Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPMC WESTERN MARYLAND CORPORATION

NPI: 1902926686 · CUMBERLAND, MD 21502 · Primary Care Clinic/Center · NPI assigned 03/29/2007

$1.36M
Total Medicaid Paid
21,368
Total Claims
19,317
Beneficiaries
25
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialRUBLE, AMBER (SR. VP. CFO)
Parent OrganizationUPMC WESTERN MARYLAND CORPORATION
NPI Enumeration Date03/29/2007

Related Entities

Other providers sharing the same authorized official: RUBLE, AMBER

ProviderCityStateTotal Paid
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $7.35M
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $3.96M
UPMC WESTERN MARYLAND CORPORATION FROSTBURG MD $3.91M
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $2.85M
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $1.18M
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $861K
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $778K
UPMC WESTERN MARYLAND CORPORATION RIDGELEY WV $65K
UPMC WESTERN MARYLAND CORPORATION CUMBERLAND MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,531 $138K
2019 2,512 $113K
2020 5,367 $318K
2021 6,084 $446K
2022 4,874 $342K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,939 9,837 $891K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,368 5,861 $364K
99309 Subsequent nursing facility care, per day, low to moderate complexity 853 787 $49K
90682 599 526 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 68 67 $9K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,141 1,046 $9K
G0008 Administration of influenza virus vaccine 473 424 $5K
90686 167 152 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $2K
99495 15 14 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 244 205 $2K
99442 157 100 $1K
99407 29 24 $665.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 30 29 $491.03
0094A 15 14 $367.78
90674 13 13 $324.80
99443 32 20 $302.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 23 12 $91.04
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 16 16 $67.55
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 24 $50.35
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
3078F 35 35 $0.00
3074F 60 60 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 14 14 $0.00
3079F 13 13 $0.00