Clinic
UPMC Western Maryland Corporation
UPMC Western Maryland Corporation was paid $65K by Medicaid between Sep 2020 and Jan 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoUPMC WESTERN MARYLAND CORPORATION
RIDGELEY, WV 26753
RIDGELEY, WV 26753
33aNPI1215558416assigned 04/29/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$65K
24GClaims1,324
24DCodes billed4
24AFirst – last monthSep 2020 – Jan 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in West Virginia
Rank by total paid#8 of 9
Median peer was paid$906K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 331 | $15K | |
| 2021 | 713 | $36K | |
| 2022 | 280 | $14K |
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 | 65% | 697 | 664 | $42K |
| 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% | 198 | 188 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.5% | 245 | 238 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 184 | 182 | $2K |
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)
| 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 | $2.85M |
| 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 | Cumberland, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.