Clinic
Upmc Western Maryland Corporation
Upmc Western Maryland Corporation was paid $1.36M by Medicaid between Jan 2018 and Dec 2022, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoUPMC WESTERN MARYLAND CORPORATION
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1902926686assigned 03/29/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.36M
24GClaims21,368
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#15 of 112
Median peer was paid$200K
This provider vs. median6.8×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,531 | $138K | |
| 2019 | 2,512 | $113K | |
| 2020 | 5,367 | $318K | |
| 2021 | 6,084 | $446K | |
| 2022 | 4,874 | $342K |
Box 24 · Service lines
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 | 66% | 10,939 | 9,837 | $891K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,368 | 5,861 | $364K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.6% | 853 | 787 | $49K |
| 90682 | 1.2% | 599 | 526 | $16K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 68 | 67 | $9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,141 | 1,046 | $9K |
| G0008 | Administration of influenza virus vaccine | <1% | 473 | 424 | $5K |
| 90686 | <1% | 167 | 152 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 12 | $2K |
| 99495 | <1% | 15 | 14 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 244 | 205 | $2K |
| 99442 | <1% | 157 | 100 | $1K |
13 more codes
| 99407 | <1% | 29 | $665.25 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 30 | $491.03 |
| 0094A | <1% | 15 | $367.78 | |
| 90674 | <1% | 13 | $324.80 | |
| 99443 | <1% | 32 | $302.69 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 23 | $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 | <1% | 16 | $67.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $50.35 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 3078F | 0% | 35 | $0.00 | |
| 3074F | 0% | 60 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 3079F | 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.
From NPPES
Who's on the registration
Authorized officialRUBLE, AMBER (SR. VP. CFO)
Parent organizationUPMC WESTERN MARYLAND CORPORATION
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.