Physician
Somerset Health Services INC
Somerset Health Services INC was paid $160K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoSOMERSET HEALTH SERVICES INC
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1134237407assigned 08/28/2006
33bProvider typeInternal Medicine Physician
28Total paid$160K
24GClaims4,682
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#138 of 1,726
Median peer was paid$6K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2018 | 29 | $266.75 | |
| 2019 | 43 | $2K | |
| 2020 | 288 | $9K | |
| 2021 | 1,090 | $33K | |
| 2022 | 1,240 | $50K | |
| 2023 | 1,082 | $36K | |
| 2024incomplete | 910 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 2,738 | 2,498 | $87K |
| 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 | 45% | 1,600 | 1,543 | $72K |
| 90686 | <1% | 30 | 30 | $508.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | 28 | $149.00 |
| 92551 | <1% | 29 | 29 | $96.30 | |
| 99173 | <1% | 29 | 29 | $76.51 | |
| 3074F | <1% | 27 | 27 | $25.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 174 | 174 | $0.00 |
| 3061F | 0% | 13 | 13 | $0.00 | |
| 90674 | 0% | 13 | 13 | $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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| UPMC Somerset | Somerset, PA | $2.89M |
| Somerset Health Services, INC. | Johnstown, PA | $43K |
| Somerset Health Services, INC. | Somerset, PA | $14K |
| Somerset Health Services, INC. | Somerset, PA | $13K |
| UPMC Somerset | Somerset, PA | $7K |
| 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.