Medicaid Provider Spending

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

LANCASTER GENERAL MEDICAL GROUP

NPI: 1134164676 · EPHRATA, PA 17522 · Family Medicine Physician · NPI assigned 06/18/2006

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

Authorized official WELCH, GARY controls 20+ related entities in our dataset. Read more

$320K
Total Medicaid Paid
5,788
Total Claims
5,476
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWELCH, GARY (CHIEF FINANCIAL OFFICER)
Parent OrganizationLANCASTER GENERAL MEDICAL GROUP
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: WELCH, GARY

ProviderCityStateTotal Paid
LANCASTER GENERAL HOSPITAL LANCASTER PA $33.78M
LANCASTER GENERAL HOSPITAL LANCASTER PA $882K
LANCASTER GENERAL HOSPITAL QUARRYVILLE PA $630K
LANCASTER GENERAL HOSPITAL LANCASTER PA $381K
LANCASTER GENERAL HOSPITAL LANCASTER PA $299K
LANCASTER GENERAL HOSPITAL LANCASTER PA $289K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $192K
LANCASTER GENERAL HOSPITAL LANCASTER PA $189K
LANCASTER GENERAL HOSPITAL LANCASTER PA $187K
LANCASTER GENERAL HOSPITAL LANCASTER PA $176K
LANCASTER GENERAL HOSPITAL LANCASTER PA $174K
LANCASTER GENERAL HOSPITAL LANCASTER PA $168K
LANCASTER GENERAL HOSPITAL LANCASTER PA $155K
LANCASTER GENERAL HOSPITAL LANCASTER PA $150K
LANCASTER GENERAL HOSPITAL LANCASTER PA $79K
LANCASTER GENERAL HOSPITAL PARKESBURG PA $60K
LANCASTER GENERAL HOSPITAL LANCASTER PA $45K
LANCASTER GENERAL HOSPITAL LANCASTER PA $42K
LANCASTER GENERAL HOSPITAL LANCASTER PA $29K
LANCASTER GENERAL HOSPITAL LANCASTER PA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 269 $16K
2021 1,826 $107K
2022 1,620 $93K
2023 1,114 $48K
2024 959 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,658 3,462 $189K
G9012 Other specified case management service not elsewhere classified 314 313 $86K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,185 1,105 $40K
80305 231 202 $3K
90686 305 300 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 13 $464.93
96127 13 13 $57.20
3078F 16 16 $10.00
90656 15 15 $0.00
3074F 37 37 $0.00