Clinic
Upmc Presbyterian Shadyside
Upmc Presbyterian Shadyside was paid $131K by Medicaid between Dec 2018 and Dec 2024, across 51 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 68% of everything it billed.
33Billing provider infoUPMC PRESBYTERIAN SHADYSIDE
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
33aNPI1144384082assigned 12/21/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$131K
24GClaims61,211
24DCodes billed51
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#48 of 119
Median peer was paid$57K
This provider vs. median2.3×
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 | 84 | $13.90 | |
| 2019 | 140 | $24.48 | |
| 2020 | 6,034 | $16K | |
| 2021 | 14,755 | $112K | |
| 2022 | 7,111 | $0.00 | |
| 2023 | 15,053 | $144.91 | |
| 2024incomplete | 18,034 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 68% | 165 | 158 | $90K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 17% | 28 | 27 | $23K |
| J3490 | Unclassified drugs | 4.2% | 11,703 | 4,720 | $6K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.9% | 88 | 63 | $3K |
| C9399 | Unclassified drugs or biologicals | 1.6% | 124 | 92 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 600 | 566 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 292 | 208 | $837.52 |
| C1769 | Guide wire | <1% | 12 | 12 | $697.74 |
| 88342 | <1% | 93 | 86 | $674.70 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 261 | 188 | $662.17 |
| J7999 | Compounded drug, not otherwise classified | <1% | 3,798 | 1,723 | $538.85 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 130 | 120 | $321.36 |
39 more codes
| 83735 | <1% | 132 | $298.30 | |
| 76942 | <1% | 26 | $282.87 | |
| 99152 | <1% | 72 | $273.54 | |
| J2704 | Injection, propofol, 10 mg | <1% | 4,685 | $261.61 |
| 85610 | <1% | 247 | $258.88 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 625 | $238.85 |
| 82962 | <1% | 367 | $203.78 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 59 | $177.92 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 3,859 | $177.32 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 3,960 | $171.45 |
| 88341 | <1% | 13 | $136.95 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 1,563 | $134.64 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 6,269 | $126.95 |
| 84100 | <1% | 50 | $97.47 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 7,274 | $91.04 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 2,417 | $78.64 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 180 | $62.22 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,455 | $43.71 |
| 82565 | <1% | 25 | $43.45 | |
| 85730 | <1% | 49 | $30.46 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 5,774 | $26.62 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 354 | $12.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 76 | $0.01 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 0% | 51 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 571 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 608 | $0.00 |
| J8501 | Aprepitant, oral, 5 mg | 0% | 15 | $0.00 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 0% | 14 | $0.00 |
| J1630 | Injection, haloperidol, up to 5 mg | 0% | 39 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 233 | $0.00 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 0% | 95 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 106 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 226 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 861 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 145 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 48 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 308 | $0.00 |
| J3370 | Injection, vancomycin hcl, 500 mg | 0% | 39 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 0% | 27 | $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 officialWEINER, JARED (CFO)
| Provider | Location | Paid |
|---|---|---|
| Upmc Presbyterian Shadyside | Pittsburgh, PA | $125.54M |
| Upmc Washington | Washington, PA | $11.22M |
| Upmc Greene | Waynesburg, PA | $2.67M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.