Upmc Western Maryland Corporation
Upmc Western Maryland Corporation was paid $2.85M by Medicaid between Jan 2018 and Feb 2023, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoUPMC WESTERN MARYLAND CORPORATION
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1184769952assigned 02/20/2007
33bProvider typeRegistered Dietetic Technician
28Total paid$2.85M
24GClaims67,984
24DCodes billed52
24AFirst – last monthJan 2018 – Feb 2023
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 | 6,397 | $441K | |
| 2019 | 6,921 | $322K | |
| 2020 | 15,940 | $546K | |
| 2021 | 18,832 | $699K | |
| 2022 | 19,882 | $840K | |
| 2023 | 12 | $380.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 14,052 | 11,401 | $877K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 10,888 | 9,741 | $641K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.3% | 5,603 | 1,920 | $207K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.9% | 3,416 | 3,138 | $138K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 1,623 | 1,221 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 5,828 | 3,187 | $112K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.9% | 945 | 924 | $112K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.5% | 2,100 | 1,613 | $99K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 1,057 | 1,014 | $88K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.9% | 752 | 200 | $83K |
| 93000 | 1.9% | 2,343 | 2,220 | $53K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 1,320 | 1,134 | $51K |
40 more codes
| H1003 | Prenatal care, at-risk enhanced service; education | 1.7% | 4,627 | $47K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.6% | 392 | $46K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.4% | 1,576 | $41K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,561 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 347 | $24K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 442 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 111 | $14K |
| 95806 | <1% | 124 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 508 | $5K |
| 93244 | <1% | 274 | $5K | |
| 93016 | <1% | 383 | $5K | |
| 99221 | <1% | 58 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $4K |
| 93018 | <1% | 383 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 217 | $3K |
| 99255 | <1% | 15 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 53 | $3K |
| 94727 | <1% | 472 | $2K | |
| 94729 | <1% | 471 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $2K |
| 99385 | <1% | 12 | $2K | |
| 99443 | <1% | 72 | $1K | |
| 99442 | <1% | 140 | $1K | |
| 81025 | <1% | 142 | $941.10 | |
| 94060 | <1% | 119 | $792.82 | |
| 90961 | <1% | 110 | $551.49 | |
| 93227 | <1% | 27 | $547.15 | |
| 99454 | <1% | 35 | $401.48 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 89 | $316.40 |
| 95251 | <1% | 12 | $290.41 | |
| 99406 | <1% | 13 | $288.03 | |
| 93308 | <1% | 58 | $213.58 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | $160.43 |
| G0008 | Administration of influenza virus vaccine | <1% | 18 | $158.78 |
| 93280 | <1% | 12 | $79.02 | |
| 99441 | <1% | 13 | $65.00 | |
| 93294 | <1% | 13 | $60.27 | |
| 0298T | <1% | 13 | $5.26 | |
| 90962 | 0% | 45 | $0.00 | |
| 90682 | 0% | 18 | $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 officialRUBLE, AMBER (CFO)
Parent organizationUPMC WESTERN MARYLAND CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Upmc Western Maryland Corporation | Cumberland, MD | $7.35M |
| Upmc Western Maryland Corporation | Cumberland, MD | $3.96M |
| Upmc Western Maryland Corporation | Frostburg, MD | $3.91M |
| Upmc Western Maryland Corporation | Cumberland, MD | $1.36M |
| Upmc Western Maryland Corporation | Cumberland, MD | $1.18M |
| Upmc Western Maryland Corporation | Cumberland, MD | $861K |
| Upmc Western Maryland Corporation | Cumberland, MD | $778K |
| Upmc Western Maryland Corporation | Ridgeley, WV | $65K |
| Upmc Western Maryland Corporation | Cumberland, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.