Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF PITTSBURGH PHYSICIANS

NPI: 1306804729 · PITTSBURGH, PA 15213 · Pediatric Surgery Physician · NPI assigned 05/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EHALT, MARK controls 15+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
706
Total Claims
684
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialEHALT, MARK (DIRECTOR, REVENUE CYCLE)
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: EHALT, MARK

ProviderCityStateTotal Paid
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $26.35M
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $301K
ONCOLOGY HEMATOLOGY ASSOCIATION INC PITTSBURGH PA $232K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $147K
UPMC COMMUNITY MEDICINE INC CLARION PA $10K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $8K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $7K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $6K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $2K
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $2K
TRI-STATE NEUROSURGICAL ASSOCIATES INC PITTSBURGH PA $926.53
UPMC COMMUNITY MEDICINE INC TRAFFORD PA $462.03
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $375.65
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $244.48
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $195.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328 $2K
2019 209 $983.24
2020 79 $627.93
2021 90 $663.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 140 140 $1K
51798 426 418 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 62 $939.63
99232 Subsequent hospital care, per day, moderate complexity 22 12 $305.24
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 52 $254.41