Physician
Somerset Health Services, INC.
Somerset Health Services, INC. was paid $14K by Medicaid between Aug 2021 and Nov 2024, across 5 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 92% of everything it billed.
33Billing provider infoSOMERSET HEALTH SERVICES, INC.
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1770756413assigned 04/02/2008
33bProvider typeInterventional Cardiology Physician
28Total paid$14K
24GClaims2,214
24DCodes billed5
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Pennsylvania
Rank by total paid#22 of 71
Median peer was paid$4K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2021 | 263 | $1K | |
| 2022 | 849 | $5K | |
| 2023 | 611 | $3K | |
| 2024incomplete | 491 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 92% | 2,158 | 1,839 | $12K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.3% | 15 | 15 | $581.01 |
| 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 | 1.9% | 14 | 14 | $258.28 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $127.50 |
| 93000 | <1% | 14 | 12 | $111.75 |
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 officialRUSH, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| UPMC Somerset | Somerset, PA | $2.89M |
| Somerset Health Services INC | Somerset, PA | $160K |
| Somerset Health Services, INC. | Johnstown, PA | $43K |
| Somerset Health Services, INC. | Somerset, PA | $13K |
| UPMC Somerset | Somerset, PA | $7K |
| Somerset Health Services INC | Somerset, PA | $6K |
| Somerset Health Services, INC. | Somerset, PA | $4K |
| UPMC Somerset | Somerset, PA | $2K |
| UPMC Somerset | Somerset, PA | $1K |
| Somerset Health Services, INC. | Somerset, PA | $368.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.