Allegheny Clinic
Allegheny Clinic was paid $173K by Medicaid between Nov 2020 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
NEW KENSINGTON, PA 15068
Next to other Internal 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 | |
|---|---|---|---|
| 2020 | 180 | $6K | |
| 2021 | 2,640 | $57K | |
| 2022 | 1,808 | $47K | |
| 2023 | 1,441 | $36K | |
| 2024incomplete | 908 | $28K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 2,407 | 2,283 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 777 | 725 | $26K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.5% | 974 | 924 | $13K |
| 90686 | <1% | 106 | 106 | $648.87 | |
| G0008 | Administration of influenza virus vaccine | <1% | 48 | 48 | $527.90 |
| 3074F | <1% | 1,138 | 1,085 | $410.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | 14 | $379.40 |
| 3078F | <1% | 789 | 759 | $355.00 | |
| 3079F | <1% | 290 | 274 | $160.00 | |
| 3075F | <1% | 46 | 44 | $50.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 52 | 52 | $21.30 |
| 3077F | 0% | 12 | 12 | $0.00 |
6 more codes
| 3008F | 0% | 199 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 57 | $0.00 |
| 90656 | 0% | 14 | $0.00 | |
| 3044F | 0% | 28 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 1111F | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Jefferson Regional Medical Center | Pittsburgh, PA | $4.77M |
| Allegheny Clinic Radiology | Pittsburgh, PA | $4.22M |
| Allegheny Clinic | Pittsburgh, PA | $3.20M |
| Allegheny Clinic | Pittsburgh, PA | $1.88M |
| Allegheny Clinic | Braddock, PA | $1.04M |
| Allegheny Clinic | Pittsburgh, PA | $886K |
| Allegheny Clinic Pediatrics | Carnegie, PA | $784K |
| Allegheny Clinic | Pittsburgh, PA | $438K |
| Allegheny Clinic | Pittsburgh, PA | $428K |
| Allegheny Clinic | Pittsburgh, PA | $352K |
| Allegheny Clinic | Monroeville, PA | $332K |
| Allegheny Clinic | Pittsburgh, PA | $205K |
| Allegheny Clinic | Pittsburgh, PA | $197K |
| Allegheny Clinic | Pittsburgh, PA | $188K |
| Allegheny Clinic | Pittsburgh, PA | $182K |
| Allegheny Clinic | Pittsburgh, PA | $161K |
| Allegheny Clinic | Pittsburgh, PA | $148K |
| Allegheny Clinic | Pittsburgh, PA | $145K |
| Allegheny Clinic | Pittsburgh, PA | $140K |
| Allegheny Clinic | Pittsburgh, PA | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.