Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Muncy › NPI 1912082272
Clinic

UPMC Muncy

UPMC Muncy was paid $37K by Medicaid between Oct 2020 and Nov 2021, across 16 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 18% of everything it billed.

33Billing provider infoUPMC MUNCY
MUNCY, PA 17756
33aNPI1912082272assigned 10/26/2006
33bProvider typeClinic/Center
28Total paid$37K
24GClaims2,826
24DCodes billed16
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#128 of 176
Median peer was paid$441K
This provider vs. median0.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020298$4K
20212,528$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 18% 392 85 $6K
84443 Thyroid stimulating hormone (TSH) 17% 262 259 $6K
80061 Lipid panel 13% 353 351 $5K
80048 Basic metabolic panel (calcium, ionized) 9.8% 393 330 $4K
80053 Comprehensive metabolic panel 9.8% 315 303 $4K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 8.7% 112 38 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.7% 478 432 $3K
83036 Hemoglobin; glycosylated (A1C) 3.9% 220 219 $1K
77067 Screening mammography, bilateral, including computer-aided detection 2.7% 12 12 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.7% 26 26 $977.73
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.4% 14 13 $867.42
85027 1.9% 84 83 $699.83
4 more codes
80076 1.4% 53 $519.91
81001 <1% 88 $226.64
71046 Radiologic examination, chest; 2 views <1% 12 $148.89
84439 <1% 12 $105.60

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 officialYOST, ROGER (CFO)
Parent organizationUPMC SUSQUEHANNA
Same official

Other billing entities under YOST, ROGER

Full network →
ProviderLocationPaid
UPMC WilliamsportWilliamsport, PA$9.69M
UPMC WilliamsportWilliamsport, PA$4.00M
Charles Cole Memorial HospitalCoudersport, PA$3.64M
UPMC Lock HavenLock Haven, PA$1.17M
UPMC MuncyMuncy, PA$1.04M
Cole Care, INC.Coudersport, PA$290K
UPMC MuncyMuncy, PA$185.83
Charles Cole Memorial D/B/A UPMC ColeCoudersport, PA$0.00

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