Hospital
Lancaster General Hospital
Lancaster General Hospital was paid $60K by Medicaid between Nov 2020 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoLANCASTER GENERAL HOSPITAL
PARKESBURG, PA 19365
PARKESBURG, PA 19365
33aNPI1245571942assigned 03/06/2013
33bProvider typeGeneral Acute Care Hospital
28Total paid$60K
24GClaims2,346
24DCodes billed14
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Pennsylvania
Rank by total paid#126 of 154
Median peer was paid$2.82M
This provider vs. median0.0×
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 WELCH, GARY 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 | 183 | $3K | |
| 2021 | 2,113 | $57K | |
| 2024incomplete | 50 | $304.52 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 50% | 815 | 230 | $30K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 37% | 261 | 246 | $22K |
| 80053 | Comprehensive metabolic panel | 3.8% | 255 | 241 | $2K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.8% | 13 | 13 | $1K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.7% | 117 | 109 | $1K |
| 80061 | Lipid panel | 1.2% | 73 | 73 | $737.98 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 141 | 124 | $708.21 |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 499 | 457 | $683.86 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 37 | 35 | $502.25 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | 12 | $464.65 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 68 | 68 | $314.29 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13 | 13 | $277.77 |
2 more codes
| 85027 | <1% | 28 | $161.68 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 14 | $0.03 |
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 officialWELCH, GARY (CHIEF OPERATING OFFICER)
Parent organizationLANCASTER GENERAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Lancaster General Hospital | Lancaster, PA | $33.78M |
| Lancaster General Hospital | Lancaster, PA | $882K |
| Lancaster General Hospital | Quarryville, PA | $630K |
| Lancaster General Hospital | Lancaster, PA | $381K |
| Lancaster General Medical Group | Ephrata, PA | $320K |
| Lancaster General Hospital | Lancaster, PA | $299K |
| Lancaster General Hospital | Lancaster, PA | $289K |
| Lancaster General Medical Group | Lancaster, PA | $192K |
| Lancaster General Hospital | Lancaster, PA | $189K |
| Lancaster General Hospital | Lancaster, PA | $187K |
| Lancaster General Hospital | Lancaster, PA | $176K |
| Lancaster General Hospital | Lancaster, PA | $174K |
| Lancaster General Hospital | Lancaster, PA | $168K |
| Lancaster General Hospital | Lancaster, PA | $155K |
| Lancaster General Hospital | Lancaster, PA | $150K |
| Lancaster General Hospital | Lancaster, PA | $79K |
| Lancaster General Hospital | Lancaster, PA | $45K |
| Lancaster General Hospital | Lancaster, PA | $42K |
| Lancaster General Hospital | Lancaster, PA | $29K |
| Lancaster General Hospital | Lancaster, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.