PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S

NPI: 1073581005 · PHILADELPHIA, PA 19104 · Psychiatric Hospital · NPI assigned 03/08/2006

$11K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2019-10

First Month

2020-02

Last Month

Provider Details

Authorized Official	MCCORMICK, THOMAS (AVP FINANCE)
NPI Enumeration Date	03/08/2006

Other providers sharing the same authorized official: MCCORMICK, THOMAS

Provider	City	State	Total Paid
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	PHILADELPHIA	PA	$84.02M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS	PHILA	PA	$25.68M
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S	PHILADELPHIA	PA	$23.27M
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP	PHILADELPHIA	PA	$14.08M
HALL-MERCER CMH-MRC OF PA HOSP	PHILA	PA	$6.82M
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA	PHILA	PA	$2.61M
PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB	PHILA	PA	$1.60M
PENN PRESYBYTERIAN MEDICAL CENTER	PHILA	PA	$1.48M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS	PHILADELPHIA	PA	$69K
THOMAS E MCCORMICK, MD, PC	RUTLAND	VT	$22K

Year	Claims	Total Paid
2019	31	$7K
2020	15	$4K

Code	Description	Claims	Beneficiaries	Total Paid
G9012	Other specified case management service not elsewhere classified	46	40	$11K