Physician
Allegheny Clinic
Allegheny Clinic was paid $352K by Medicaid between Nov 2019 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoALLEGHENY CLINIC
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
33aNPI1689674871assigned 07/28/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$352K
24GClaims17,049
24DCodes billed26
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#7 of 291
Median peer was paid$7K
This provider vs. median47×
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.
Entity ProliferationAuthorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 16 | $611.85 | |
| 2020 | 502 | $11K | |
| 2021 | 4,136 | $117K | |
| 2022 | 3,833 | $77K | |
| 2023 | 5,005 | $86K | |
| 2024incomplete | 3,557 | $60K |
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 | 45% | 2,997 | 2,851 | $160K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,738 | 2,584 | $93K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 165 | 164 | $17K |
| 20610 | 3.8% | 540 | 434 | $13K | |
| 73610 | 2.6% | 345 | 322 | $9K | |
| 73630 | 2.4% | 434 | 402 | $9K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 133 | 129 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.1% | 336 | 227 | $7K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.5% | 1,537 | 1,427 | $5K |
| 99253 | 1.4% | 117 | 113 | $5K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.3% | 2,037 | 1,888 | $5K |
| 99221 | 1.1% | 94 | 84 | $4K |
14 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.1% | 2,935 | $4K |
| 72100 | <1% | 91 | $3K | |
| 73564 | <1% | 71 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $2K |
| 73110 | <1% | 78 | $2K | |
| 95886 | <1% | 26 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $1K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 77 | $427.61 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 292 | $169.06 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 16 | $131.67 |
| 3008F | 0% | 891 | $0.00 | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 0% | 651 | $0.00 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 330 | $0.00 |
| 3074F | 0% | 12 | $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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Jefferson Regional Medical Center | Pittsburgh, PA | $4.77M |
| Allegheny Clinic Radiology | Pittsburgh, PA | $4.22M |
| Allegheny Clinic | Pittsburgh, PA | $3.20M |
| Allegheny Clinic | Pittsburgh, PA | $1.88M |
| Allegheny Clinic | Braddock, PA | $1.04M |
| Allegheny Clinic | Pittsburgh, PA | $886K |
| Allegheny Clinic Pediatrics | Carnegie, PA | $784K |
| Allegheny Clinic | Pittsburgh, PA | $438K |
| Allegheny Clinic | Pittsburgh, PA | $428K |
| Allegheny Clinic | Monroeville, PA | $332K |
| Allegheny Clinic | Pittsburgh, PA | $205K |
| Allegheny Clinic | Pittsburgh, PA | $197K |
| Allegheny Clinic | Pittsburgh, PA | $188K |
| Allegheny Clinic | Pittsburgh, PA | $182K |
| Allegheny Clinic | New Kensington, PA | $173K |
| Allegheny Clinic | Pittsburgh, PA | $161K |
| Allegheny Clinic | Pittsburgh, PA | $148K |
| Allegheny Clinic | Pittsburgh, PA | $145K |
| Allegheny Clinic | Pittsburgh, PA | $140K |
| Allegheny Clinic | Pittsburgh, PA | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.