Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Upmc Community Medicine INC

Upmc Community Medicine INC was paid $4K by Medicaid between Oct 2020 and Sep 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 67% of everything it billed.

33Billing provider infoUPMC COMMUNITY MEDICINE INC
PITTSBURGH, PA 15232
33aNPI1164719860assigned 07/01/2011
28Total paid$4K
24GClaims1,048
24DCodes billed3
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#1,042 of 1,726
Median peer was paid$6K
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.

Entity ProliferationAuthorized official EHALT, MARK controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
2020236$47.83
2021670$1K
202226$1K
2024incomplete116$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 67% 828 522 $2K
99308 Subsequent nursing facility care, per day, straightforward 33% 169 143 $1K
99307 0% 51 50 $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 officialEHALT, MARK (SR.DIRECTOR)
Same official

Other billing entities under EHALT, MARK

Full network →

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