Medicaid Provider Spending

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

SOMERSET HEALTH SERVICES, INC.

NPI: 1477196905 · JOHNSTOWN, PA 15904 · Otolaryngic Allergy Physician · NPI assigned 10/28/2019

$43K
Total Medicaid Paid
2,468
Total Claims
1,720
Beneficiaries
5
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRUSH, ANDREW (PRESIDENT)
NPI Enumeration Date10/28/2019

Related Entities

Other providers sharing the same authorized official: RUSH, ANDREW

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 217 $3K
2021 1,162 $15K
2022 612 $13K
2023 183 $6K
2024 294 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 342 328 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 436 423 $12K
95117 1,612 891 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 66 66 $4K
31575 12 12 $881.10