University of Penn-Medical Group
University of Penn-Medical Group was paid $3.74M by Medicaid between Oct 2020 and Dec 2024, across 45 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 37% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Maternal & Fetal Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,468 | $185K | |
| 2021 | 13,191 | $883K | |
| 2022 | 16,938 | $968K | |
| 2023 | 14,813 | $812K | |
| 2024incomplete | 17,035 | $890K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 37% | 20,869 | 19,259 | $1.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 18,804 | 17,717 | $1.30M |
| 99429 | 5.4% | 1,646 | 1,624 | $204K | |
| 59430 | 4.2% | 1,388 | 1,373 | $159K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.9% | 98 | 98 | $144K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 892 | 734 | $107K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.9% | 468 | 461 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 3,772 | 3,693 | $57K |
| 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 | 1.3% | 572 | 517 | $47K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,747 | 1,732 | $32K |
| T1001 | Nursing assessment / evaluation | <1% | 302 | 292 | $30K |
| 57454 | <1% | 198 | 195 | $29K |
33 more codes
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | <1% | 54 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 487 | $20K |
| 90715 | <1% | 3,081 | $19K | |
| 0502F | <1% | 3,843 | $19K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 889 | $18K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 728 | $17K |
| 90651 | <1% | 1,099 | $11K | |
| 11982 | <1% | 68 | $9K | |
| 90656 | <1% | 679 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 148 | $6K |
| 0503F | <1% | 388 | $4K | |
| 51798 | <1% | 224 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 270 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 43 | $2K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 142 | $2K |
| 59025 | Fetal non-stress test | <1% | 83 | $2K |
| 76801 | <1% | 17 | $2K | |
| 99284 | Emergency room visit (serious) | <1% | 12 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 219 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $1K |
| 0500F | <1% | 163 | $810.00 | |
| 81002 | <1% | 222 | $778.82 | |
| 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% | 72 | $669.87 |
| 58301 | <1% | 13 | $600.58 | |
| 90686 | <1% | 215 | $492.61 | |
| 81025 | <1% | 104 | $444.48 | |
| 90658 | <1% | 34 | $289.52 | |
| 3008F | 0% | 139 | $0.00 | |
| 3044F | 0% | 104 | $0.00 | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 0% | 29 | $0.00 |
| 3078F | 0% | 48 | $0.00 | |
| 90678 | 0% | 35 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.