University of Penn - Medical Group
University of Penn - Medical Group was paid $867K by Medicaid between Oct 2018 and Nov 2024, across 9 billing codes. Its largest line is 90935, Hemodialysis procedure with single evaluation by a physician — 64% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Internal 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 | |
|---|---|---|---|
| 2018 | 28 | $0.00 | |
| 2020 | 761 | $25K | |
| 2021 | 4,636 | $195K | |
| 2022 | 4,574 | $232K | |
| 2023 | 5,026 | $285K | |
| 2024incomplete | 2,977 | $130K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90935 | Hemodialysis procedure with single evaluation by a physician | 64% | 11,758 | 4,628 | $555K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 3,515 | 1,589 | $191K |
| 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 | 5.6% | 866 | 842 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.9% | 577 | 554 | $43K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 356 | 199 | $17K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 315 | 222 | $6K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 588 | 569 | $4K |
| 99255 | <1% | 14 | 12 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 13 | $403.79 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.