Physician
Somerset Health Services, INC.
Somerset Health Services, INC. was paid $4K by Medicaid between Mar 2022 and Aug 2024, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 74% of everything it billed.
33Billing provider infoSOMERSET HEALTH SERVICES, INC.
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1174149975assigned 06/18/2020
33bProvider typeNeurology Physician
28Total paid$4K
24GClaims54
24DCodes billed2
24AFirst – last monthMar 2022 – Aug 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#88 of 165
Median peer was paid$5K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 28 | $2K | |
| 2023 | 13 | $758.17 | |
| 2024incomplete | 13 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 74% | 41 | 40 | $3K |
| 99205 | Prolong outpt/office vis | 26% | 13 | 12 | $1K |
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 officialRUSH, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| UPMC Somerset | Somerset, PA | $2.89M |
| Somerset Health Services INC | Somerset, PA | $160K |
| 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 |
| UPMC Somerset | Somerset, PA | $2K |
| UPMC Somerset | Somerset, PA | $1K |
| Somerset Health Services, INC. | Somerset, PA | $368.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.