Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Somerset Health Services, INC.

Somerset Health Services, INC. was paid $368.75 by Medicaid between Jun 2021 and Jun 2021, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoSOMERSET HEALTH SERVICES, INC.
SOMERSET, PA 15501
33aNPI1871590240assigned 06/30/2005
28Total paid$368.75
24GClaims13
24DCodes billed1
24AFirst – last monthJun 2021 – Jun 2021
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#270 of 291
Median peer was paid$7K
This provider vs. median0.0×

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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
202113$368.75
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100% 13 13 $368.75

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)
Same official

Other billing entities under RUSH, ANDREW

Full network →
ProviderLocationPaid
UPMC SomersetSomerset, PA$2.89M
Somerset Health Services INCSomerset, PA$160K
Somerset Health Services, INC.Johnstown, PA$43K
Somerset Health Services, INC.Somerset, PA$14K
Somerset Health Services, INC.Somerset, PA$13K
UPMC SomersetSomerset, PA$7K
Somerset Health Services INCSomerset, PA$6K
Somerset Health Services, INC.Somerset, PA$4K
UPMC SomersetSomerset, PA$2K
UPMC SomersetSomerset, PA$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.