Physician
UPMC Altoona Regional Health Services, INC
UPMC Altoona Regional Health Services, INC was paid $419K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoUPMC ALTOONA REGIONAL HEALTH SERVICES, INC
ALTOONA, PA 16602
ALTOONA, PA 16602
33aNPI1396724217assigned 01/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$419K
24GClaims20,492
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#60 of 1,726
Median peer was paid$6K
This provider vs. median65×
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.
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 | |
|---|---|---|---|
| 2018 | 123 | $380.81 | |
| 2019 | 164 | $2K | |
| 2020 | 1,011 | $19K | |
| 2021 | 5,967 | $124K | |
| 2022 | 4,905 | $109K | |
| 2023 | 4,595 | $90K | |
| 2024incomplete | 3,727 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 5,010 | 4,589 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,575 | 4,234 | $133K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 13% | 3,166 | 2,916 | $53K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.4% | 5,642 | 4,941 | $31K |
| 0001A | 1.2% | 211 | 211 | $5K | |
| 0002A | <1% | 184 | 182 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | 85 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 156 | 152 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 269 | 261 | $2K |
| 90682 | <1% | 163 | 163 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 114 | 85 | $2K |
| 0003A | <1% | 39 | 39 | $1K |
16 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $627.58 |
| 99441 | <1% | 31 | $518.35 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 35 | $460.68 |
| 81025 | <1% | 122 | $448.43 | |
| 81002 | <1% | 121 | $410.82 | |
| G0008 | Administration of influenza virus vaccine | <1% | 64 | $375.00 |
| 90674 | <1% | 49 | $320.20 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 32 | $298.64 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $220.05 |
| 99442 | <1% | 14 | $199.06 | |
| 99307 | <1% | 14 | $182.57 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 216 | $113.61 |
| 36415 | Collection of venous blood by venipuncture | <1% | 69 | $44.51 |
| 90661 | 0% | 12 | $0.00 | |
| 90673 | 0% | 31 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 26 | $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 officialSWAB, JILL (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| UPMC Altoona Regional Health Services, INC | Altoona, PA | $790K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.