Clinic
West Penn Allegheny Health System INC.
West Penn Allegheny Health System INC. was paid $8.63M by Medicaid between Apr 2020 and Dec 2024, across 17 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 35% of everything it billed.
33Billing provider infoWEST PENN ALLEGHENY HEALTH SYSTEM INC.
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
33aNPI1295857530assigned 04/06/2007
28Total paid$8.63M
24GClaims80,061
24DCodes billed17
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania
Rank by total paid#16 of 121
Median peer was paid$1.18M
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2020 | 5,381 | $478K | |
| 2021 | 16,271 | $1.57M | |
| 2022 | 19,841 | $2.01M | |
| 2023 | 21,642 | $2.51M | |
| 2024incomplete | 16,926 | $2.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 35% | 33,065 | 15,573 | $3.05M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 20% | 14,638 | 13,160 | $1.76M |
| 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 | 12% | 7,039 | 6,578 | $1.05M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.9% | 7,609 | 4,800 | $852K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.8% | 3,219 | 3,099 | $678K |
| H0034 | Medication training and support, per 15 minutes | 4.5% | 3,953 | 3,664 | $390K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 1,883 | 1,807 | $196K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 3,730 | 3,003 | $148K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 754 | 701 | $148K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.0% | 1,603 | 510 | $87K |
| 96131 | <1% | 301 | 228 | $83K | |
| 99241 | <1% | 536 | 505 | $60K |
5 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 officialJAFFEE, DON (CFO- ALLEGHENY GENERAL HOSPITAL)
Parent organizationWEST PENN ALLEGHENY HEALTH SYSTEM INC.
| Provider | Location | Paid |
|---|---|---|
| West Penn Allegheny Health System INC. | Pittsburgh, PA | $5.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.