Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOMERSET HEALTH SERVICES INC

NPI: 1134237407 · SOMERSET, PA 15501 · Internal Medicine Physician · NPI assigned 08/28/2006

$160K
Total Medicaid Paid
4,682
Total Claims
4,384
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSH, ANDREW (PRESIDENT)
NPI Enumeration Date08/28/2006

Related Entities

Other providers sharing the same authorized official: RUSH, ANDREW

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $266.75
2019 43 $2K
2020 288 $9K
2021 1,090 $33K
2022 1,240 $50K
2023 1,082 $36K
2024 910 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,738 2,498 $87K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,600 1,543 $72K
90686 30 30 $508.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $149.00
92551 29 29 $96.30
99173 29 29 $76.51
3074F 27 27 $25.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 174 174 $0.00
3061F 13 13 $0.00
90674 13 13 $0.00