Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MONACA › HERITAGE VALLEY-UPMC MULTISPECIALTY GROUP INC

HERITAGE VALLEY-UPMC MULTISPECIALTY GROUP INC

NPI: 1467839001 · MONACA, PA 15061 · Neurology Physician · NPI assigned 05/04/2015

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

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

$5K
Total Medicaid Paid
270
Total Claims
250
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialEHALT, MARK (DIRECTOR)
NPI Enumeration Date05/04/2015

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 80 $1K
2019 60 $504.58
2020 25 $543.11
2021 62 $1K
2022 13 $252.31
2023 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 171 151 $4K
95886 12 12 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 62 62 $121.66
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 25 $35.00