Clinic
UPMC Somerset
UPMC Somerset was paid $7K by Medicaid between Oct 2020 and Oct 2024, across 6 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 52% of everything it billed.
33Billing provider infoUPMC SOMERSET
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1073692679assigned 11/03/2006
33bProvider typeClinic/Center
28Total paid$7K
24GClaims314
24DCodes billed6
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#154 of 176
Median peer was paid$441K
This provider vs. median0.0×
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
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 | 23 | $0.00 | |
| 2021 | 131 | $23.63 | |
| 2023 | 120 | $7K | |
| 2024incomplete | 40 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 52% | 15 | 12 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 48% | 22 | 13 | $3K |
| J2704 | Injection, propofol, 10 mg | <1% | 139 | 98 | $13.18 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 36 | 25 | $8.19 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 58 | 48 | $2.26 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 44 | 36 | $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 officialRUSH, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| UPMC Somerset | Somerset, PA | $2.89M |
| Somerset Health Services INC | Somerset, PA | $160K |
| Somerset Health Services, INC. | Johnstown, PA | $43K |
| Somerset Health Services, INC. | Somerset, PA | $14K |
| Somerset Health Services, INC. | Somerset, PA | $13K |
| Somerset Health Services INC | Somerset, PA | $6K |
| Somerset Health Services, INC. | Somerset, PA | $4K |
| UPMC Somerset | Somerset, PA | $2K |
| UPMC Somerset | Somerset, PA | $1K |
| Somerset Health Services, INC. | Somerset, PA | $368.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.