Lancaster General Medical Group
Lancaster General Medical Group was paid $320K by Medicaid between Nov 2020 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
EPHRATA, PA 17522
Next to other Family Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 269 | $16K | |
| 2021 | 1,826 | $107K | |
| 2022 | 1,620 | $93K | |
| 2023 | 1,114 | $48K | |
| 2024incomplete | 959 | $57K |
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 | 59% | 3,658 | 3,462 | $189K |
| G9012 | Other specified case management service not elsewhere classified | 27% | 314 | 313 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,185 | 1,105 | $40K |
| 80305 | <1% | 231 | 202 | $3K | |
| 90686 | <1% | 305 | 300 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | 13 | $464.93 |
| 96127 | <1% | 13 | 13 | $57.20 | |
| 3078F | <1% | 16 | 16 | $10.00 | |
| 90656 | 0% | 15 | 15 | $0.00 | |
| 3074F | 0% | 37 | 37 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.