Medicaid Provider Spending

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

UNIVERSITY OF PENN - MEDICAL GROUP

NPI: 1003923707 · PHILADELPHIA, PA 19104 · Internal Medicine Physician · NPI assigned 08/25/2006

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

Authorized official GRECO, STACY controls 19+ related entities in our dataset. Read more

$1.13M
Total Medicaid Paid
25,002
Total Claims
20,381
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGRECO, STACY (PAYER ENROLLMENT MANAGER)
NPI Enumeration Date08/25/2006

Related Entities

Other providers sharing the same authorized official: GRECO, STACY

ProviderCityStateTotal Paid
UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA $4.46M
UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA $2.52M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $2.50M
LANCASTER GENERAL HEALTH - COLUMBIA CENTER COLUMBIA PA $1.97M
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC PHILADELPHIA PA $1.43M
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ $1.35M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $1.03M
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $817K
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $682K
UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA $642K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC HILLSBOROUGH NJ $621K
LANCASTER GENERAL HEALTH - COLUMBIA CENTER WRIGHTSVILLE PA $326K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC CHERRY HILL NJ $222K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, P.C. CHERRY HILL NJ $117K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC CHERRY HILL NJ $73K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC RADNOR PA $56K
CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC CHERRY HILL NJ $13K
UNIVERSITY OF PENN-MEDICAL GROUP PHILADELPHIA PA $7K
LANCASTER GENERAL HEALTH LANCASTER PA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $281.55
2020 860 $50K
2021 6,321 $323K
2022 6,119 $256K
2023 6,206 $265K
2024 5,342 $233K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,993 1,889 $751K
99215 Prolong outpt/office vis 1,412 1,344 $97K
99233 Prolong inpt eval add15 m 1,388 534 $88K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,040 1,001 $56K
94010 6,484 6,200 $36K
94726 3,700 3,596 $35K
94729 4,401 4,273 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 301 297 $14K
94618 428 414 $7K
99205 Prolong outpt/office vis 27 27 $4K
94060 371 367 $3K
99292 20 12 $1K
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) 157 151 $1K
90686 221 221 $1K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 26 25 $725.38
99451 21 18 $336.28
93000 12 12 $225.07