UPMC Altoona
UPMC Altoona was paid $165K by Medicaid between Mar 2020 and Feb 2021, across 2 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 81% of everything it billed.
ALTOONA, PA 16601
Next to other Psychiatric Hospital Unit 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 | |
|---|---|---|---|
| 2020 | 1,647 | $143K | |
| 2021 | 141 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 81% | 1,389 | 178 | $134K |
| T1016 | Case management, each 15 minutes | 19% | 399 | 120 | $31K |
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 |
| University of Pittsburgh Physicians | Pittsburgh, PA | $287K |
| UPMC Altoona | Altoona, PA | $230K |
| 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.