Clinic
Upmc Carlisle
Upmc Carlisle was paid $13K by Medicaid between Mar 2021 and Nov 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 100% of everything it billed.
33Billing provider infoUPMC CARLISLE
CARLISLE, PA 17015
CARLISLE, PA 17015
33aNPI1972038826assigned 04/28/2017
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$13K
24GClaims9,719
24DCodes billed18
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#81 of 119
Median peer was paid$57K
This provider vs. median0.2×
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 | 1,318 | $4K | |
| 2022 | 1,406 | $0.00 | |
| 2023 | 3,362 | $0.00 | |
| 2024incomplete | 3,633 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 100% | 85 | 83 | $13K |
| J2704 | Injection, propofol, 10 mg | <1% | 2,280 | 1,484 | $5.02 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,312 | 1,028 | $2.07 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,161 | 878 | $2.00 |
| J3490 | Unclassified drugs | <1% | 1,408 | 1,107 | $1.03 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,207 | 1,104 | $1.02 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 935 | 855 | $0.58 |
| 82657 | 0% | 31 | 27 | $0.00 | |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 40 | 38 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 420 | 359 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 385 | 355 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 105 | 100 | $0.00 |
6 more codes
| J0688 | Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg | 0% | 99 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 45 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 68 | $0.00 |
| 88312 | 0% | 70 | $0.00 | |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 0% | 24 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 44 | $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 officialTALEFF, PATRICE (VP, REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Upmc Memorial | York, PA | $482K |
| Upmc Lititz | Lititz, PA | $90.68 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.