Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

West Penn Allegheny Health System Inc. (NPI 1679592380)

Field	Value
Entity Type	Organization
Organization	West Penn Allegheny Health System Inc.
Address	2570 Haymaker Road
City	Monroeville
State	PA
ZIP	15146
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

225 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	3,040	$830	$2.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,340	$150	$2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6,090	$150	$883.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6,670	$130	$846.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,930	$100	$198.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,990	$20	$111.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,520	$40	$95.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	13,280	$10	$93K
0241U	N/A	1,300	$70	$84.3K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	1,130	$60	$67.6K

Showing 1–10 of 225

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

West Penn Allegheny Health System Inc. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

225 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	23	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	773	1,690	760	$170	$1.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	115	130	310	$60	$769.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	43	210	730	$40	$689.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	92	200	990	$70	$517.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	167	1,600	270	$120	$409.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	130	1,060	150	$130	$405.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	47	1,230	250	$130	$284K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	100	100	330	$40	$166K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	45	70	320	$90	$139.3K

Showing 1–10 of 225

Related Providers

Other providers that share a Tax Identification Number (TIN) with West Penn Allegheny Health System Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Regional Medical Center	PA	General Acute Care Hospital	$0	$12.7M
West Penn Allegheny Health System Inc	PA	General Acute Care Hospital	$0	$12.7M
West Penn Allegheny Health System Inc.	PA	General Acute Care Hospital	$0	$10.8M
West Penn Allegheny Health System Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Richard Kim	SC	Rheumatology Physician	$3.6M	$0
Thierry Verstraeten	PA	Ophthalmology Physician	$894.3K	$45K
Allegheny Clinic	PA	Radiology Clinic/Center	$842K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Carol Mayfield	PA	Family Nurse Practitioner	$568.5K	$0
Angela Stupi	PA	Rheumatology Physician	$472.5K	$27.1K

Nearby Providers

Other providers in the same ZIP code as West Penn Allegheny Health System Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Pharmacy Direct, LLC.	PA	Specialty Pharmacy	$8.3M	$227.3M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$92M
Jade Wellness Center	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.6M
Upmc East	PA	General Acute Care Hospital	$0	$5.8M
Jared Knickelbein	PA	Retina Specialist (Ophthalmology) Physician	$1.8M	$99.4K
Med Health Services Management, LP	PA	Clinical Medical Laboratory	$111.4K	$1.7M
Paul Conrad	PA	Ophthalmology Physician	$1.5M	$62.5K
Shripaad Shukla	PA	Retina Specialist (Ophthalmology) Physician	$1.4M	$83.2K
Avni Vyas	PA	Retina Specialist (Ophthalmology) Physician	$1.3M	$34.5K
Deepam Rusia	PA	Retina Specialist (Ophthalmology) Physician	$1M	$76.5K

West Penn Allegheny Health System Inc. — Billing Profile & Reimbursement Data

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West Penn Allegheny Health System Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References