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

Jefferson Regional Medical Center

Jefferson Regional Medical Center was paid $4.77M by Medicaid between Jun 2020 and Dec 2024, across 13 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 55% of everything it billed.

33Billing provider infoJEFFERSON REGIONAL MEDICAL CENTER
PITTSBURGH, PA 15236
33aNPI1891763249assigned 03/10/2006
33bProvider typeProfessional Counselor
28Total paid$4.77M
24GClaims54,494
24DCodes billed13
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in Pennsylvania

Rank by total paid#5 of 414
Median peer was paid$61K
This provider vs. median79×

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.

Entity ProliferationAuthorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
20202,007$146K
20218,136$640K
202214,954$1.23M
202317,844$1.60M
2024incomplete11,553$1.16M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 55% 32,236 14,323 $2.60M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12% 4,926 4,507 $575K
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 9.4% 3,132 2,925 $448K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 7.0% 2,991 2,124 $336K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 6.0% 6,746 4,851 $287K
90792 Psychiatric diagnostic evaluation with medical services 4.3% 994 949 $204K
H0034 Medication training and support, per 15 minutes 2.8% 1,221 1,126 $134K
90853 Group psychotherapy (other than of a multiple-family group) 2.0% 1,129 287 $93K
90847 Family psychotherapy with the patient present, 50 minutes 1.0% 729 532 $49K
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% 206 195 $22K
99201 <1% 140 122 $15K
99241 <1% 29 28 $3K
1 more codes
90846 Family psychotherapy without the patient present, 50 minutes <1% 15 $888.92

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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)
Same official

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