Upmc Home Healthcare of Western PA
Upmc Home Healthcare of Western PA was paid $17.41M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 50% of everything it billed.
SEVEN FIELDS, PA 16046
Next to other Home Health Agency 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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 968 | $80K | |
| 2019 | 1,392 | $103K | |
| 2020 | 8,072 | $841K | |
| 2021 | 42,777 | $4.57M | |
| 2022 | 38,034 | $4.14M | |
| 2023 | 34,696 | $3.79M | |
| 2024incomplete | 35,291 | $3.88M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 50% | 80,114 | 22,040 | $8.73M |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 28% | 45,383 | 12,135 | $4.94M |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 10% | 16,703 | 5,065 | $1.82M |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 3.5% | 5,480 | 2,360 | $605K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | 2.6% | 4,155 | 1,163 | $449K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 1.3% | 3,945 | 1,066 | $226K |
| 99501 | 1.1% | 1,796 | 1,693 | $198K | |
| 99502 | 1.0% | 1,816 | 1,788 | $177K | |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 1.0% | 1,478 | 1,373 | $177K |
| S0311 | Comprehensive management and care coordination for advanced illness, per calendar month | <1% | 243 | 243 | $68K |
| S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | <1% | 105 | 105 | $17K |
| 99497 | <1% | 12 | 12 | $600.00 |
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 |
|---|---|---|
| Upmc Home Healthcare of Central Pennsylvania | Altoona, PA | $7.07M |
| Upmc Home Healthcare of Central Pennsylvania | Altoona, PA | $5.33M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.