Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Spirit Physician Services, INC

Spirit Physician Services, INC was paid $6K by Medicaid between Oct 2019 and Jul 2022, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 37% of everything it billed.

33Billing provider infoSPIRIT PHYSICIAN SERVICES, INC
CAMP HILL, PA 17011
33aNPI1205269891assigned 08/19/2013
33bProvider typeMental Health Counselor
28Total paid$6K
24GClaims601
24DCodes billed7
24AFirst – last monthOct 2019 – Jul 2022
Compared with peers

Next to other Mental Health Counselor providers in Pennsylvania

Rank by total paid#204 of 227
Median peer was paid$77K
This provider vs. median0.1×

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 GATESMAN, DAVID controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201921$978.90
202012$619.23
2021453$4K
2022115$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 37% 203 65 $2K
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 29% 99 93 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 19% 131 51 $1K
99238 Hospital discharge day management, 30 minutes or less 8.2% 36 35 $470.61
99223 Prolong inpt eval add15 m 7.5% 17 13 $430.50
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 0% 103 46 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 12 12 $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.

From NPPES

Who's on the registration

Authorized officialGATESMAN, DAVID (VICE PRESIDENT)
Same official

Other billing entities under GATESMAN, DAVID

Full network →
ProviderLocationPaid
Spirit Physician Services, INC.Camp Hill, PA$849K
Spirit Physician Services, INC.Harrisburg, PA$396K
Spirit Physician Services INCMechanicsburg, PA$272K
Spirit Physician ServicesCamp Hill, PA$253K
Spirit Physician Services, INC.Camp Hill, PA$104K
Spirit Physician Services INCDuncannon, PA$97K
Spirit Physician Services, INC.Camp Hill, PA$66K
Spirit Physician Services INCDillsburg, PA$63K
Spirit Physician Services, INCMarysville, PA$37K
Spirit Physician Services INCCamp Hill, PA$37K
Spirit Physician Services, INC.Harrisburg, PA$13K
Spirit Physician Services, INC.New Cumberland, PA$2K
Spirit Physician Services INC.Mechanicsburg, PA$551.26

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