Physician
Allegheny Clinic
Allegheny Clinic was paid $1.88M by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 75% of everything it billed.
33Billing provider infoALLEGHENY CLINIC
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
33aNPI1962023432assigned 05/06/2020
33bProvider typeAddiction Medicine (Internal Medicine) Physician
28Total paid$1.88M
24GClaims19,571
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#4 of 14
Median peer was paid$239K
This provider vs. median7.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more
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 | 145 | $13K | |
| 2021 | 3,788 | $401K | |
| 2022 | 3,675 | $407K | |
| 2023 | 4,720 | $384K | |
| 2024incomplete | 7,243 | $673K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 75% | 6,125 | 5,792 | $1.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 4,542 | 3,787 | $194K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.0% | 2,701 | 1,226 | $151K |
| 80305 | 2.3% | 3,614 | 3,034 | $44K | |
| 99254 | 1.5% | 450 | 438 | $28K | |
| 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 | 1.1% | 313 | 260 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 189 | 177 | $18K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 679 | 588 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 89 | 69 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 29 | 16 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 39 | 31 | $2K |
| 99252 | <1% | 34 | 33 | $1K |
8 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 officialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Jefferson Regional Medical Center | Pittsburgh, PA | $4.77M |
| Allegheny Clinic Radiology | Pittsburgh, PA | $4.22M |
| Allegheny Clinic | Pittsburgh, PA | $3.20M |
| Allegheny Clinic | Braddock, PA | $1.04M |
| Allegheny Clinic | Pittsburgh, PA | $886K |
| Allegheny Clinic Pediatrics | Carnegie, PA | $784K |
| Allegheny Clinic | Pittsburgh, PA | $438K |
| Allegheny Clinic | Pittsburgh, PA | $428K |
| Allegheny Clinic | Pittsburgh, PA | $352K |
| Allegheny Clinic | Monroeville, PA | $332K |
| Allegheny Clinic | Pittsburgh, PA | $205K |
| Allegheny Clinic | Pittsburgh, PA | $197K |
| Allegheny Clinic | Pittsburgh, PA | $188K |
| Allegheny Clinic | Pittsburgh, PA | $182K |
| Allegheny Clinic | New Kensington, PA | $173K |
| Allegheny Clinic | Pittsburgh, PA | $161K |
| Allegheny Clinic | Pittsburgh, PA | $148K |
| Allegheny Clinic | Pittsburgh, PA | $145K |
| Allegheny Clinic | Pittsburgh, PA | $140K |
| Allegheny Clinic | Pittsburgh, PA | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.