Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPMC ALTOONA REGIONAL HEALTH SERVICES, INC

NPI: 1639158488 · ALTOONA, PA 16602 · Dermatology Physician · NPI assigned 01/11/2006

$790K
Total Medicaid Paid
51,826
Total Claims
43,664
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWAB, JILL (BILLING MANAGER)
NPI Enumeration Date01/11/2006

Related Entities

Other providers sharing the same authorized official: SWAB, JILL

ProviderCityStateTotal Paid
UPMC ALTOONA REGIONAL HEALTH SERVICES, INC ALTOONA PA $419K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,249 $5K
2019 1,168 $5K
2020 3,798 $41K
2021 15,616 $229K
2022 11,343 $198K
2023 9,550 $157K
2024 9,102 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,967 4,703 $183K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,440 2,311 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,973 2,805 $91K
71045 Radiologic examination, chest; single view 15,427 10,909 $86K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,440 7,660 $56K
71046 Radiologic examination, chest; 2 views 5,907 5,595 $48K
93970 608 564 $21K
93971 806 732 $20K
77067 Screening mammography, bilateral, including computer-aided detection 602 599 $20K
70450 Computed tomography, head or brain; without contrast material 547 513 $18K
93923 532 471 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 281 249 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 297 282 $15K
77063 Screening digital breast tomosynthesis, bilateral 552 549 $15K
95811 85 81 $10K
73610 653 581 $7K
73630 919 827 $7K
93298 305 294 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 102 99 $5K
99244 Office or other outpatient consultation, moderate to high complexity 40 40 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 228 222 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 219 206 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 50 $4K
73130 558 474 $4K
74018 629 538 $4K
93000 324 299 $4K
73562 364 306 $3K
73030 340 288 $3K
73110 297 254 $2K
93880 71 62 $2K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $1K
99232 Subsequent hospital care, per day, moderate complexity 29 12 $1K
99254 14 14 $797.06
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 24 $791.81
76770 29 24 $772.55
93018 29 29 $767.55
72100 67 64 $738.97
72110 46 43 $710.21
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $592.88
94060 55 53 $545.77
95251 39 39 $525.57
20610 33 27 $512.41
73502 70 63 $501.13
93296 38 37 $423.44
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 16 13 $379.30
76830 Ultrasound, transvaginal 12 12 $338.39
71020 53 51 $284.29
73564 16 13 $261.51
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) 74 73 $199.44
95816 27 27 $193.08
J1030 Injection, methylprednisolone acetate, 40 mg 27 26 $143.71
76937 12 12 $142.25
4010F 84 72 $130.00
72170 17 15 $93.82
99152 13 13 $65.49
71010 29 24 $63.68
3061F 44 39 $50.00
3078F 12 12 $30.00
3048F 58 53 $0.00
1036F 70 54 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 194 138 $0.00