Hospital
Upmc Western Maryland Corporation
Upmc Western Maryland Corporation was paid $3.96M by Medicaid between Jan 2018 and Nov 2024, across 100 billing codes. Its largest line is G0378, Hospital observation service, per hour — 22% of everything it billed.
33Billing provider infoUPMC WESTERN MARYLAND CORPORATION
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1609831247assigned 04/18/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.96M
24GClaims134,625
24DCodes billed100
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Maryland
Rank by total paid#13 of 69
Median peer was paid$870K
This provider vs. median4.5×
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 | 26,979 | $739K | |
| 2019 | 24,017 | $756K | |
| 2020 | 18,364 | $665K | |
| 2021 | 20,695 | $701K | |
| 2022 | 17,621 | $498K | |
| 2023 | 18,012 | $397K | |
| 2024incomplete | 8,937 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0378 | Hospital observation service, per hour | 22% | 1,774 | 1,522 | $851K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 18% | 5,526 | 4,868 | $715K |
| 41899 | Unlisted procedure, dentoalveolar structures | 16% | 433 | 162 | $636K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 5,261 | 4,740 | $479K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.6% | 3,217 | 2,957 | $183K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.0% | 3,124 | 2,035 | $158K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 3.6% | 6,060 | 2,828 | $143K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.6% | 917 | 335 | $102K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.5% | 771 | 713 | $98K |
| 80053 | Comprehensive metabolic panel | 1.6% | 13,374 | 10,469 | $64K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.2% | 324 | 195 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 15,894 | 12,035 | $46K |
88 more codes
| 84484 | <1% | 4,734 | $35K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,775 | $35K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 918 | $31K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 3,038 | $29K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 5,562 | $25K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 809 | $25K |
| 87040 | <1% | 1,206 | $20K | |
| 36591 | <1% | 454 | $16K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,674 | $16K |
| 81003 | <1% | 5,063 | $15K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 512 | $13K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 778 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 382 | $13K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,910 | $10K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,707 | $10K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,103 | $10K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,376 | $10K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,001 | $9K |
| 83690 | <1% | 2,382 | $8K | |
| 83735 | <1% | 4,265 | $7K | |
| 80061 | Lipid panel | <1% | 670 | $7K |
| 83605 | <1% | 1,523 | $6K | |
| 93971 | <1% | 101 | $6K | |
| 71045 | Radiologic examination, chest; single view | <1% | 2,209 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,327 | $5K |
| 96523 | <1% | 409 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 168 | $4K |
| 85610 | <1% | 3,290 | $4K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 452 | $3K |
| 86900 | <1% | 503 | $3K | |
| 81025 | <1% | 362 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 899 | $3K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 52 | $3K |
| 86850 | <1% | 268 | $2K | |
| 86901 | <1% | 358 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 231 | $2K |
| J3490 | Unclassified drugs | <1% | 430 | $2K |
| 87077 | <1% | 690 | $2K | |
| 83880 | <1% | 722 | $2K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 143 | $2K |
| 87186 | <1% | 504 | $1K | |
| 84702 | <1% | 88 | $1K | |
| 87081 | <1% | 189 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 27 | $965.42 |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 143 | $869.09 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 108 | $764.08 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $760.39 |
| 87070 | <1% | 155 | $735.20 | |
| 81001 | <1% | 93 | $649.83 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 27 | $644.54 |
| 80050 | General health panel | <1% | 14 | $541.44 |
| 71250 | <1% | 12 | $540.11 | |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 231 | $475.03 |
| 83615 | <1% | 182 | $461.32 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 26 | $411.25 |
| 85379 | <1% | 159 | $406.18 | |
| 84439 | <1% | 122 | $303.85 | |
| 84703 | <1% | 52 | $284.34 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 13 | $222.07 |
| A4649 | Surgical supply; miscellaneous | <1% | 308 | $216.70 |
| 85027 | <1% | 1,213 | $174.88 | |
| 94760 | <1% | 148 | $145.40 | |
| 85730 | <1% | 293 | $129.85 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 115 | $96.13 |
| 73030 | <1% | 14 | $83.59 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 95 | $77.18 |
| 88342 | <1% | 28 | $58.24 | |
| 73630 | <1% | 15 | $44.30 | |
| J8597 | Antiemetic drug, oral, not otherwise specified | <1% | 31 | $34.19 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $22.00 |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 14 | $22.00 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 14 | $22.00 |
| 93017 | <1% | 16 | $22.00 | |
| 73502 | <1% | 13 | $19.35 | |
| 82248 | <1% | 41 | $18.42 | |
| 87075 | <1% | 25 | $14.32 | |
| 85652 | <1% | 14 | $13.50 | |
| J7999 | Compounded drug, not otherwise classified | <1% | 94 | $3.60 |
| 94799 | <1% | 66 | $0.16 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 12 | $0.00 |
| 82607 | 0% | 29 | $0.00 | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 0% | 70 | $0.00 |
| J1815 | Injection, insulin, per 5 units | 0% | 22 | $0.00 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 0% | 30 | $0.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 12 | $0.00 |
| 85007 | 0% | 459 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 76 | $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 officialRUBLE, AMBER (SR. VP CFO)
| Provider | Location | Paid |
|---|---|---|
| Upmc Western Maryland Corporation | Cumberland, MD | $7.35M |
| Upmc Western Maryland Corporation | Frostburg, MD | $3.91M |
| Upmc Western Maryland Corporation | Cumberland, MD | $2.85M |
| Upmc Western Maryland Corporation | Cumberland, MD | $1.36M |
| Upmc Western Maryland Corporation | Cumberland, MD | $1.18M |
| Upmc Western Maryland Corporation | Cumberland, MD | $861K |
| Upmc Western Maryland Corporation | Cumberland, MD | $778K |
| Upmc Western Maryland Corporation | Ridgeley, WV | $65K |
| Upmc Western Maryland Corporation | Cumberland, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.