Medicaid Provider Spending

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

UPMC COMMUNITY MEDICINE INC

NPI: 1164719860 · PITTSBURGH, PA 15232 · Internal Medicine Physician · NPI assigned 07/01/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EHALT, MARK controls 15+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
1,048
Total Claims
715
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialEHALT, MARK (SR.DIRECTOR)
NPI Enumeration Date07/01/2011

Related Entities

Other providers sharing the same authorized official: EHALT, MARK

ProviderCityStateTotal Paid
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $26.35M
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $301K
ONCOLOGY HEMATOLOGY ASSOCIATION INC PITTSBURGH PA $232K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $147K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $8K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $7K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $6K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $4K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $2K
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $2K
TRI-STATE NEUROSURGICAL ASSOCIATES INC PITTSBURGH PA $926.53
UPMC COMMUNITY MEDICINE INC TRAFFORD PA $462.03
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $375.65
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $244.48
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $195.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 236 $47.83
2021 670 $1K
2022 26 $1K
2024 116 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 828 522 $2K
99308 Subsequent nursing facility care, per day, straightforward 169 143 $1K
99307 51 50 $0.00