Medicaid Provider Spending

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

LANCASTER GENERAL MEDICAL GROUP

NPI: 1023003647 · LANCASTER, PA 17603 · Case Management Agency · NPI assigned 09/20/2005

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

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

$339K
Total Medicaid Paid
9,276
Total Claims
8,910
Beneficiaries
23
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKENNEDY, DENISE (VP FINANCIAL SERVICES)
NPI Enumeration Date09/20/2005

Related Entities

Other providers sharing the same authorized official: KENNEDY, DENISE

ProviderCityStateTotal Paid
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $2.17M
LANCASTER GENERAL MEDICAL GROUP LEBANON PA $1.29M
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $1.24M
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $1.05M
LANCASTER GENERAL MEDICAL GROUP ELIZABETHTOWN PA $846K
LANCASTER GENERAL MEDICAL GROUP PARKESBURG PA $698K
LANCASTER GENERAL MEDICAL GROUP LITITZ PA $476K
LANCASTER GENERAL MEDICAL GROUP EPHRATA PA $436K
LANCASTER GENERAL MEDICAL GROUP PARKESBURG PA $394K
LANCASTER GENERAL MEDICAL GROUP LITITZ PA $383K
LANCASTER GENERAL MEDICAL GROUP MARIETTA PA $373K
LANCASTER GENERAL MEDICAL GROUP LEBANON PA $345K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $319K
LANCASTER GENERAL MEDICAL GROUP ELIZABETHTOWN PA $319K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $277K
LANCASTER GENERAL MEDICAL GROUP MANHEIM PA $267K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $249K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $229K
LANCASTER GENERAL MEDICAL GROUP EAST PETERSBURG PA $190K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $182K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 476 $16K
2021 2,783 $95K
2022 2,358 $79K
2023 2,089 $76K
2024 1,570 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,752 3,580 $200K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,252 3,090 $120K
G9012 Other specified case management service not elsewhere classified 27 27 $7K
90686 871 856 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 85 84 $3K
96127 183 183 $761.64
90670 127 127 $740.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24 24 $460.29
0124A 12 12 $395.93
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $343.20
90633 44 44 $270.00
90723 49 49 $259.00
90647 27 27 $166.00
90651 14 14 $140.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 64 $111.05
99421 12 12 $7.50
J1050 Injection, medroxyprogesterone acetate, 1 mg 26 26 $0.00
3078F 177 176 $0.00
3074F 403 399 $0.00
90680 12 12 $0.00
90656 62 62 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 18 $0.00
3044F 18 12 $0.00