PPG Health, PA

PPG Health, PA was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

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	9,355	$18K
2019	6,764	$8K
2020	15,437	$75K
2021	39,247	$345K
2022	30,924	$341K
2023	17,886	$212K
2024incomplete	8,555	$144K

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	44%	12,056	11,190	$505K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	11%	8,892	8,819	$122K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.9%	3,611	3,341	$113K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.3%	2,570	944	$72K
99223	Prolong inpt eval add15 m	4.2%	845	788	$48K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	4.1%	457	452	$47K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.3%	3,879	1,502	$37K
99239	Hospital discharge day management, more than 30 minutes	3.0%	874	822	$34K
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	2.0%	319	312	$23K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	1.1%	1,629	1,251	$12K
99443		1.1%	301	287	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	1,291	970	$11K

96 more codes

84443	Thyroid stimulating hormone (TSH)	<1%	1,527	$8K
80053	Comprehensive metabolic panel	<1%	2,316	$7K
93015		<1%	141	$7K
80061	Lipid panel	<1%	1,625	$7K
99442		<1%	227	$6K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,754	$6K
90961		<1%	254	$6K
82607		<1%	1,078	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,382	$5K
84439		<1%	1,451	$5K
93000		<1%	512	$5K
82746		<1%	816	$4K
36902		<1%	42	$3K
90966		<1%	43	$3K
83735		<1%	1,310	$3K
99406		<1%	280	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	82	$3K
82043		<1%	851	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	209	$2K
83970		<1%	272	$2K
90756		<1%	120	$2K
99203	Doctor's office visit, new patient (routine)	<1%	32	$2K
84100		<1%	1,163	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	34	$1K
37252		<1%	25	$1K
80050	General health panel	<1%	104	$994.91
99308	Subsequent nursing facility care, per day, straightforward	<1%	60	$980.60
99152		<1%	499	$933.10
93923		<1%	58	$785.47
93970		<1%	18	$433.70
84156		<1%	394	$305.92
99497		<1%	547	$277.15
90661		<1%	13	$232.30
99305		<1%	20	$211.86
99490	Ccm add 20min	<1%	151	$166.64
93990		<1%	198	$128.76
84481		<1%	43	$110.67
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	1,183	$81.42
90935	Hemodialysis procedure with single evaluation by a physician	<1%	39	$71.27
37253		<1%	12	$59.95
G0444	Annual depression screening, 5 to 15 minutes	<1%	296	$45.00
3044F		<1%	13	$40.00
82248		<1%	53	$18.72
99457		<1%	180	$10.60
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	224	$1.72
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	321	$1.32
36415	Collection of venous blood by venipuncture	<1%	2,843	$0.10
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	17,073	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	8,186	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	5,352	$0.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	0%	4,661	$0.00
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	0%	1,083	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	171	$0.00
G9317	Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed	0%	1,213	$0.00
G8482	Influenza immunization administered or previously received	0%	1,067	$0.00
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	0%	880	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	225	$0.00
1124F		0%	747	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	710	$0.00
J1644	Injection, heparin sodium, per 1000 units	0%	201	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	351	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	133	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	337	$0.00
3725F		0%	168	$0.00
4004F		0%	95	$0.00
G8421	Bmi not documented and no reason is given	0%	26	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	12	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	935	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	1,004	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	6,472	$0.00
93922		0%	93	$0.00
4086F		0%	140	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	4,700	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	145	$0.00
1123F		0%	370	$0.00
4010F		0%	73	$0.00
1036F		0%	4,397	$0.00
G9189	Beta-blocker therapy prescribed or currently being taken	0%	116	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	319	$0.00
G9459	Currently a tobacco non-user	0%	587	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	1,718	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	182	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	603	$0.00
1111F		0%	46	$0.00
G8432	Depression screening not documented, reason not given	0%	220	$0.00
G9231	Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period	0%	311	$0.00
99454		0%	12	$0.00
99458		0%	12	$0.00
0529F		0%	129	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	205	$0.00
99407		0%	15	$0.00
3017F		0%	74	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	13	$0.00
G0008	Administration of influenza virus vaccine	0%	17	$0.00
80069		0%	17	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	13	$0.00

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 officialSANKARAPANDIAN, PONNIAH (PRESIDENT/CEO)