Clinic
UPMC Children's Hospital of Pittsburgh
UPMC Children's Hospital of Pittsburgh was paid $40K by Medicaid between Jun 2021 and Dec 2021, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 68% of everything it billed.
33Billing provider infoUPMC CHILDREN'S HOSPITAL OF PITTSBURGH
SEWICKLEY, PA 15143
SEWICKLEY, PA 15143
33aNPI1194889485assigned 12/20/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$40K
24GClaims2,364
24DCodes billed12
24AFirst – last monthJun 2021 – Dec 2021
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#65 of 119
Median peer was paid$57K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 2,364 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 68% | 19 | 15 | $27K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 63 | 38 | $12K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 327 | 190 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 239 | 174 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 35 | 27 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 238 | 169 | $0.00 |
| J7999 | Compounded drug, not otherwise classified | 0% | 164 | 98 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 290 | 157 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 216 | 154 | $0.00 |
| J3490 | Unclassified drugs | 0% | 329 | 148 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 192 | 135 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 252 | 182 | $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 officialWILFONG, MARIO (CFO)
| Provider | Location | Paid |
|---|---|---|
| UPMC Children's Hospital of Pittsburgh | Pittsburgh, PA | $83.00M |
| UPMC Children's Hospital of Pittsburgh | Pittsburgh, PA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.