Medicaid Provider Spending

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

UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA

NPI: 1699840736 · ALTOONA, PA 16601 · Hospice and Palliative Medicine (Family Medicine) Physician · NPI assigned 11/22/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code T2042 with only 2 total codes billed. Highly concentrated billing profile.

$5.33M
Total Medicaid Paid
25,367
Total Claims
1,361
Beneficiaries
2
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGRIFFITH, ROBERT (CFO)
Parent OrganizationUPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: GRIFFITH, ROBERT

ProviderCityStateTotal Paid
UPMC HOME HEALTHCARE OF WESTERN PA SEVEN FIELDS PA $17.41M
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA ALTOONA PA $7.07M
UPMC HOME HEALTHCARE OF WESTERN PA ERIE PA $2.03M
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA WILLIAMSPORT PA $1.52M
UPMC HOME HEALTHCARE OF WESTERN PA FRANKLIN PA $589K
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA WILLIAMSPORT PA $478K
UPMC HOME CARE MANAGEMENT SERVICES ALTOONA PA $423K
WOODS SERVICES LANGHORNE PA $342K
UPMC HOME CARE MANAGMENT SERVICES ALTOONA PA $285K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,039 $211K
2021 5,343 $1.15M
2022 5,488 $1.10M
2023 7,529 $1.52M
2024 5,968 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2042 Hospice routine home care; per diem 25,276 1,337 $5.23M
T2045 Hospice general inpatient care; per diem 91 24 $94K