Medicaid Provider Spending

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

UPMC ALTOONA REGIONAL HEALTH SERVICES, INC

NPI: 1396724217 · ALTOONA, PA 16602 · Internal Medicine Physician · NPI assigned 01/10/2006

$419K
Total Medicaid Paid
20,492
Total Claims
18,655
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWAB, JILL (BILLING MANAGER)
NPI Enumeration Date01/10/2006

Related Entities

Other providers sharing the same authorized official: SWAB, JILL

ProviderCityStateTotal Paid
UPMC ALTOONA REGIONAL HEALTH SERVICES, INC ALTOONA PA $790K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 123 $380.81
2019 164 $2K
2020 1,011 $19K
2021 5,967 $124K
2022 4,905 $109K
2023 4,595 $90K
2024 3,727 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,010 4,589 $178K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,575 4,234 $133K
99308 Subsequent nursing facility care, per day, straightforward 3,166 2,916 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,642 4,941 $31K
0001A 211 211 $5K
0002A 184 182 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 85 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 156 152 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 269 261 $2K
90682 163 163 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 114 85 $2K
0003A 39 39 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $627.58
99441 31 28 $518.35
99232 Subsequent hospital care, per day, moderate complexity 35 13 $460.68
81025 122 120 $448.43
81002 121 120 $410.82
G0008 Administration of influenza virus vaccine 64 63 $375.00
90674 49 49 $320.20
99231 Subsequent hospital care, per day, straightforward or low complexity 32 13 $298.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 24 $220.05
99442 14 13 $199.06
99307 14 14 $182.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 216 197 $113.61
36415 Collection of venous blood by venipuncture 69 62 $44.51
90661 12 12 $0.00
90673 31 31 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 26 25 $0.00