Geisinger Clinic
Geisinger Clinic was paid $13.40M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
DANVILLE, PA 17821
Next to other Physician Assistant 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 | |
|---|---|---|---|
| 2018 | 1,272 | $88K | |
| 2019 | 1,878 | $92K | |
| 2020 | 9,082 | $371K | |
| 2021 | 84,482 | $2.58M | |
| 2022 | 112,164 | $3.41M | |
| 2023 | 127,246 | $3.62M | |
| 2024incomplete | 97,838 | $3.24M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 239,304 | 228,691 | $8.11M |
| 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 | 18% | 44,308 | 42,574 | $2.35M |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 8.6% | 59,217 | 57,106 | $1.15M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 13,026 | 12,674 | $700K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 15,605 | 15,213 | $314K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 10,271 | 10,027 | $260K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 30,381 | 29,406 | $204K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 1,009 | 1,001 | $82K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,988 | 1,963 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 852 | 835 | $61K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 361 | 348 | $35K |
| 81003 | <1% | 6,899 | 6,755 | $21K |
25 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 183 | $17K |
| 90715 | <1% | 1,104 | $9K | |
| 99051 | <1% | 692 | $7K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 211 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 67 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 132 | $2K |
| 81025 | <1% | 402 | $2K | |
| 90686 | <1% | 184 | $2K | |
| 86580 | <1% | 1,846 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 289 | $1K |
| 81002 | <1% | 167 | $608.81 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,495 | $400.44 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $364.81 |
| 99442 | <1% | 16 | $251.36 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $182.85 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,092 | $150.11 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 418 | $63.98 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 666 | $25.09 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $9.23 |
| 90675 | 0% | 124 | $0.00 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 65 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 391 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 26 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 63 | $0.00 |
| 90656 | 0% | 27 | $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 |
|---|---|---|
| Geisinger Clinic | Danville, PA | $74.54M |
| Community Medical Center | Scranton, PA | $22.62M |
| Geisinger Clinic | Danville, PA | $14.93M |
| West Shore Advanced Life Support Services, INC. | Danville, PA | $4.41M |
| Geisinger Clinic | Pottsville, PA | $3.39M |
| Geisinger Clinic | Lewistown, PA | $2.93M |
| Geisinger Clinic | Scranton, PA | $2.63M |
| Geisinger Clinic | Wilkes Barre, PA | $2.35M |
| Geisinger Clinic | Danville, PA | $2.28M |
| Geisinger Jersey Shore Hospital | Jersey Shore, PA | $2.17M |
| Geisinger Clinic | Scranton, PA | $1.71M |
| Geisinger Clinic | Tunkhannock, PA | $1.11M |
| Geisinger Clinic | Orwigsburg, PA | $974K |
| Geisinger Clinic | Pittston, PA | $942K |
| Geisinger Clinic | Berwick, PA | $896K |
| Geisinger Clinic Selinsgrove | Selinsgrove, PA | $819K |
| Geisinger Clinic | Philipsburg, PA | $678K |
| Geisinger Clinic | Lewisburg, PA | $557K |
| Geisinger Clinic | Mountain Top, PA | $523K |
| Geisinger Clinic | Kulpmont, PA | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.