Physician
Somerset Health Services, INC.
Somerset Health Services, INC. was paid $43K by Medicaid between Nov 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoSOMERSET HEALTH SERVICES, INC.
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1477196905assigned 10/28/2019
33bProvider typeOtolaryngic Allergy Physician
28Total paid$43K
24GClaims2,468
24DCodes billed5
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Otolaryngic Allergy Physician providers in Pennsylvania
Rank by total paid#9 of 12
Median peer was paid$63K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 217 | $3K | |
| 2021 | 1,162 | $15K | |
| 2022 | 612 | $13K | |
| 2023 | 183 | $6K | |
| 2024incomplete | 294 | $7K |
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 | 35% | 342 | 328 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 436 | 423 | $12K |
| 95117 | 25% | 1,612 | 891 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.0% | 66 | 66 | $4K |
| 31575 | 2.0% | 12 | 12 | $881.10 |
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 officialRUSH, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| UPMC Somerset | Somerset, PA | $2.89M |
| Somerset Health Services INC | Somerset, PA | $160K |
| Somerset Health Services, INC. | Somerset, PA | $14K |
| Somerset Health Services, INC. | Somerset, PA | $13K |
| UPMC Somerset | Somerset, PA | $7K |
| Somerset Health Services INC | Somerset, PA | $6K |
| Somerset Health Services, INC. | Somerset, PA | $4K |
| UPMC Somerset | Somerset, PA | $2K |
| UPMC Somerset | Somerset, PA | $1K |
| Somerset Health Services, INC. | Somerset, PA | $368.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.