Hospital
West Penn Allegheny Health System, INC
West Penn Allegheny Health System, INC was paid $209K by Medicaid between Oct 2021 and Dec 2024, across 30 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.
33Billing provider infoWEST PENN ALLEGHENY HEALTH SYSTEM, INC
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1588269898assigned 12/03/2020
33bProvider typeGeneral Acute Care Hospital
28Total paid$209K
24GClaims11,908
24DCodes billed30
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#114 of 154
Median peer was paid$2.82M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 219 | $0.00 | |
| 2022 | 2,728 | $60K | |
| 2023 | 4,499 | $75K | |
| 2024incomplete | 4,462 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 59% | 864 | 844 | $123K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 326 | 323 | $44K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.2% | 108 | 106 | $15K |
| G0378 | Hospital observation service, per hour | 6.0% | 13 | 13 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 1,880 | 1,797 | $5K |
| 80053 | Comprehensive metabolic panel | 1.9% | 952 | 849 | $4K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.4% | 232 | 224 | $3K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 45 | 45 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 156 | 147 | $597.29 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 16 | 15 | $499.20 |
| 84484 | <1% | 39 | 36 | $183.54 | |
| 81001 | <1% | 63 | 62 | $62.55 |
18 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $43.53 |
| 83735 | <1% | 34 | $40.20 | |
| 83690 | <1% | 12 | $28.25 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 1,557 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 1,255 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 495 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 29 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 46 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 325 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 379 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 191 | $0.00 |
| A9270 | Non-covered item or service | 0% | 579 | $0.00 |
| J3490 | Unclassified drugs | 0% | 107 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,132 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 520 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 421 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 106 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 13 | $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 officialTISCH, ANDREW (DIRECTOR REIMBURSEMENT)
Parent organizationWEST PENN ALLEGHENY HEALTH SYSTEM, INC