Behavioral
Upmc Western Maryland Corporation
Upmc Western Maryland Corporation was paid $861K by Medicaid between Jan 2018 and Dec 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoUPMC WESTERN MARYLAND CORPORATION
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1285779884assigned 02/21/2007
33bProvider typeProfessional Counselor
28Total paid$861K
24GClaims14,069
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Professional Counselor providers in Maryland
Rank by total paid#22 of 322
Median peer was paid$69K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 3,379 | $223K | |
| 2019 | 3,311 | $207K | |
| 2020 | 2,037 | $109K | |
| 2021 | 2,857 | $185K | |
| 2022 | 2,485 | $137K |
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 | 53% | 7,370 | 6,737 | $452K |
| 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 | 21% | 2,265 | 2,150 | $180K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 8.7% | 2,177 | 956 | $75K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.9% | 822 | 765 | $51K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.5% | 580 | 526 | $47K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 404 | 213 | $21K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 78 | 77 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 48 | 47 | $5K |
| 99221 | <1% | 53 | 49 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 32 | 24 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 30 | 25 | $3K |
| 96127 | <1% | 114 | 112 | $2K |
3 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.
From NPPES
Who's on the registration
Authorized officialRUBLE, AMBER (SR. VP CFO)
Parent organizationUPMC WESTERN MARYLAND CORPORATION
| 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 | $778K |
| Upmc Western Maryland Corporation | Ridgeley, WV | $65K |
| 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.