UPMC Western Maryland Health Services, LLC
UPMC Western Maryland Health Services, LLC was paid $107K by Medicaid between Jan 2023 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
CUMBERLAND, MD 21502
Next to other Family Medicine Physician providers in Maryland
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 | |
|---|---|---|---|
| 2023 | 4,802 | $57K | |
| 2024incomplete | 2,932 | $50K |
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 | 68% | 1,602 | 1,346 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 577 | 447 | $19K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 7.3% | 3,170 | 2,734 | $8K |
| G9920 | Screening performed and negative | 2.9% | 314 | 303 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 12 | 12 | $2K |
| 3044F | <1% | 47 | 43 | $587.45 | |
| 90673 | <1% | 39 | 38 | $585.23 | |
| 1100F | <1% | 36 | 35 | $459.57 | |
| 3288F | <1% | 1,004 | 842 | $155.70 | |
| 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% | 47 | 47 | $141.87 |
| 3078F | 0% | 67 | 65 | $0.00 | |
| 1101F | 0% | 771 | 634 | $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
| Provider | Location | Paid |
|---|---|---|
| Urgent Care, INC.- West Virginia | South Charleston, WV | $66.96M |
| University of Pittsburgh Physicians | Pittsburgh, PA | $23.58M |
| Great Lakes Physician Practice PC | Jamestown, NY | $8.88M |
| UPMC Altoona | Altoona, PA | $394K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $287K |
| UPMC Altoona | Altoona, PA | $230K |
| UPMC Altoona | Altoona, PA | $165K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $128K |
| UPMC Advanced Practice Providers | Pittsburgh, PA | $75K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $38K |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $21K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $14K |
| University of Pittsburgh Physicians | Clarion, PA | $4K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $2K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $1K |
| UPMC Community Medicine, INC | Pittsburgh, PA | $1K |
| UPMC Western Maryland Health Services, LLC | Mc Henry, MD | $949.96 |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $406.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.