Physician
Upmc Altoona Regional Health Services, INC
Upmc Altoona Regional Health Services, INC was paid $790K by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoUPMC ALTOONA REGIONAL HEALTH SERVICES, INC
ALTOONA, PA 16602
ALTOONA, PA 16602
33aNPI1639158488assigned 01/11/2006
33bProvider typeDermatology Physician
28Total paid$790K
24GClaims51,826
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Pennsylvania
Rank by total paid#6 of 97
Median peer was paid$26K
This provider vs. median30×
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 | 1,249 | $5K | |
| 2019 | 1,168 | $5K | |
| 2020 | 3,798 | $41K | |
| 2021 | 15,616 | $229K | |
| 2022 | 11,343 | $198K | |
| 2023 | 9,550 | $157K | |
| 2024incomplete | 9,102 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 4,967 | 4,703 | $183K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 2,440 | 2,311 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,973 | 2,805 | $91K |
| 71045 | Radiologic examination, chest; single view | 11% | 15,427 | 10,909 | $86K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.1% | 9,440 | 7,660 | $56K |
| 71046 | Radiologic examination, chest; 2 views | 6.0% | 5,907 | 5,595 | $48K |
| 93970 | 2.6% | 608 | 564 | $21K | |
| 93971 | 2.6% | 806 | 732 | $20K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.5% | 602 | 599 | $20K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.2% | 547 | 513 | $18K |
| 93923 | 2.2% | 532 | 471 | $18K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.1% | 281 | 249 | $17K |
49 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.9% | 297 | $15K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.9% | 552 | $15K |
| 95811 | 1.2% | 85 | $10K | |
| 73610 | <1% | 653 | $7K | |
| 73630 | <1% | 919 | $7K | |
| 93298 | <1% | 305 | $6K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 102 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 40 | $5K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 228 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 219 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $4K |
| 73130 | <1% | 558 | $4K | |
| 74018 | <1% | 629 | $4K | |
| 93000 | <1% | 324 | $4K | |
| 73562 | <1% | 364 | $3K | |
| 73030 | <1% | 340 | $3K | |
| 73110 | <1% | 297 | $2K | |
| 93880 | <1% | 71 | $2K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 12 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 29 | $1K |
| 99254 | <1% | 14 | $797.06 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $791.81 |
| 76770 | <1% | 29 | $772.55 | |
| 93018 | <1% | 29 | $767.55 | |
| 72100 | <1% | 67 | $738.97 | |
| 72110 | <1% | 46 | $710.21 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $592.88 |
| 94060 | <1% | 55 | $545.77 | |
| 95251 | <1% | 39 | $525.57 | |
| 20610 | <1% | 33 | $512.41 | |
| 73502 | <1% | 70 | $501.13 | |
| 93296 | <1% | 38 | $423.44 | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 16 | $379.30 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $338.39 |
| 71020 | <1% | 53 | $284.29 | |
| 73564 | <1% | 16 | $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) | <1% | 74 | $199.44 |
| 95816 | <1% | 27 | $193.08 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 27 | $143.71 |
| 76937 | <1% | 12 | $142.25 | |
| 4010F | <1% | 84 | $130.00 | |
| 72170 | <1% | 17 | $93.82 | |
| 99152 | <1% | 13 | $65.49 | |
| 71010 | <1% | 29 | $63.68 | |
| 3061F | <1% | 44 | $50.00 | |
| 3078F | <1% | 12 | $30.00 | |
| 3048F | 0% | 58 | $0.00 | |
| 1036F | 0% | 70 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 194 | $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 officialSWAB, JILL (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Upmc Altoona Regional Health Services, INC | Altoona, PA | $419K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.