University of Pittsburgh Physicians
University of Pittsburgh Physicians was paid $23.58M by Medicaid between Jan 2018 and Dec 2024, across 224 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.
PITTSBURGH, PA 15213
Next to other Surgery 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 | 1,912 | $141K | |
| 2019 | 3,709 | $289K | |
| 2020 | 26,485 | $1.07M | |
| 2021 | 158,870 | $6.96M | |
| 2022 | 120,234 | $5.73M | |
| 2023 | 98,358 | $4.86M | |
| 2024incomplete | 94,204 | $4.52M |
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 | 32% | 97,894 | 94,935 | $7.64M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 35,369 | 34,085 | $2.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 32,729 | 30,257 | $1.40M |
| 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 | 4.2% | 13,916 | 13,081 | $1.00M |
| 70450 | Computed tomography, head or brain; without contrast material | 3.0% | 15,099 | 13,911 | $713K |
| S9083 | Global fee urgent care centers | 3.0% | 8,157 | 7,603 | $712K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.9% | 9,191 | 8,750 | $693K |
| 71045 | Radiologic examination, chest; single view | 2.4% | 69,355 | 51,720 | $558K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 4,064 | 3,764 | $518K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 5,592 | 5,381 | $428K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 41,967 | 36,171 | $393K |
| V2020 | Frames, purchases | 1.6% | 4,493 | 2,902 | $381K |
212 more codes
| 76801 | 1.5% | 5,661 | $350K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 1,585 | $346K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 4,687 | $292K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 5,512 | $262K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 5,872 | $229K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 2,220 | $216K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,612 | $206K |
| 76830 | Ultrasound, transvaginal | <1% | 4,574 | $201K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 773 | $181K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,543 | $179K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,718 | $177K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 3,555 | $167K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,880 | $160K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 1,128 | $152K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12,418 | $150K |
| 95720 | <1% | 521 | $145K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,343 | $132K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,310 | $130K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,762 | $119K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 736 | $118K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 2,237 | $116K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 921 | $110K |
| 95718 | <1% | 584 | $109K | |
| 88307 | <1% | 1,725 | $103K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 685 | $100K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 596 | $92K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,677 | $84K |
| 74018 | <1% | 7,684 | $81K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,691 | $64K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,663 | $62K |
| 93976 | <1% | 981 | $60K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,015 | $57K |
| 93320 | <1% | 1,282 | $53K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,354 | $48K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,646 | $48K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 806 | $43K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 928 | $43K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 134 | $41K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 382 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 360 | $38K |
| 90715 | <1% | 3,567 | $37K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,099 | $36K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,045 | $29K |
| 0001A | <1% | 1,343 | $26K | |
| 99460 | <1% | 228 | $24K | |
| 72131 | <1% | 453 | $22K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 650 | $21K |
| 90686 | <1% | 4,394 | $21K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 132 | $20K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 345 | $20K |
| 99245 | <1% | 67 | $20K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 434 | $20K |
| 99283 | Emergency room visit (moderate) | <1% | 295 | $19K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 320 | $19K |
| 72128 | <1% | 345 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 346 | $16K |
| 99243 | <1% | 112 | $16K | |
| 92250 | <1% | 854 | $15K | |
| 93325 | <1% | 658 | $14K | |
| 0071A | <1% | 495 | $14K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 716 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 321 | $13K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 503 | $13K |
| 0002A | <1% | 827 | $13K | |
| 76770 | <1% | 245 | $13K | |
| 90670 | <1% | 2,710 | $12K | |
| 73610 | <1% | 878 | $12K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 81 | $11K |
| 81025 | <1% | 1,534 | $11K | |
| 90651 | <1% | 3,066 | $11K | |
| 59025 | Fetal non-stress test | <1% | 747 | $11K |
| 0003A | <1% | 282 | $11K | |
| 76506 | <1% | 202 | $10K | |
| 73630 | <1% | 1,153 | $10K | |
| 92551 | <1% | 5,891 | $9K | |
| 95782 | <1% | 66 | $9K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 265 | $8K |
| 70498 | <1% | 69 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 255 | $7K |
| 92060 | <1% | 147 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 87 | $7K |
| 94010 | <1% | 688 | $7K | |
| 90723 | <1% | 2,706 | $7K | |
| 90647 | <1% | 2,620 | $7K | |
| 70486 | <1% | 114 | $6K | |
| 93321 | <1% | 154 | $6K | |
| 96132 | <1% | 173 | $6K | |
| 70496 | <1% | 55 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 396 | $6K |
| 90734 | <1% | 976 | $6K | |
| 90633 | <1% | 2,332 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 338 | $5K |
| 95812 | <1% | 44 | $5K | |
| 93975 | <1% | 55 | $5K | |
| 95938 | <1% | 185 | $5K | |
| 0013A | <1% | 136 | $5K | |
| 88141 | <1% | 642 | $5K | |
| 90680 | <1% | 1,981 | $5K | |
| 0011A | <1% | 273 | $4K | |
| 95941 | <1% | 59 | $4K | |
| 93296 | <1% | 341 | $4K | |
| 76642 | <1% | 124 | $4K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 51 | $4K |
| 99173 | <1% | 4,174 | $4K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 22 | $4K |
| 87210 | <1% | 441 | $4K | |
| 0012A | <1% | 250 | $3K | |
| 74019 | <1% | 216 | $3K | |
| 90682 | <1% | 146 | $3K | |
| 93971 | <1% | 90 | $3K | |
| 93000 | <1% | 261 | $3K | |
| 90710 | <1% | 1,411 | $3K | |
| 0072A | <1% | 89 | $3K | |
| 81002 | <1% | 635 | $3K | |
| 90696 | <1% | 1,095 | $3K | |
| 00731 | <1% | 32 | $3K | |
| 71250 | <1% | 89 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 27 | $3K |
| 90716 | <1% | 909 | $3K | |
| 90707 | <1% | 907 | $2K | |
| 90700 | <1% | 874 | $2K | |
| 73090 | <1% | 163 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 25 | $2K |
| 93295 | <1% | 79 | $2K | |
| 73590 | <1% | 185 | $2K | |
| 99451 | <1% | 38 | $2K | |
| 93970 | <1% | 59 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 48 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | $2K |
| 99177 | <1% | 533 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | $2K |
| 92201 | <1% | 62 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 42 | $2K |
| S0612 | Annual gynecological examination, established patient | <1% | 42 | $2K |
| 93227 | <1% | 29 | $2K | |
| 70491 | <1% | 28 | $2K | |
| 88342 | <1% | 25 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 255 | $1K |
| 73030 | <1% | 149 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 245 | $1K |
| 90674 | <1% | 547 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 326 | $1K |
| 99254 | <1% | 20 | $985.48 | |
| 92134 | <1% | 30 | $979.80 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 40 | $856.00 |
| 92083 | <1% | 16 | $773.62 | |
| 73110 | <1% | 66 | $710.11 | |
| 96127 | <1% | 709 | $695.52 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 12 | $669.53 |
| G0452 | Molecular pathology procedure; physician interpretation and report | <1% | 48 | $662.24 |
| 93923 | <1% | 13 | $650.30 | |
| 73130 | <1% | 75 | $627.59 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 21 | $619.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 921 | $576.59 |
| 11721 | <1% | 38 | $556.71 | |
| 83986 | <1% | 205 | $546.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | $535.38 |
| 73564 | <1% | 31 | $507.56 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 262 | $495.95 |
| S0592 | Comprehensive contact lens evaluation | <1% | 13 | $455.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 15 | $450.00 |
| 88300 | <1% | 85 | $445.70 | |
| 96161 | <1% | 184 | $435.54 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $416.91 |
| 73502 | <1% | 57 | $411.04 | |
| 92557 | <1% | 12 | $402.07 | |
| 96160 | <1% | 752 | $387.88 | |
| 77072 | <1% | 27 | $384.24 | |
| 72170 | <1% | 45 | $359.61 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 174 | $357.35 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 19 | $357.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 27 | $353.21 |
| 72082 | <1% | 12 | $279.03 | |
| 76376 | <1% | 97 | $257.20 | |
| 73560 | <1% | 33 | $249.26 | |
| 90620 | <1% | 155 | $228.00 | |
| 76140 | <1% | 28 | $198.48 | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 27 | $196.41 |
| 72100 | <1% | 12 | $178.66 | |
| 99422 | <1% | 50 | $178.64 | |
| G0008 | Administration of influenza virus vaccine | <1% | 57 | $167.60 |
| 95115 | <1% | 30 | $166.15 | |
| 99459 | <1% | 48 | $110.55 | |
| 3061F | <1% | 14 | $110.00 | |
| 99051 | <1% | 37 | $28.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 184 | $27.04 |
| 83655 | <1% | 33 | $20.80 | |
| 85018 | <1% | 32 | $17.09 | |
| 3288F | 0% | 342 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 311 | $0.00 |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 0% | 14 | $0.00 |
| 91322 | 0% | 103 | $0.00 | |
| 96136 | 0% | 44 | $0.00 | |
| 90678 | 0% | 108 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 104 | $0.00 |
| 90661 | 0% | 416 | $0.00 | |
| 91321 | 0% | 163 | $0.00 | |
| 90658 | 0% | 40 | $0.00 | |
| 91300 | 0% | 27 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
| 90619 | 0% | 1,057 | $0.00 | |
| 90677 | 0% | 1,086 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 294 | $0.00 |
| J0178 | Injection, aflibercept, 1 mg | 0% | 82 | $0.00 |
| 90656 | 0% | 169 | $0.00 | |
| J7999 | Compounded drug, not otherwise classified | 0% | 30 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 73 | $0.00 |
| 1101F | 0% | 293 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 53 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 54 | $0.00 |
| 90660 | 0% | 50 | $0.00 | |
| 91307 | 0% | 85 | $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 |
|---|---|---|
| Urgent Care, INC.- West Virginia | South Charleston, WV | $66.96M |
| Great Lakes Physician Practice PC | Jamestown, NY | $8.88M |
| Upmc Altoona | Altoona, PA | $394K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $287K |
| Upmc Altoona | Altoona, PA | $230K |
| Upmc Altoona | Altoona, PA | $165K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $128K |
| Upmc Western Maryland Health Services, LLC | Cumberland, MD | $107K |
| Upmc Advanced Practice Providers | Pittsburgh, PA | $75K |
| Upmc Western Maryland Health Services, LLC | Cumberland, MD | $38K |
| Upmc Western Maryland Health Services, LLC | Frostburg, MD | $21K |
| University of Pittsburgh Physicians | Pittsburgh, PA | $14K |
| University of Pittsburgh Physicians | Clarion, PA | $4K |
| Upmc Western Maryland Health Services, LLC | Cumberland, MD | $2K |
| Upmc Western Maryland Health Services, LLC | Cumberland, MD | $1K |
| Upmc Community Medicine, INC | Pittsburgh, PA | $1K |
| Upmc Western Maryland Health Services, LLC | Mc Henry, MD | $949.96 |
| Upmc Western Maryland Health Services, LLC | Frostburg, MD | $406.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.