Physician
Upmc Washington
Upmc Washington was paid $163K by Medicaid between Oct 2020 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 96% of everything it billed.
33Billing provider infoUPMC WASHINGTON
WASHINGTON, PA 15301
WASHINGTON, PA 15301
33aNPI1922077205assigned 03/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$163K
24GClaims6,712
24DCodes billed9
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#441 of 2,756
Median peer was paid$19K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2020 | 430 | $13K | |
| 2021 | 2,286 | $71K | |
| 2022 | 1,645 | $44K | |
| 2023 | 1,676 | $24K | |
| 2024incomplete | 675 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 96% | 4,328 | 4,147 | $157K |
| 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 | 1.9% | 57 | 55 | $3K |
| 90686 | 1.3% | 291 | 282 | $2K | |
| 0003A | <1% | 26 | 26 | $1K | |
| 90715 | <1% | 12 | 12 | $222.00 | |
| 3008F | 0% | 1,617 | 1,552 | $0.00 | |
| 1000F | 0% | 243 | 237 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 125 | 122 | $0.00 |
| 3074F | 0% | 13 | 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 officialO'BRIEN, LAUREN (ASSOCIATE DIRECTOR)
Parent organizationTHE WASHINGTON HOSPITAL