University of Pittsburgh Physicians
University of Pittsburgh Physicians was paid $128K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 45% of everything it billed.
PITTSBURGH, PA 15213
Next to other Optometrist 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 | 256 | $12K | |
| 2021 | 692 | $23K | |
| 2022 | 705 | $22K | |
| 2023 | 941 | $37K | |
| 2024incomplete | 871 | $33K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 45% | 671 | 642 | $58K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28% | 468 | 456 | $36K |
| V2020 | Frames, purchases | 22% | 1,836 | 1,783 | $28K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.6% | 36 | 36 | $3K |
| V2025 | Deluxe frame | 1.8% | 191 | 191 | $2K |
| V2750 | Anti-reflective coating, per lens | 0% | 13 | 13 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 118 | 118 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 108 | 104 | $0.00 |
| 92002 | 0% | 24 | 21 | $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
| Provider | Location | Paid |
|---|---|---|
| Urgent Care, INC.- West Virginia | South Charleston, WV | $66.96M |
| University of Pittsburgh Physicians | Pittsburgh, PA | $23.58M |
| Great Lakes Physician Practice PC | Jamestown, NY | $8.88M |
| UPMC Altoona | Altoona, PA | $394K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $287K |
| UPMC Altoona | Altoona, PA | $230K |
| UPMC Altoona | Altoona, PA | $165K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $107K |
| UPMC Advanced Practice Providers | Pittsburgh, PA | $75K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $38K |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $21K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $14K |
| University of Pittsburgh Physicians | Clarion, PA | $4K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $2K |
| UPMC Western Maryland Health Services, LLC | Cumberland, MD | $1K |
| UPMC Community Medicine, INC | Pittsburgh, PA | $1K |
| UPMC Western Maryland Health Services, LLC | Mc Henry, MD | $949.96 |
| UPMC Western Maryland Health Services, LLC | Frostburg, MD | $406.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.