Hospital
UPMC Altoona
UPMC Altoona was paid $1.45M by Medicaid between Oct 2018 and Nov 2024, across 15 billing codes. Its largest line is 99284, emergency room visit (serious) — 53% of everything it billed.
33Billing provider infoUPMC ALTOONA
ALTOONA, PA 16601
ALTOONA, PA 16601
33aNPI1497831655assigned 10/31/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.45M
24GClaims29,578
24DCodes billed15
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#99 of 154
Median peer was paid$2.82M
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 15 | $1K | |
| 2019 | 68 | $203.88 | |
| 2020 | 2,389 | $77K | |
| 2021 | 10,690 | $348K | |
| 2022 | 6,502 | $277K | |
| 2023 | 5,785 | $383K | |
| 2024incomplete | 4,129 | $361K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 53% | 12,340 | 11,685 | $769K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 42% | 8,983 | 8,477 | $607K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 1,279 | 414 | $48K |
| 99223 | Prolong inpt eval add15 m | <1% | 111 | 104 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 104 | 98 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 49 | 49 | $4K |
| 99219 | <1% | 33 | 31 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 130 | 29 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 187 | 161 | $1K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 21 | 21 | $915.08 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | 26 | $818.61 |
| 99460 | <1% | 14 | 14 | $291.11 |
3 more codes
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 officialMURRAY, JERRY (CEO)
Parent organizationALTOONA REGIONAL HEALTH SYSTEM
| Provider | Location | Paid |
|---|---|---|
| UPMC Altoona | Altoona, PA | $88K |
| UPMC Altoona | Altoona, PA | $61K |
| UPMC Altoona | Altoona, PA | $4K |
| UPMC Altoona | Williamsburg, PA | $397.42 |
| UPMC Altoona | Altoona, PA | $380.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.