Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALLEGHENY CLINIC

NPI: 1962023432 · PITTSBURGH, PA 15212 · Addiction Medicine (Internal Medicine) Physician · NPI assigned 05/06/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NOEL, DENISE controls 20+ related entities in our dataset. Read more

$1.88M
Total Medicaid Paid
19,571
Total Claims
16,120
Beneficiaries
20
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNOEL, DENISE (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date05/06/2020

Related Entities

Other providers sharing the same authorized official: NOEL, DENISE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 145 $13K
2021 3,788 $401K
2022 3,675 $407K
2023 4,720 $384K
2024 7,243 $673K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 6,125 5,792 $1.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,542 3,787 $194K
99232 Subsequent hospital care, per day, moderate complexity 2,701 1,226 $151K
80305 3,614 3,034 $44K
99254 450 438 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 313 260 $20K
99222 Initial hospital care, per day, moderate complexity 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) 679 588 $8K
99215 Prolong outpt/office vis 89 69 $8K
99233 Prolong inpt eval add15 m 29 16 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 31 $2K
99252 34 33 $1K
99253 29 27 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 13 $380.80
3078F 227 202 $0.00
3077F 26 25 $0.00
3074F 329 272 $0.00
3008F 82 75 $0.00
3079F 48 43 $0.00
90686 12 12 $0.00