Physician
Wellspan Medical Group
Wellspan Medical Group was paid $734K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
HANOVER, PA 17331
HANOVER, PA 17331
33aNPI1114292760assigned 03/15/2012
33bProvider typeFamily Medicine Physician
28Total paid$734K
24GClaims17,084
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#88 of 2,756
Median peer was paid$19K
This provider vs. median38×
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 VEST, CHRISTINA controls 15+ 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 | |
|---|---|---|---|
| 2018 | 108 | $2K | |
| 2019 | 111 | $3K | |
| 2020 | 624 | $23K | |
| 2021 | 4,078 | $174K | |
| 2022 | 5,369 | $214K | |
| 2023 | 4,481 | $196K | |
| 2024incomplete | 2,313 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 8,661 | 8,087 | $536K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,558 | 3,385 | $152K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 746 | 689 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 75 | 71 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 341 | 336 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 129 | 128 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 94 | 92 | $3K |
| 90686 | <1% | 507 | 492 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 584 | 567 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 209 | 202 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | 55 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | 52 | $2K |
16 more codes
| 80305 | <1% | 131 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 33 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $670.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 37 | $505.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $333.75 |
| 90715 | <1% | 17 | $323.98 | |
| 81002 | <1% | 42 | $190.19 | |
| 90734 | <1% | 12 | $106.00 | |
| 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% | 136 | $99.20 |
| 3079F | <1% | 12 | $60.00 | |
| 3075F | <1% | 12 | $60.00 | |
| 3008F | 0% | 1,423 | $0.00 | |
| 90619 | 0% | 16 | $0.00 | |
| 90656 | 0% | 79 | $0.00 | |
| 90698 | 0% | 46 | $0.00 | |
| 90670 | 0% | 44 | $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 officialVEST, CHRISTINA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $1.88M |
| Wellspan Medical Group | Shrewsbury, PA | $1.22M |
| Wellspan Medical Group | Dallastown, PA | $652K |
| Wellspan Medical Group | Lititz, PA | $560K |
| Wellspan Medical Group | Gettysburg, PA | $405K |
| Wellspan Medical Group | Lebanon, PA | $331K |
| Wellspan Medical Group | Littlestown, PA | $321K |
| Wellspan Medical Group | York, PA | $320K |
| Wellspan Medical Group | York, PA | $246K |
| Wellspan Medical Group | York, PA | $235K |
| Wellspan Medical Group | Red Lion, PA | $207K |
| Wellspan Medical Group | York, PA | $186K |
| Wellspan Medical Group | Thurmont, MD | $165K |
| Wellspan Medical Group | Dover, PA | $98K |
| Wellspan Medical Group | York, PA | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.