Behavioral
University of Pittsburgh Physicians
University of Pittsburgh Physicians was paid $26.35M by Medicaid between Nov 2019 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoUNIVERSITY OF PITTSBURGH PHYSICIANS
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
33aNPI1215995402assigned 05/04/2006
33bProvider typeClinical Neuropsychologist
28Total paid$26.35M
24GClaims268,930
24DCodes billed31
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Clinical Neuropsychologist providers in Pennsylvania
Rank by total paid#1 of 23
Median peer was paid$366K
This provider vs. median72×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EHALT, MARK controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 30 | $340.49 | |
| 2020 | 26,362 | $2.65M | |
| 2021 | 61,198 | $5.26M | |
| 2022 | 64,367 | $5.68M | |
| 2023 | 60,970 | $6.45M | |
| 2024incomplete | 56,003 | $6.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 42,286 | 36,451 | $8.89M |
| 99205 | Prolong outpt/office vis | 17% | 19,004 | 17,228 | $4.50M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 86,395 | 14,550 | $3.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 27,856 | 24,542 | $3.06M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 5,319 | 4,675 | $1.38M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.4% | 45,958 | 9,668 | $1.17M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 6,518 | 5,200 | $747K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 9,153 | 8,741 | $706K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 5,986 | 5,706 | $537K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 4,554 | 2,239 | $290K |
| 99254 | <1% | 1,703 | 1,653 | $232K | |
| 99221 | <1% | 4,319 | 4,126 | $232K |
19 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 1,756 | $218K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,292 | $184K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 884 | $91K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,197 | $88K |
| 99253 | <1% | 785 | $74K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 620 | $58K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 821 | $24K |
| 99255 | <1% | 154 | $22K | |
| 96133 | <1% | 224 | $10K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 173 | $10K |
| 99252 | <1% | 124 | $7K | |
| 96132 | <1% | 408 | $6K | |
| 96116 | <1% | 159 | $3K | |
| 99251 | <1% | 60 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $1K |
| 96130 | <1% | 114 | $666.75 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 53 | $574.07 |
| 96131 | <1% | 29 | $240.00 | |
| 99441 | <1% | 13 | $108.00 |
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 officialEHALT, MARK (DIRECTOR, REVENUE CYCLE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.