Physician
Wellspan Medical Group
Wellspan Medical Group was paid $1.32M by Medicaid between Feb 2018 and Dec 2024, across 17 billing codes. Its largest line is S9083, Global fee urgent care centers — 90% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1225375884assigned 01/15/2013
33bProvider typeFamily Medicine Physician
28Total paid$1.32M
24GClaims26,975
24DCodes billed17
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#45 of 2,756
Median peer was paid$19K
This provider vs. median69×
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 | |
|---|---|---|---|
| 2018 | 19 | $170.00 | |
| 2019 | 55 | $4K | |
| 2020 | 679 | $38K | |
| 2021 | 5,684 | $280K | |
| 2022 | 8,249 | $368K | |
| 2023 | 6,863 | $333K | |
| 2024incomplete | 5,426 | $297K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 90% | 15,909 | 15,101 | $1.19M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 6,385 | 6,064 | $76K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.0% | 1,316 | 1,272 | $26K |
| 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 | 1.6% | 1,460 | 1,410 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 268 | 243 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 369 | 357 | $4K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 263 | 245 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 544 | 517 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21 | 12 | $92.56 |
| 81002 | <1% | 189 | 185 | $67.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 12 | $49.14 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 38 | 27 | $39.29 |
5 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $34.94 |
| 81025 | <1% | 12 | $9.16 | |
| 81003 | 0% | 12 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 132 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 29 | $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 officialSWEITZER, JENNIFER (DIRECTOR-PATIENT FINANCIAL SERVICES)
| 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 | 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 |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.