Penn Presybyterian Medical Center

Penn Presybyterian Medical Center was paid $1.48M by Medicaid between Jul 2022 and May 2023, across 2 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 95% of everything it billed.

33Billing provider infoPENN PRESYBYTERIAN MEDICAL CENTER
PHILA, PA 19104

33aNPI1134278989assigned 01/10/2007

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.48M

24GClaims4,094

24DCodes billed2

24AFirst – last monthJul 2022 – May 2023

Compared with peers

Next to other General Acute Care Hospital providers in Pennsylvania

Rank by total paid#98 of 154

Median peer was paid$2.82M

This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.

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
2022	2,231	$813K
2023	1,863	$670K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2036	Alcohol and/or other drug treatment program, per diem	95%	3,914	325	$1.41M
H0013	Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)	4.8%	180	54	$72K

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 officialMCCORMICK, THOMAS (VICE PRESIDENT PATIENT ACCOUNTING)

Same official

Other billing entities under MCCORMICK, THOMAS

Full network →

Provider	Location	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
The Pennsylvania Hospital of the University of Pennsylvania Health Sys	Philadelphia, PA	$69K
Thomas E Mccormick, MD, PC	Rutland, VT	$22K
Presbyterian Medical Center of the University of Pennsylvania Health S	Philadelphia, PA	$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.