Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › ERIE › ERIE PHYSICIANS NETWORK-UPMC,INC

ERIE PHYSICIANS NETWORK-UPMC,INC

NPI: 1366726259 · ERIE, PA 16508 · Internal Medicine Physician · NPI assigned 10/11/2011

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

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

$12K
Total Medicaid Paid
628
Total Claims
513
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialEHALT, MARK (SR.DIRECTOR)
NPI Enumeration Date10/11/2011

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
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 $4K
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 46 $549.75
2019 26 $428.86
2020 27 $172.19
2021 283 $5K
2022 141 $3K
2023 43 $905.08
2024 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 368 350 $7K
99232 Subsequent hospital care, per day, moderate complexity 96 14 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25 24 $1K
99222 Initial hospital care, per day, moderate complexity 36 30 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 27 $999.69
99349 57 56 $0.00
99348 17 12 $0.00