Allegheny Clinic

Allegheny Clinic was paid $148K by Medicaid between Oct 2020 and Oct 2024, across 14 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 61% of everything it billed.

33Billing provider infoALLEGHENY CLINIC
PITTSBURGH, PA 15212

33aNPI1063650919assigned 01/30/2009

33bProvider typeSleep Medicine (Internal Medicine) Physician

28Total paid$148K

24GClaims2,618

24DCodes billed14

24AFirst – last monthOct 2020 – Oct 2024

Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in Pennsylvania

Rank by total paid#5 of 16

Median peer was paid$19K

This provider vs. median7.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2020	133	$15K
2021	851	$52K
2022	702	$32K
2023	712	$41K
2024incomplete	220	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	61%	697	297	$90K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	573	559	$17K
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	12%	401	382	$17K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.3%	229	124	$11K
95806		3.6%	115	112	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.0%	205	95	$4K
94729		<1%	57	56	$964.18
94618		<1%	44	38	$657.61
94726		<1%	24	24	$505.96
99442		<1%	19	12	$458.50
94060		<1%	38	38	$444.63
3078F		<1%	67	66	$10.00

2 more codes

3074F		<1%	73	$10.00
3008F		0%	76	$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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)

Same official

Other billing entities under NOEL, DENISE

Full network →

Provider	Location	Paid
Jefferson Regional Medical Center	Pittsburgh, PA	$4.77M
Allegheny Clinic Radiology	Pittsburgh, PA	$4.22M
Allegheny Clinic	Pittsburgh, PA	$3.20M
Allegheny Clinic	Pittsburgh, PA	$1.88M
Allegheny Clinic	Braddock, PA	$1.04M
Allegheny Clinic	Pittsburgh, PA	$886K
Allegheny Clinic Pediatrics	Carnegie, PA	$784K
Allegheny Clinic	Pittsburgh, PA	$438K
Allegheny Clinic	Pittsburgh, PA	$428K
Allegheny Clinic	Pittsburgh, PA	$352K
Allegheny Clinic	Monroeville, PA	$332K
Allegheny Clinic	Pittsburgh, PA	$205K
Allegheny Clinic	Pittsburgh, PA	$197K
Allegheny Clinic	Pittsburgh, PA	$188K
Allegheny Clinic	Pittsburgh, PA	$182K
Allegheny Clinic	New Kensington, PA	$173K
Allegheny Clinic	Pittsburgh, PA	$161K
Allegheny Clinic	Pittsburgh, PA	$145K
Allegheny Clinic	Pittsburgh, PA	$140K
Allegheny Clinic	Pittsburgh, PA	$114K

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