Medicaid Provider Spending

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

UNIVERSITY OF PITTSBURGH PHYSICIANS

NPI: 1861457830 · PITTSBURGH, PA 15232 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 04/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EHALT, MARK controls 15+ related entities in our dataset. Read more

$301K
Total Medicaid Paid
5,691
Total Claims
5,302
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEHALT, MARK (DIRECTOR, REVENUE CYCLE)
NPI Enumeration Date04/20/2006

Related Entities

Other providers sharing the same authorized official: EHALT, MARK

ProviderCityStateTotal Paid
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $26.35M
ONCOLOGY HEMATOLOGY ASSOCIATION INC PITTSBURGH PA $232K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $147K
UPMC COMMUNITY MEDICINE INC CLARION PA $10K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $8K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $7K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $6K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $4K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $2K
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $2K
TRI-STATE NEUROSURGICAL ASSOCIATES INC PITTSBURGH PA $926.53
UPMC COMMUNITY MEDICINE INC TRAFFORD PA $462.03
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $375.65
UPMC COMMUNITY MEDICINE INC PITTSBURGH PA $244.48
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $195.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,147 $60K
2019 582 $29K
2020 449 $27K
2021 2,157 $120K
2022 991 $60K
2023 21 $207.82
2024 344 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 4,021 3,734 $235K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 989 944 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 282 265 $11K
99283 Emergency department visit for the evaluation and management, moderate severity 69 55 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 155 147 $3K
S9088 Services provided in an urgent care center (list in addition to code for service) 154 144 $412.30
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21 13 $207.82