Physician
University of Penn-Medical Group
University of Penn-Medical Group was paid $1.03M by Medicaid between May 2018 and Nov 2024, across 19 billing codes. Its largest line is 95720, — 35% of everything it billed.
33Billing provider infoUNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1164810271assigned 12/26/2014
33bProvider typeNeurology Physician
28Total paid$1.03M
24GClaims12,695
24DCodes billed19
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#2 of 165
Median peer was paid$5K
This provider vs. median188×
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 GRECO, STACY controls 19+ 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 | 15 | $78.00 | |
| 2020 | 164 | $12K | |
| 2021 | 2,304 | $213K | |
| 2022 | 3,134 | $280K | |
| 2023 | 3,007 | $283K | |
| 2024incomplete | 4,071 | $242K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95720 | 35% | 2,287 | 1,273 | $358K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 2,609 | 2,531 | $239K |
| 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 | 22% | 3,428 | 3,356 | $231K |
| 64615 | 9.5% | 765 | 753 | $97K | |
| 95718 | 2.6% | 263 | 254 | $27K | |
| 95886 | 1.8% | 334 | 331 | $18K | |
| 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) | 1.3% | 1,647 | 1,604 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 243 | 239 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 181 | 54 | $11K |
| 95816 | <1% | 556 | 533 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 40 | 40 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | 79 | $3K |
7 more codes
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 officialGRECO, STACY (PAYER ENROLLMENT MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.