University of Pittsburgh Physicians
University of Pittsburgh Physicians was paid $301K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 78% of everything it billed.
PITTSBURGH, PA 15232
Next to other Emergency Medical Services (Emergency Medicine) Physician 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 | |
|---|---|---|---|
| 2018 | 1,147 | $60K | |
| 2019 | 582 | $29K | |
| 2020 | 449 | $27K | |
| 2021 | 2,157 | $120K | |
| 2022 | 991 | $60K | |
| 2023 | 21 | $207.82 | |
| 2024incomplete | 344 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 78% | 4,021 | 3,734 | $235K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 989 | 944 | $49K |
| 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 | 3.6% | 282 | 265 | $11K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 69 | 55 | $3K |
| 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% | 155 | 147 | $3K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 154 | 144 | $412.30 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | 13 | $207.82 |
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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.