University of Pittsburgh Physicians
University of Pittsburgh Physicians was paid $287K by Medicaid between Jan 2018 and Apr 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
PITTSBURGH, PA 15224
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,285 | $110K | |
| 2019 | 732 | $44K | |
| 2020 | 729 | $31K | |
| 2021 | 805 | $61K | |
| 2022 | 334 | $20K | |
| 2023 | 335 | $21K | |
| 2024incomplete | 29 | $203.59 |
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 | 35% | 1,724 | 1,566 | $101K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 615 | 508 | $73K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 217 | 193 | $31K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.7% | 188 | 140 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.3% | 257 | 199 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 465 | 380 | $16K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.3% | 83 | 78 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 495 | 398 | $4K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 49 | 41 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 81 | 12 | $3K |
| 99245 | 1.0% | 34 | 30 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | 12 | $2K |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Urgent Care, INC.- West Virginia | South Charleston, WV | $66.96M |
| University of Pittsburgh Physicians | Pittsburgh, PA | $23.58M |
| Great Lakes Physician Practice PC | Jamestown, NY | $8.88M |
| UPMC Altoona | Altoona, PA | $394K |
| UPMC Altoona | Altoona, PA | $230K |
| UPMC Altoona | Altoona, PA | $165K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $128K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $107K |
| UPMC Advanced Practice Providers | Pittsburgh, PA | $75K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $38K |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $21K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $14K |
| University of Pittsburgh Physicians | Clarion, PA | $4K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $2K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $1K |
| UPMC Community Medicine, INC | Pittsburgh, PA | $1K |
| UPMC Western Maryland Health Services, LLC | Mc Henry, MD | $949.96 |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $406.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.