Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Geisinger Clinic

Geisinger Clinic was paid $3.39M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoGEISINGER CLINIC
POTTSVILLE, PA 17901
33aNPI1043261183assigned 05/13/2006
28Total paid$3.39M
24GClaims101,545
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MULL, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018179$13K
2019163$9K
20204,250$135K
202122,091$764K
202226,353$827K
202323,018$860K
2024incomplete25,491$780K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32% 20,025 19,240 $1.08M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 19,278 18,405 $693K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 5,527 5,463 $466K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.4% 3,788 3,734 $319K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.8% 4,051 3,918 $265K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.9% 1,903 1,886 $166K
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) 1.9% 7,121 6,783 $66K
90686 1.3% 4,563 4,534 $43K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 501 489 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 2,146 2,025 $37K
90670 <1% 2,399 2,386 $24K
G0008 Administration of influenza virus vaccine <1% 1,970 1,941 $20K
58 more codes
90723 <1% 2,028 $19K
90647 <1% 1,943 $19K
90680 <1% 1,602 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 324 $8K
90677 <1% 1,193 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,156 $7K
92551 <1% 5,504 $7K
90633 <1% 830 $7K
99203 Doctor's office visit, new patient (routine) <1% 132 $7K
90750 <1% 135 $5K
90651 <1% 275 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 822 $5K
90656 <1% 682 $5K
85027 <1% 594 $5K
90732 <1% 41 $5K
90715 <1% 312 $3K
G0009 Administration of pneumococcal vaccine <1% 300 $3K
90734 <1% 329 $3K
0001A <1% 65 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 248 $2K
90710 <1% 222 $2K
0002A <1% 50 $2K
99173 <1% 4,182 $2K
99499 <1% 130 $2K
80053 Comprehensive metabolic panel <1% 161 $2K
90739 <1% 375 $2K
99204 Doctor's office visit, new patient (more involved) <1% 13 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 170 $1K
0052A <1% 24 $1K
G0010 Administration of hepatitis b vaccine <1% 104 $998.80
90648 <1% 93 $909.50
90746 <1% 39 $795.09
81025 <1% 179 $783.17
80048 Basic metabolic panel (calcium, ionized) <1% 79 $729.86
90696 <1% 82 $712.60
0004A <1% 17 $705.20
0051A <1% 16 $678.40
81001 <1% 220 $677.69
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 25 $658.32
90700 <1% 60 $616.60
0124A <1% 17 $610.52
90681 <1% 58 $559.70
85018 <1% 251 $393.47
96127 <1% 562 $258.20
83655 <1% 840 $241.50
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 329 $201.00
81003 <1% 53 $174.30
99177 <1% 374 $157.77
90620 <1% 32 $149.60
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15 $144.96
90716 <1% 13 $123.90
90707 <1% 13 $123.90
3078F <1% 26 $60.00
96160 <1% 341 $54.99
80061 Lipid panel <1% 31 $16.10
3008F 0% 537 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 13 $0.00
90714 0% 12 $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 officialMULL, CINDY (SYSTEM DIRECTOR ENROLLMENTS)
Same official

Other billing entities under MULL, CINDY

Full network →
ProviderLocationPaid
Geisinger ClinicDanville, PA$74.54M
Community Medical CenterScranton, PA$22.62M
Geisinger ClinicDanville, PA$14.93M
West Shore Advanced Life Support Services, INC.Danville, PA$4.41M
Geisinger ClinicLewistown, PA$2.93M
Geisinger ClinicScranton, PA$2.63M
Geisinger ClinicWilkes Barre, PA$2.35M
Geisinger ClinicDanville, PA$2.28M
Geisinger Jersey Shore HospitalJersey Shore, PA$2.17M
Geisinger ClinicScranton, PA$1.71M
Geisinger ClinicTunkhannock, PA$1.11M
Geisinger ClinicOrwigsburg, PA$974K
Geisinger ClinicPittston, PA$942K
Geisinger ClinicBerwick, PA$896K
Geisinger Clinic SelinsgroveSelinsgrove, PA$819K
Geisinger ClinicPhilipsburg, PA$678K
Geisinger ClinicLewisburg, PA$557K
Geisinger ClinicMountain Top, PA$523K
Geisinger ClinicKulpmont, PA$489K
Geisinger ClinicFrackville, PA$479K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.