Wellspan Medical Group

Wellspan Medical Group was paid $180K by Medicaid between Nov 2020 and Oct 2024, across 8 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 47% of everything it billed.

33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17403

33aNPI1174608913assigned 10/26/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$180K

24GClaims2,118

24DCodes billed8

24AFirst – last monthNov 2020 – Oct 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania

Rank by total paid#7 of 33

Median peer was paid$34K

This provider vs. median5.2×

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 SWEITZER, JENNIFER controls 20+ 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
2020	49	$4K
2021	772	$67K
2022	506	$34K
2023	341	$25K
2024incomplete	450	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99479	Subsequent intensive care, per day, very low birth weight infant	47%	999	326	$84K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	27%	219	57	$49K
99464		17%	611	597	$30K
99239	Hospital discharge day management, more than 30 minutes	6.6%	127	123	$12K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	22	12	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	87	85	$2K
99460		<1%	36	36	$1K
99462		<1%	17	17	$358.18

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 officialSWEITZER, JENNIFER (DIRECTOR, PATIENT FINANCIAL SERVICE)

Same official

Other billing entities under SWEITZER, JENNIFER

Full network →

Provider	Location	Paid
Wellspan Medical Group	York, PA	$22.34M
Wellspan Medical Group	York, PA	$3.41M
Wellspan Medical Group	York, PA	$3.21M
Wellspan Medical Group	York, PA	$3.15M
Wellspan Medical Group	York, PA	$2.38M
Wellspan Medical Group	York, PA	$2.08M
Wellspan Medical Group	Hanover, PA	$1.91M
Wellspan Medical Group	York, PA	$1.75M
Wellspan Medical Group	Lebanon, PA	$1.60M
Wellspan Medical Group	York, PA	$1.57M
Wellspan Medical Group	York, PA	$1.34M
Wellspan Medical Group	Ephrata, PA	$1.32M
Wellspan Medical Group	Annville, PA	$902K
Wellspan Medical Group	York, PA	$793K
Wellspan Medical Group	York, PA	$635K
Wellspan Medical Group	York, PA	$566K
Wellspan Medical Group	York, PA	$491K
Wellspan Medical Group	Shippensburg, PA	$442K
Wellspan Medical Group	Waynesboro, PA	$439K
Wellspan Medical Group	Chambersburg, PA	$411K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.