NP / PA
Geisinger Clinic
Geisinger Clinic was paid $489K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoGEISINGER CLINIC
KULPMONT, PA 17834
KULPMONT, PA 17834
33aNPI1225080138assigned 05/17/2006
33bProvider typePhysician Assistant
28Total paid$489K
24GClaims14,919
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#17 of 511
Median peer was paid$7K
This provider vs. median73×
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 MULL, CINDY 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 | |
|---|---|---|---|
| 2018 | 73 | $2K | |
| 2019 | 87 | $3K | |
| 2020 | 719 | $22K | |
| 2021 | 4,311 | $143K | |
| 2022 | 2,066 | $73K | |
| 2023 | 3,215 | $123K | |
| 2024incomplete | 4,448 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 6,279 | 6,077 | $311K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,427 | 2,356 | $81K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.5% | 933 | 875 | $17K |
| 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) | 2.9% | 1,684 | 1,641 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 173 | 173 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 153 | 147 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 120 | 118 | $10K |
| 90686 | 2.0% | 923 | 919 | $10K | |
| G0008 | Administration of influenza virus vaccine | 1.5% | 744 | 736 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 44 | 44 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 98 | 98 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 175 | 162 | $2K |
16 more codes
| 90656 | <1% | 236 | $996.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $557.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $551.54 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $546.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 129 | $225.60 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 18 | $197.97 |
| 85610 | <1% | 48 | $179.50 | |
| 99307 | <1% | 13 | $139.74 | |
| 92551 | <1% | 68 | $31.24 | |
| 3078F | <1% | 26 | $20.00 | |
| 99173 | <1% | 57 | $17.25 | |
| 3074F | <1% | 12 | $10.00 | |
| 90677 | 0% | 89 | $0.00 | |
| 3008F | 0% | 241 | $0.00 | |
| 90746 | 0% | 118 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 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.
From NPPES
Who's on the registration
Authorized officialMULL, CINDY (SYSTEM DIRECTOR ENROLLMENTS)
| 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 | Frackville, PA | $479K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.