The Pennsylvania Hospital of the University of Pennsylvania Health Sys
The Pennsylvania Hospital of the University of Pennsylvania Health Sys was paid $69K by Medicaid between Jan 2020 and Sep 2021, across 4 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 33% of everything it billed.
PHILADELPHIA, PA 19106
Next to other Endoscopy Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 42 | $13K | |
| 2021 | 148 | $57K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 33% | 61 | 60 | $23K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 60 | 59 | $18K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 25% | 43 | 41 | $18K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 16% | 26 | 26 | $11K |
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 |
|---|---|---|
| Trustees of the University of Pennsylvania | Philadelphia, PA | $84.02M |
| The Pennsylvania Hospital of the University of Pennsylvania Health Sys | Phila, PA | $25.68M |
| Presbyterian Medical Center of the University of Pennsylvania Health S | Philadelphia, PA | $23.27M |
| Hall-Mercer Cmh-Mrc of Pennsylvania Hosp | Philadelphia, PA | $14.08M |
| Hall-Mercer Cmh-Mrc of PA Hosp | Phila, PA | $6.82M |
| Hospital of University of Pennsylvania | Phila, PA | $2.61M |
| Penn Presbyterian Medical CTR Detox Rehab | Phila, PA | $1.60M |
| Penn Presybyterian Medical Center | Phila, PA | $1.48M |
| Thomas E Mccormick, MD, PC | Rutland, VT | $22K |
| Presbyterian Medical Center of the University of Pennsylvania Health S | Philadelphia, PA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.