Physician
Allegheny Clinic Pediatrics
Allegheny Clinic Pediatrics was paid $784K by Medicaid between Mar 2019 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoALLEGHENY CLINIC PEDIATRICS
CARNEGIE, PA 15106
CARNEGIE, PA 15106
33aNPI1326436619assigned 01/08/2015
33bProvider typePediatrics Physician
28Total paid$784K
24GClaims45,781
24DCodes billed65
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#130 of 1,257
Median peer was paid$45K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 2,375 | $94K | |
| 2020 | 2,373 | $75K | |
| 2021 | 7,093 | $211K | |
| 2022 | 9,598 | $129K | |
| 2023 | 13,304 | $159K | |
| 2024incomplete | 11,038 | $117K |
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 | 37% | 6,793 | 6,262 | $292K |
| 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 | 11% | 1,175 | 1,065 | $85K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 620 | 583 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 3,835 | 3,291 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 580 | 518 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.3% | 898 | 884 | $50K |
| 99460 | 6.1% | 610 | 603 | $48K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 366 | 337 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 313 | 308 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 234 | 222 | $13K |
| 90461 | 1.2% | 465 | 418 | $10K | |
| 90686 | 1.1% | 2,553 | 2,520 | $8K |
53 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 54 | $6K |
| 90670 | <1% | 1,888 | $6K | |
| 90651 | <1% | 833 | $5K | |
| 90698 | <1% | 1,613 | $5K | |
| 90734 | <1% | 217 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 363 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 43 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 411 | $4K |
| 90680 | <1% | 1,995 | $4K | |
| 90688 | <1% | 409 | $3K | |
| 90633 | <1% | 1,541 | $3K | |
| 87634 | <1% | 33 | $3K | |
| 90744 | <1% | 697 | $2K | |
| 90710 | <1% | 705 | $738.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $667.29 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 141 | $612.12 |
| 92551 | <1% | 373 | $604.28 | |
| 90696 | <1% | 647 | $576.00 | |
| 90707 | <1% | 622 | $574.00 | |
| 90716 | <1% | 667 | $574.00 | |
| 90621 | <1% | 515 | $570.37 | |
| 99173 | <1% | 445 | $567.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19 | $424.97 |
| 99462 | <1% | 17 | $383.87 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 58 | $321.00 |
| 83655 | <1% | 151 | $250.20 | |
| 96161 | <1% | 52 | $67.31 | |
| 96127 | <1% | 28 | $66.86 | |
| 85018 | <1% | 28 | $50.55 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $31.34 |
| 96160 | <1% | 28 | $12.34 | |
| 36416 | <1% | 31 | $10.25 | |
| 3078F | 0% | 1,605 | $0.00 | |
| 90715 | 0% | 325 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 51 | $0.00 |
| 90658 | 0% | 55 | $0.00 | |
| 91320 | 0% | 33 | $0.00 | |
| 90380 | 0% | 27 | $0.00 | |
| 90672 | 0% | 15 | $0.00 | |
| 1111F | 0% | 3,995 | $0.00 | |
| 3008F | 0% | 861 | $0.00 | |
| 3074F | 0% | 1,838 | $0.00 | |
| 90677 | 0% | 1,094 | $0.00 | |
| 90697 | 0% | 1,147 | $0.00 | |
| 99000 | 0% | 184 | $0.00 | |
| 90656 | 0% | 623 | $0.00 | |
| 90619 | 0% | 701 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 12 | $0.00 |
| 91318 | 0% | 46 | $0.00 | |
| 90381 | 0% | 32 | $0.00 | |
| 91319 | 0% | 14 | $0.00 | |
| 90660 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)
| 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 | 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 | $145K |
| 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.