Clinic
UPMC Horizon
UPMC Horizon was paid $1K by Medicaid between Mar 2021 and Dec 2024, across 14 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 70% of everything it billed.
33Billing provider infoUPMC HORIZON
GREENVILLE, PA 16125
GREENVILLE, PA 16125
33aNPI1952465890assigned 12/21/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1K
24GClaims4,643
24DCodes billed14
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#100 of 119
Median peer was paid$57K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 225 | $359.25 | |
| 2022 | 240 | $0.00 | |
| 2023 | 1,546 | $831.60 | |
| 2024incomplete | 2,632 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 70% | 43 | 42 | $831.60 |
| J3490 | Unclassified drugs | 27% | 538 | 330 | $321.38 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 2.5% | 636 | 614 | $29.38 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 658 | 632 | $4.25 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 689 | 665 | $2.92 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 681 | 595 | $1.32 |
| J2704 | Injection, propofol, 10 mg | 0% | 32 | 29 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 435 | 354 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 235 | 225 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 296 | 293 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 203 | 165 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 47 | 46 | $0.00 |
2 more codes
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 officialFRITZ, BRIAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| UPMC Horizon | Greenville, PA | $8.63M |
| UPMC Jameson | New Castle, PA | $6.82M |
| UPMC ST Margaret | Pittsburgh, PA | $5.40M |
| UPMC Jameson | New Castle, PA | $3K |
| UPMC ST. Margaret | Pittsburgh, PA | $948.62 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.