Clinic
UPMC Kane
UPMC Kane was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoUPMC KANE
KANE, PA 16735
KANE, PA 16735
33aNPI1861478307assigned 12/16/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.09M
24GClaims35,703
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#15 of 119
Median peer was paid$57K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2018 | 1,749 | $8K | |
| 2019 | 2,165 | $15K | |
| 2020 | 2,944 | $65K | |
| 2021 | 16,520 | $443K | |
| 2022 | 4,981 | $213K | |
| 2023 | 5,175 | $225K | |
| 2024incomplete | 2,169 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 11,206 | 9,543 | $691K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.2% | 1,500 | 1,450 | $100K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.6% | 1,070 | 980 | $94K |
| 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 | 2.4% | 1,916 | 1,813 | $26K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 283 | 280 | $16K |
| 64635 | 1.2% | 27 | 26 | $14K | |
| 80050 | General health panel | 1.1% | 242 | 240 | $12K |
| 80053 | Comprehensive metabolic panel | 1.0% | 1,513 | 1,425 | $11K |
| 80061 | Lipid panel | <1% | 777 | 776 | $10K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 2,089 | 1,850 | $10K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 266 | 259 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,115 | 1,930 | $9K |
61 more codes
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 227 | $8K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,411 | $7K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 657 | $6K |
| 99285 | Emergency room visit (most serious) | <1% | 74 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 500 | $5K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 93 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 237 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 577 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 320 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 43 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 309 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 80 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 376 | $3K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 211 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 150 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 270 | $2K |
| 80361 | <1% | 65 | $2K | |
| 84439 | <1% | 212 | $2K | |
| 83735 | <1% | 218 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 224 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 28 | $1K |
| 81003 | <1% | 457 | $1K | |
| 71045 | Radiologic examination, chest; single view | <1% | 153 | $879.48 |
| 84484 | <1% | 140 | $783.05 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $686.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 224 | $601.21 |
| 73564 | <1% | 26 | $535.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,947 | $488.85 |
| 85651 | <1% | 185 | $453.06 | |
| 80365 | <1% | 12 | $449.29 | |
| 87254 | <1% | 14 | $428.30 | |
| 87077 | <1% | 59 | $393.71 | |
| 87070 | <1% | 68 | $360.15 | |
| 72110 | <1% | 24 | $353.79 | |
| 85610 | <1% | 143 | $329.76 | |
| 87186 | <1% | 42 | $327.33 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $308.36 |
| 73630 | <1% | 29 | $297.65 | |
| 83880 | <1% | 15 | $278.60 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 26 | $254.57 |
| 80076 | <1% | 25 | $190.31 | |
| 87040 | <1% | 13 | $177.27 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 779 | $174.69 |
| 83690 | <1% | 43 | $158.80 | |
| 73030 | <1% | 16 | $127.05 | |
| 83605 | <1% | 26 | $120.61 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $119.79 |
| 81025 | <1% | 53 | $119.77 | |
| 85730 | <1% | 18 | $66.59 | |
| 86140 | <1% | 26 | $59.90 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $44.14 |
| 64636 | <1% | 14 | $21.02 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 41 | $5.30 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 17 | $2.79 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 171 | $1.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 323 | $1.07 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 110 | $0.79 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 52 | $0.02 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 14 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 27 | $0.00 |
| A4649 | Surgical supply; miscellaneous | 0% | 31 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialDINGER, BRAD (CFO)
| Provider | Location | Paid |
|---|---|---|
| UPMC Hamot | Erie, PA | $18.06M |
| UPMC Northwest | Seneca, PA | $5.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.