Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HAZLETON PROFESSIONAL SERVICES

NPI: 1952464638 · HAZLETON, PA 18201 · Chiropractor · NPI assigned 12/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$8.26M
Total Medicaid Paid
259,614
Total Claims
244,925
Beneficiaries
146
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMOPOULOS, JAMES (SR VP & COO)
Parent OrganizationGREATER HAZLETON HEALTH ALLIANCE
NPI Enumeration Date12/18/2006

Related Entities

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

ProviderCityStateTotal Paid
FAMILY CARE CENTERS INC. E STROUDSBURG PA $11.08M
FAMILY CARE CENTERS INC EAST STROUDSBURG PA $6.09M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $2.41M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $1.15M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $225K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $190K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $157K
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $107K
LEHIGH VALLEY PHYSICIAN GROUP DICKSON CITY PA $17K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $15K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $7K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $6K
LEHIGH VALLEY PHYSICIAN GROUP SCRANTON PA $4K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $479.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,246 $14K
2019 1,649 $11K
2020 10,002 $282K
2021 57,949 $1.81M
2022 64,390 $2.00M
2023 72,707 $2.39M
2024 50,671 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,129 43,510 $1.71M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,259 25,982 $1.40M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,938 8,892 $852K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,410 9,137 $844K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,823 5,785 $553K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,180 3,128 $286K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,833 2,796 $254K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,622 3,574 $192K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,760 6,701 $142K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,151 5,108 $121K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,515 15,615 $112K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 9,316 5,753 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,358 3,252 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,432 2,394 $84K
76830 Ultrasound, transvaginal 1,681 1,672 $78K
90686 7,078 7,023 $75K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,237 3,215 $73K
99460 789 775 $66K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,593 1,430 $64K
20610 1,336 1,058 $58K
99239 Hospital discharge day management, more than 30 minutes 621 601 $54K
90670 4,882 4,870 $51K
95886 570 459 $48K
90633 4,268 4,241 $47K
90680 4,306 4,291 $46K
99215 Prolong outpt/office vis 684 528 $46K
93000 2,951 2,899 $44K
92551 6,131 6,082 $41K
76819 Fetal biophysical profile; without non-stress testing 808 451 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 733 630 $40K
90697 2,623 2,608 $30K
90651 2,753 2,723 $29K
98940 2,366 994 $28K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,825 2,660 $28K
99308 Subsequent nursing facility care, per day, straightforward 2,056 1,999 $25K
99383 238 235 $23K
90677 1,831 1,807 $19K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 14 14 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 391 386 $19K
90698 3,326 3,318 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,254 1,199 $17K
99385 690 689 $16K
31231 251 241 $15K
83655 1,918 1,885 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 864 846 $14K
90716 1,236 1,226 $13K
90744 1,287 1,285 $13K
90715 1,219 1,216 $12K
90710 1,116 1,112 $12K
90696 1,057 1,052 $12K
90707 1,035 1,030 $11K
76813 148 147 $11K
99232 Subsequent hospital care, per day, moderate complexity 511 211 $11K
90619 904 899 $10K
81025 2,232 2,172 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 73 73 $10K
99238 Hospital discharge day management, 30 minutes or less 336 331 $10K
92557 338 328 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 41 41 $9K
73562 317 280 $9K
59025 Fetal non-stress test 511 376 $8K
90656 760 760 $7K
93016 376 369 $7K
3078F 929 907 $7K
93018 527 521 $7K
3074F 834 812 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 159 159 $6K
31575 88 84 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 217 201 $5K
99384 58 56 $5K
85018 3,335 3,284 $5K
T1001 Nursing assessment / evaluation 25 24 $5K
99222 Initial hospital care, per day, moderate complexity 77 71 $5K
90620 352 350 $5K
90472 Immunization administration, each additional vaccine (list separately) 129 129 $5K
83036 Hemoglobin; glycosylated (A1C) 724 713 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 144 140 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 461 444 $4K
51798 321 318 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 67 64 $3K
99386 148 147 $3K
11720 302 298 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 25 25 $3K
90734 142 140 $3K
99205 Prolong outpt/office vis 28 28 $3K
3079F 386 379 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 25 25 $2K
81003 786 748 $2K
99173 4,841 4,804 $2K
99382 12 12 $2K
58300 95 94 $2K
99462 83 76 $2K
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 96 88 $1K
20611 34 24 $1K
95117 165 57 $1K
57454 12 12 $1K
90732 28 28 $1K
73630 61 52 $1K
99318 47 46 $946.49
G0008 Administration of influenza virus vaccine 108 108 $946.20
20550 32 29 $934.00
93296 76 76 $908.61
11721 73 72 $832.51
86580 279 249 $787.44
3075F 121 118 $665.00
0173A 16 15 $654.00
99464 14 14 $651.05
J1040 Injection, methylprednisolone acetate, 80 mg 241 241 $598.11
J1030 Injection, methylprednisolone acetate, 40 mg 171 167 $590.39
52000 13 13 $531.00
0154A 15 15 $526.00
73030 15 14 $409.25
96127 1,363 1,340 $394.60
99443 14 14 $380.69
73110 16 13 $353.00
97803 24 24 $348.91
97035 36 12 $338.24
69210 14 12 $327.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,653 1,618 $311.50
S9470 Nutritional counseling, dietitian visit 18 16 $275.70
93227 12 12 $264.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 968 891 $262.51
95806 12 12 $215.73
99442 15 13 $202.68
92567 14 13 $173.40
3044F 12 12 $150.00
3077F 12 12 $150.00
J1885 Injection, ketorolac tromethamine, per 15 mg 183 182 $90.80
99000 13 13 $64.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 369 365 $60.44
96161 2,355 2,298 $52.02
80061 Lipid panel 1,938 1,917 $26.10
85013 2,132 2,104 $0.00
1036F 155 146 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 30 30 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 65 65 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 16 15 $0.00
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 108 105 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 323 305 $0.00
90714 110 110 $0.00
G9919 Screening performed and positive and provision of recommendations 40 40 $0.00
96160 220 218 $0.00
G9920 Screening performed and negative 32 32 $0.00
90750 57 57 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 43 40 $0.00