Medicaid Provider Spending

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

LANCASTER GENERAL HOSPITAL

NPI: 1255352092 · QUARRYVILLE, PA 17566 · Family Medicine Physician · NPI assigned 07/21/2006

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

Authorized official WELCH, GARY controls 20+ related entities in our dataset. Read more

$630K
Total Medicaid Paid
15,531
Total Claims
14,797
Beneficiaries
19
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWELCH, GARY (CHIEF OPERATING OFFICER)
Parent OrganizationLANCASTER GENERAL HOSPITAL
NPI Enumeration Date07/21/2006

Related Entities

Other providers sharing the same authorized official: WELCH, GARY

ProviderCityStateTotal Paid
LANCASTER GENERAL HOSPITAL LANCASTER PA $33.78M
LANCASTER GENERAL HOSPITAL LANCASTER PA $882K
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 PARKESBURG PA $60K
LANCASTER GENERAL HOSPITAL LANCASTER PA $45K
LANCASTER GENERAL HOSPITAL LANCASTER PA $42K
LANCASTER GENERAL HOSPITAL LANCASTER PA $29K
LANCASTER GENERAL HOSPITAL LANCASTER PA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 898 $29K
2021 4,816 $173K
2022 4,167 $163K
2023 2,849 $122K
2024 2,801 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,738 8,283 $321K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,356 5,130 $297K
90686 679 673 $5K
G9012 Other specified case management service not elsewhere classified 12 12 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68 67 $1K
0054A 15 15 $648.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 90 84 $353.97
90715 31 29 $300.83
96127 55 55 $227.35
92551 26 24 $202.40
80305 15 12 $184.38
90688 14 14 $172.55
99173 26 24 $138.60
99051 12 12 $120.00
3044F 141 118 $60.00
3078F 91 86 $35.00
3074F 69 66 $25.00
90656 81 81 $0.00
90677 12 12 $0.00