Behavioral
Upmc Children's Hospital of Pittsburgh
Upmc Children's Hospital of Pittsburgh was paid $164K by Medicaid between Oct 2020 and Sep 2024, across 15 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 32% of everything it billed.
33Billing provider infoUPMC CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
33aNPI1740304955assigned 03/16/2007
33bProvider typeSocial Worker
28Total paid$164K
24GClaims3,138
24DCodes billed15
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers
Next to other Social Worker providers in Pennsylvania
Rank by total paid#59 of 218
Median peer was paid$51K
This provider vs. median3.2×
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.
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 | |
|---|---|---|---|
| 2020 | 255 | $19K | |
| 2021 | 1,266 | $54K | |
| 2022 | 647 | $38K | |
| 2023 | 575 | $32K | |
| 2024incomplete | 395 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 32% | 968 | 941 | $52K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 16% | 744 | 549 | $26K |
| 96137 | 11% | 307 | 292 | $17K | |
| 96130 | 9.1% | 181 | 171 | $15K | |
| 96136 | 7.2% | 394 | 382 | $12K | |
| 96133 | 6.0% | 66 | 54 | $10K | |
| 96131 | 4.4% | 90 | 69 | $7K | |
| 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 | 4.2% | 71 | 70 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 110 | 39 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 47 | 37 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 47 | 36 | $3K |
| 96132 | 2.1% | 59 | 56 | $3K |
3 more codes
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 officialBARCELLONA, NICHOLAS (CFO)
| Provider | Location | Paid |
|---|---|---|
| Upmc Children's Hospital of Pittsburgh Dental Services | Pittsburgh, PA | $3.83M |
| Gateway Home Care, LLC | Bridgeport, WV | $1.09M |
| Gateway Home Care, LLC | Kearneysville, WV | $1.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.