Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Upmc Mercy

Upmc Mercy was paid $326.70 by Medicaid between Dec 2022 and Dec 2024, across 17 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 100% of everything it billed.

33Billing provider infoUPMC MERCY
PITTSBURGH, PA 15219
33aNPI1568526135assigned 12/20/2006
28Total paid$326.70
24GClaims8,606
24DCodes billed17
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#105 of 119
Median peer was paid$57K
This provider vs. median0.0×

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

$0$100$200$3002018201920202021202220232024
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
YearClaimsPaid
202242$0.00
20233,080$217.80
2024incomplete5,484$108.90
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 100% 24 24 $326.70
J3490 Unclassified drugs 0% 749 526 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,287 1,254 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,215 1,095 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 611 514 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 445 268 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 161 158 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 745 715 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 831 816 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 286 248 $0.00
J2704 Injection, propofol, 10 mg 0% 21 14 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 223 222 $0.00
5 more codes
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 1,510 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 304 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 0% 102 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 73 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 19 $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.

From NPPES

Who's on the registration

Authorized officialSIMMONS, EILEEN (CFO)
Parent organizationMERCY HOSPITAL OF PITTSBURGH
Same official

Other billing entities under SIMMONS, EILEEN

Full network →
ProviderLocationPaid
Upmc Magee-Womens HospitalPittsburgh, PA$43.08M
Upmc MercyPittsburgh, PA$16.68M
Upmc Magee-Womens HospitalPittsburgh, PA$68K
Sutherland Family Practice INC.Sutherland, VA$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.