Hospitalist Medicine Physicians of Pennsylvania, P.C.
Hospitalist Medicine Physicians of Pennsylvania, P.C. was paid $412K by Medicaid between Feb 2020 and Nov 2024, across 13 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 45% of everything it billed.
SOMERSET, PA 15501
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 | |
|---|---|---|---|
| 2020 | 777 | $14K | |
| 2021 | 5,556 | $135K | |
| 2022 | 1,120 | $64K | |
| 2023 | 1,330 | $86K | |
| 2024incomplete | 2,673 | $112K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 45% | 2,123 | 2,013 | $187K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 3,718 | 1,658 | $75K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 2,288 | 1,085 | $58K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.7% | 728 | 668 | $36K |
| 99220 | 7.6% | 530 | 485 | $31K | |
| 99219 | 2.4% | 223 | 208 | $10K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 900 | 826 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 124 | 117 | $4K |
| 99483 | Prolong outpt/office vis | <1% | 62 | 62 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 114 | 106 | $1K |
| 99217 | <1% | 91 | 70 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 43 | 42 | $872.43 |
1 more codes
| 99490 | Ccm add 20min | 0% | 512 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.