Allegheny Clinic

Allegheny Clinic was paid $145K by Medicaid between Aug 2021 and Oct 2024, across 4 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 60% of everything it billed.

33Billing provider infoALLEGHENY CLINIC
PITTSBURGH, PA 15224

33aNPI1316253958assigned 08/20/2010

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$145K

24GClaims1,004

24DCodes billed4

24AFirst – last monthAug 2021 – Oct 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania

Rank by total paid#9 of 33

Median peer was paid$34K

This provider vs. median4.2×

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.

Entity ProliferationAuthorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more

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
2021	136	$15K
2022	679	$95K
2023	86	$14K
2024incomplete	103	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	60%	351	117	$87K
99479	Subsequent intensive care, per day, very low birth weight infant	38%	613	196	$55K
99464		1.0%	27	26	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	13	$1K

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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)

Same official

Other billing entities under NOEL, DENISE

Full network →

Provider	Location	Paid
Jefferson Regional Medical Center	Pittsburgh, PA	$4.77M
Allegheny Clinic Radiology	Pittsburgh, PA	$4.22M
Allegheny Clinic	Pittsburgh, PA	$3.20M
Allegheny Clinic	Pittsburgh, PA	$1.88M
Allegheny Clinic	Braddock, PA	$1.04M
Allegheny Clinic	Pittsburgh, PA	$886K
Allegheny Clinic Pediatrics	Carnegie, PA	$784K
Allegheny Clinic	Pittsburgh, PA	$438K
Allegheny Clinic	Pittsburgh, PA	$428K
Allegheny Clinic	Pittsburgh, PA	$352K
Allegheny Clinic	Monroeville, PA	$332K
Allegheny Clinic	Pittsburgh, PA	$205K
Allegheny Clinic	Pittsburgh, PA	$197K
Allegheny Clinic	Pittsburgh, PA	$188K
Allegheny Clinic	Pittsburgh, PA	$182K
Allegheny Clinic	New Kensington, PA	$173K
Allegheny Clinic	Pittsburgh, PA	$161K
Allegheny Clinic	Pittsburgh, PA	$148K
Allegheny Clinic	Pittsburgh, PA	$140K
Allegheny Clinic	Pittsburgh, PA	$114K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.