Physician
Windber Hospital, INC.
Windber Hospital, INC. was paid $35K by Medicaid between Nov 2020 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoWINDBER HOSPITAL, INC.
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1104872936assigned 05/25/2006
33bProvider typeFamily Medicine Physician
28Total paid$35K
24GClaims2,715
24DCodes billed16
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,094 of 2,756
Median peer was paid$19K
This provider vs. median1.8×
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 | 33 | $1K | |
| 2021 | 859 | $12K | |
| 2022 | 212 | $6K | |
| 2023 | 551 | $9K | |
| 2024incomplete | 1,060 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 84% | 673 | 652 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 184 | 173 | $5K |
| 3074F | <1% | 299 | 280 | $145.00 | |
| 3078F | <1% | 225 | 210 | $130.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 30 | 29 | $18.82 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 304 | 284 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 429 | 403 | $0.00 |
| 3008F | 0% | 248 | 231 | $0.00 | |
| 3079F | 0% | 64 | 57 | $0.00 | |
| 3061F | 0% | 45 | 40 | $0.00 | |
| 3011F | 0% | 14 | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 134 | 126 | $0.00 |
4 more codes
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 officialKURTZ, TOM (PRESIDENT / CEO)
Parent organizationWINDBER HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Windber Hospital, INC. | Windber, PA | $635.02 |
| Windber Hospital, INC. | Windber, PA | $536.55 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.