Highlands Hospital and Health Center
Highlands Hospital and Health Center was paid $16K by Medicaid between Jul 2023 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
CONNELLSVILLE, PA 15425
Next to other Family Medicine Physician 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 441 | $5K | |
| 2024incomplete | 366 | $10K |
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 | 57% | 287 | 278 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 269 | 248 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 17 | 14 | $398.27 |
| 94760 | <1% | 85 | 84 | $4.22 | |
| 3074F | 0% | 104 | 98 | $0.00 | |
| 3078F | 0% | 45 | 42 | $0.00 |
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 |
|---|---|---|
| Highlands Hospital and Health Center | Connellsville, PA | $4.47M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.93M |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $3.58M |
| Dubois Regional Medical Center | Clearfield, PA | $1.79M |
| Tyrone Hospital | Tyrone, PA | $1.44M |
| Penn Highlands Home Medical Equipment LLC | Clearfield, PA | $177K |
| Penn Highlands Home Medical Equipment LLC | Saint Marys, PA | $134K |
| Penn Highlands Home Medical Equipment LLC | Du Bois, PA | $29K |
| Dubois Regional Medical Center | Du Bois, PA | $10K |
| J C Blair Memorial Hospital | State College, PA | $7K |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $4K |
| JC Blair Memorial Hospital | Huntingdon, PA | $2K |
| Monongahela Valley Hospital, INC. | Monongahela, PA | $404.23 |
| J. C. Blair Memorial Hospital | Huntingdon, PA | $346.50 |
| Monongahela Valley Hospital, INC | Uniontown, PA | $320.93 |
| Mon-Vale Oncology, INC. | Monongahela, PA | $309.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.