Physician
Wellspan Medical Group
Wellspan Medical Group was paid $793K by Medicaid between Nov 2020 and Dec 2024, across 38 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 32% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17402
YORK, PA 17402
33aNPI1073756672assigned 04/13/2009
33bProvider typeInternal Medicine Physician
28Total paid$793K
24GClaims20,932
24DCodes billed38
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#33 of 1,726
Median peer was paid$6K
This provider vs. median122×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SWEITZER, JENNIFER controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 402 | $17K | |
| 2021 | 3,118 | $133K | |
| 2022 | 3,461 | $163K | |
| 2023 | 3,026 | $110K | |
| 2024incomplete | 10,925 | $370K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 32% | 1,867 | 901 | $251K |
| D0140 | Limited oral evaluation - problem focused | 11% | 1,543 | 1,529 | $86K |
| 95800 | 9.6% | 2,594 | 2,534 | $76K | |
| D7140 | Extraction, erupted tooth or exposed root | 9.5% | 1,156 | 790 | $75K |
| 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 | 9.2% | 1,605 | 1,551 | $73K |
| D1110 | Prophylaxis - adult | 3.4% | 758 | 757 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 1,115 | 1,114 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 593 | 571 | $19K |
| 94729 | 1.9% | 2,022 | 1,966 | $15K | |
| 94726 | 1.8% | 1,486 | 1,449 | $14K | |
| 94060 | 1.6% | 1,734 | 1,688 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,319 | 1,306 | $11K |
26 more codes
| 94375 | 1.3% | 467 | $10K | |
| 95811 | 1.3% | 68 | $10K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 544 | $10K |
| D0274 | Bitewings - four radiographic images | 1.2% | 342 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 125 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 152 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 90 | $8K |
| D1120 | Dental cleaning, child | <1% | 211 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 97 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 195 | $5K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 51 | $4K |
| D0330 | Panoramic radiographic image | <1% | 131 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 27 | $4K |
| D9920 | <1% | 25 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 48 | $3K |
| 94727 | <1% | 88 | $2K | |
| D1330 | <1% | 202 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 44 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 50 | $504.22 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $490.09 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 38 | $429.76 |
| D0270 | <1% | 43 | $340.80 | |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $235.92 |
| D1310 | <1% | 44 | $184.35 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 18 | $138.38 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $120.96 |
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 officialSWEITZER, JENNIFER (DIRECTOR AND AO)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $22.34M |
| Wellspan Medical Group | York, PA | $3.41M |
| Wellspan Medical Group | York, PA | $3.21M |
| Wellspan Medical Group | York, PA | $3.15M |
| Wellspan Medical Group | York, PA | $2.38M |
| Wellspan Medical Group | York, PA | $2.08M |
| Wellspan Medical Group | Hanover, PA | $1.91M |
| Wellspan Medical Group | York, PA | $1.75M |
| Wellspan Medical Group | Lebanon, PA | $1.60M |
| Wellspan Medical Group | York, PA | $1.57M |
| Wellspan Medical Group | York, PA | $1.34M |
| Wellspan Medical Group | Ephrata, PA | $1.32M |
| Wellspan Medical Group | Annville, PA | $902K |
| Wellspan Medical Group | York, PA | $635K |
| Wellspan Medical Group | York, PA | $566K |
| Wellspan Medical Group | York, PA | $491K |
| Wellspan Medical Group | Shippensburg, PA | $442K |
| Wellspan Medical Group | Waynesboro, PA | $439K |
| Wellspan Medical Group | Chambersburg, PA | $411K |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.