.84
J1644 Injection, heparin sodium, per 1000 units <1% 1,233 $404.00
74240 <1% 16 $389.17
85670 <1% 45 $385.37
87106 <1% 38 $385.15
85014 <1% 158 $384.70
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,502 $379.90
86769 <1% 27 $372.28
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc <1% 712 $371.25
86376 <1% 48 $359.23
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,212 $356.77
82140 <1% 92 $346.16
J2270 Injection, morphine sulfate, up to 10 mg <1% 987 $338.27
85705 <1% 43 $337.38
86645 <1% 12 $302.41
87075 <1% 42 $284.20
86787 <1% 14 $273.39
83883 <1% 85 $243.95
85097 <1% 12 $242.97
85046 <1% 53 $233.87
87430 <1% 72 $219.24
85613 <1% 18 $218.47
82803 <1% 16 $205.87
84134 <1% 14 $202.23
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 5,713 $193.01
J8501 Aprepitant, oral, 5 mg <1% 14 $180.00
96377 <1% 14 $178.11
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 21 $158.00
J7050 Infusion, normal saline solution, 250 cc <1% 2,019 $141.42
J7060 5% dextrose/water (500 ml = 1 unit) <1% 612 $139.40
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 603 $136.44
88112 <1% 16 $136.17
J2704 Injection, propofol, 10 mg <1% 4,927 $132.09
86431 <1% 12 $78.28
85048 <1% 29 $77.13
97161 <1% 15 $69.97
J2060 Injection, lorazepam, 2 mg <1% 413 $65.84
88304 <1% 82 $57.20
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 760 $53.09
94760 <1% 152 $48.41
J0360 Injection, hydralazine hcl, up to 20 mg <1% 37 $47.46
87220 <1% 12 $47.19
A4648 Tissue marker, implantable, any type, each <1% 107 $46.43
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 327 $46.36
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 342 $46.34
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 33 $44.52
85651 <1% 16 $39.57
J8540 Dexamethasone, oral, 0.25 mg <1% 1,169 $36.91
J1630 Injection, haloperidol, up to 5 mg <1% 101 $8.23
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% 712 $7.43
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 356 $6.86
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 311 $4.10
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 461 $4.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 741 $3.37
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 54 $0.20
Q0247 Injection, sotrovimab, 500 mg <1% 89 $0.03
J9358 Injection, fam-trastuzumab deruxtecan-nxki, 1 mg 0% 51 $0.00
J1750 Injection, iron dextran, 50 mg 0% 293 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 2,942 $0.00
90678 0% 32 $0.00
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 0% 649 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 1,938 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 59 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 0% 213 $0.00
J1453 Injection, fosaprepitant, 1 mg 0% 239 $0.00
J9035 Injection, bevacizumab, 10 mg 0% 281 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 270 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 27 $0.00
J9073 Injection, cyclophosphamide (dr. reddy's), 5 mg 0% 25 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 277 $0.00
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 0% 15 $0.00
88302 0% 47 $0.00
S0030 Injection, metronidazole, 500 mg 0% 50 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 328 $0.00
36591 0% 861 $0.00
J9304 Injection, pemetrexed (pemfexy), 10 mg 0% 16 $0.00
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 0% 796 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 816 $0.00
J7999 Compounded drug, not otherwise classified 0% 1,853 $0.00
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 0% 566 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 310 $0.00
S0074 Injection, cefotetan disodium, 500 mg 0% 230 $0.00
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 0% 338 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 12 $0.00
Q0222 Injection, bebtelovimab, 175 mg 0% 82 $0.00
90673 0% 15 $0.00
J2150 Injection, mannitol, 25% in 50 ml 0% 19 $0.00
J0490 Injection, belimumab, 10 mg 0% 27 $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 officialSIMMONS, EILEEN (CFO)
Same official

Other billing entities under SIMMONS, EILEEN

Full network →
ProviderLocationPaid
Upmc MercyPittsburgh, PA$16.68M
Upmc Magee-Womens HospitalPittsburgh, PA$68K
Sutherland Family Practice INC.Sutherland, VA$11K
Upmc MercyPittsburgh, PA$326.70

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