Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1184784704 · GETTYSBURG, PA 17325 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 12/12/2006

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$90K
Total Medicaid Paid
2,438
Total Claims
2,311
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-03
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (CREDENTIALING COORDINATOR)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
WELLSPAN MEDICAL GROUP YORK PA $47K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,286 $26K
2021 532 $29K
2022 451 $26K
2023 157 $9K
2024 12 $573.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 984 927 $58K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,271 1,221 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 101 $5K
99215 Prolong outpt/office vis 15 12 $920.52
90686 52 50 $537.84