Physician
Somerset Health Services INC
Somerset Health Services INC was paid $6K by Medicaid between Jan 2021 and Aug 2024, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoSOMERSET HEALTH SERVICES INC
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1205164647assigned 11/23/2009
33bProvider typePulmonary Disease Physician
28Total paid$6K
24GClaims206
24DCodes billed1
24AFirst – last monthJan 2021 – Aug 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#72 of 137
Median peer was paid$7K
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 | |
|---|---|---|---|
| 2021 | 94 | $2K | |
| 2022 | 46 | $2K | |
| 2023 | 37 | $801.89 | |
| 2024incomplete | 29 | $779.18 |
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 | 100% | 206 | 204 | $6K |
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 | $4K |
| 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.