Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF PITTSBURGH PHYSICIANS

NPI: 1215995402 · PITTSBURGH, PA 15213 · Clinical Neuropsychologist · NPI assigned 05/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EHALT, MARK controls 15+ related entities in our dataset. Read more

$26.35M
Total Medicaid Paid
268,930
Total Claims
143,112
Beneficiaries
31
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEHALT, MARK (DIRECTOR, REVENUE CYCLE)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: EHALT, MARK

ProviderCityStateTotal Paid
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $301K
ONCOLOGY HEMATOLOGY ASSOCIATION INC PITTSBURGH PA $232K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $147K
UPMC COMMUNITY MEDICINE INC CLARION PA $10K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $8K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $7K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $6K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $4K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $2K
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $2K
TRI-STATE NEUROSURGICAL ASSOCIATES INC PITTSBURGH PA $926.53
UPMC COMMUNITY MEDICINE INC TRAFFORD PA $462.03
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $375.65
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $244.48
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $195.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $340.49
2020 26,362 $2.65M
2021 61,198 $5.26M
2022 64,367 $5.68M
2023 60,970 $6.45M
2024 56,003 $6.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,286 36,451 $8.89M
99205 Prolong outpt/office vis 19,004 17,228 $4.50M
99232 Subsequent hospital care, per day, moderate complexity 86,395 14,550 $3.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,856 24,542 $3.06M
99215 Prolong outpt/office vis 5,319 4,675 $1.38M
99231 Subsequent hospital care, per day, straightforward or low complexity 45,958 9,668 $1.17M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,518 5,200 $747K
99238 Hospital discharge day management, 30 minutes or less 9,153 8,741 $706K
99222 Initial hospital care, per day, moderate complexity 5,986 5,706 $537K
99233 Prolong inpt eval add15 m 4,554 2,239 $290K
99254 1,703 1,653 $232K
99221 4,319 4,126 $232K
99223 Prolong inpt eval add15 m 1,756 1,678 $218K
90834 Psychotherapy, 45 minutes with patient 2,292 1,341 $184K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 884 840 $91K
90832 Psychotherapy, 30 minutes with patient 1,197 1,065 $88K
99253 785 771 $74K
90791 Psychiatric diagnostic evaluation 620 588 $58K
99309 Subsequent nursing facility care, per day, low to moderate complexity 821 693 $24K
99255 154 152 $22K
96133 224 187 $10K
90846 Family psychotherapy without the patient present, 50 minutes 173 142 $10K
99252 124 122 $7K
96132 408 354 $6K
96116 159 147 $3K
99251 60 59 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 12 $1K
96130 114 95 $666.75
99308 Subsequent nursing facility care, per day, straightforward 53 48 $574.07
96131 29 26 $240.00
99441 13 13 $108.00