Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › HERSHEY › THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP

THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP

NPI: 1255482089 · HERSHEY, PA 17033 · Addiction Medicine (Anesthesiology) Physician · NPI assigned 01/16/2007

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

Authorized official MCKENNA, DONALD controls 12+ related entities in our dataset. Read more

$26.66M
Total Medicaid Paid
645,161
Total Claims
579,137
Beneficiaries
227
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKENNA, DONALD (PRESIDENT)
NPI Enumeration Date01/16/2007

Related Entities

Other providers sharing the same authorized official: MCKENNA, DONALD

ProviderCityStateTotal Paid
THE MILTON S HERSHEY MEDICAL CENTER HERSHEY PA $78.95M
THE MILTON S HERSHEY MEDICAL CENTER HERSHEY PA $3.54M
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $2.15M
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $377K
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL PA $12K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $6K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $6K
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $3K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $1K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $1K
THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP HARRISBURG PA $1K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIAN GROUP HERSHEY PA $137.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,797 $155K
2019 5,890 $341K
2020 22,845 $872K
2021 146,606 $6.70M
2022 156,250 $6.70M
2023 170,641 $6.44M
2024 140,132 $5.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94,577 91,038 $5.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,027 58,848 $4.95M
99284 Emergency department visit for the evaluation and management, high severity 34,669 33,840 $3.41M
99215 Prolong outpt/office vis 16,793 16,234 $1.99M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,925 6,756 $936K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,972 10,814 $782K
88305 Level IV - Surgical pathology, gross and microscopic examination 15,277 10,281 $624K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,154 5,056 $608K
99232 Subsequent hospital care, per day, moderate complexity 22,808 5,053 $513K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,774 13,584 $485K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,707 8,410 $443K
99283 Emergency department visit for the evaluation and management, moderate severity 6,626 6,495 $411K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,587 4,470 $338K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,369 5,286 $313K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,252 4,204 $292K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 35,984 31,622 $263K
71045 Radiologic examination, chest; single view 32,981 23,967 $240K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,503 2,455 $216K
88307 2,655 2,489 $180K
99233 Prolong inpt eval add15 m 2,916 1,335 $179K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,328 2,302 $178K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,703 2,646 $173K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,737 2,689 $173K
70450 Computed tomography, head or brain; without contrast material 5,027 4,753 $170K
93304 3,483 3,168 $167K
99231 Subsequent hospital care, per day, straightforward or low complexity 9,529 2,252 $154K
92060 4,937 4,801 $152K
76770 4,408 4,305 $142K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,181 1,167 $130K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,934 1,862 $130K
99205 Prolong outpt/office vis 794 785 $121K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,493 2,795 $117K
99223 Prolong inpt eval add15 m 1,980 1,939 $107K
92557 3,728 3,661 $102K
99238 Hospital discharge day management, 30 minutes or less 3,038 2,991 $100K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,408 2,375 $94K
92567 9,894 9,692 $92K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 531 502 $84K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,825 1,766 $72K
74018 9,486 7,674 $72K
95782 562 555 $67K
95810 Polysomnography; sleep staging with 4 or more additional parameters 598 578 $65K
71046 Radiologic examination, chest; 2 views 6,792 6,643 $61K
59025 Fetal non-stress test 2,384 1,432 $61K
93325 9,874 9,096 $56K
01922 371 354 $55K
42820 Tonsillectomy and adenoidectomy; younger than age 12 210 206 $54K
93321 6,045 5,565 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material 969 947 $52K
64615 562 550 $50K
99244 Office or other outpatient consultation, moderate to high complexity 255 244 $50K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 55 55 $48K
90460 Immunization administration through 18 years of age via any route, first or only component 1,716 1,628 $46K
74176 Computed tomography, abdomen and pelvis; without contrast material 656 638 $44K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 583 543 $39K
88112 1,161 1,060 $37K
94010 4,017 3,978 $33K
90686 5,533 5,445 $30K
99243 219 211 $28K
92201 1,524 1,075 $28K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 632 623 $27K
76830 Ultrasound, transvaginal 813 807 $27K
92015 Determination of refractive state 5,613 5,522 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 130 52 $26K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 290 281 $24K
92134 1,276 1,221 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity 615 607 $21K
95251 754 744 $20K
77067 Screening mammography, bilateral, including computer-aided detection 559 554 $18K
95816 352 349 $18K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 411 402 $17K
99239 Hospital discharge day management, more than 30 minutes 158 144 $16K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 406 381 $16K
99222 Initial hospital care, per day, moderate complexity 152 148 $16K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 654 648 $15K
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) 1,071 1,025 $14K
99480 Subsequent intensive care, per day, low birth weight infant 150 51 $14K
93227 741 733 $14K
77063 Screening digital breast tomosynthesis, bilateral 529 524 $14K
76705 Ultrasound, abdominal, real time with image documentation; limited 527 512 $13K
70551 Magnetic resonance imaging, brain; without contrast material 215 211 $12K
76825 83 81 $12K
88304 1,131 1,069 $12K
92228 788 775 $11K
90670 3,323 3,295 $11K
71250 257 253 $11K
90723 3,889 3,858 $11K
90647 3,330 3,288 $10K
76820 313 257 $9K
84165 578 558 $8K
85060 373 356 $8K
85390 277 268 $8K
93971 365 355 $7K
99220 46 45 $7K
93970 229 212 $7K
3074F 25,907 24,956 $7K
90633 2,802 2,779 $7K
92551 860 850 $6K
00920 90 84 $6K
90681 2,360 2,337 $6K
73630 786 657 $6K
93320 287 276 $6K
99173 1,263 1,252 $6K
92504 706 681 $5K
83020 345 344 $5K
3078F 20,373 19,623 $5K
93308 179 171 $5K
95886 81 80 $5K
92579 182 179 $5K
92133 354 344 $5K
88342 166 152 $5K
92083 233 227 $5K
76821 80 78 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 79 78 $5K
31575 78 77 $4K
92002 106 102 $4K
64642 59 58 $4K
92587 338 334 $4K
54161 25 25 $4K
99217 72 72 $4K
74019 435 379 $4K
99460 63 63 $4K
99219 38 38 $4K
76827 80 78 $4K
72100 378 370 $4K
90716 1,307 1,298 $4K
90710 1,455 1,441 $3K
90707 1,329 1,318 $3K
73560 484 409 $3K
90700 1,317 1,306 $3K
93000 221 217 $3K
90696 1,330 1,319 $3K
72170 420 408 $3K
99188 309 307 $3K
99443 41 41 $3K
90651 1,423 1,400 $3K
90461 86 79 $3K
77072 341 330 $2K
31579 25 25 $2K
90734 1,337 1,322 $2K
90715 859 845 $2K
74230 99 98 $2K
20610 70 64 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 24 24 $2K
00731 26 25 $2K
94060 235 233 $2K
76506 73 63 $2K
93298 83 83 $2K
94726 200 197 $2K
90961 12 12 $2K
73610 251 223 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 24 $2K
94729 251 247 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 532 450 $2K
93356 140 134 $2K
88300 379 370 $2K
3079F 1,868 1,813 $2K
76819 Fetal biophysical profile; without non-stress testing 45 39 $2K
73030 199 181 $2K
95811 12 12 $1K
17110 40 38 $1K
76642 39 39 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 13 12 $1K
88312 63 54 $1K
83655 1,899 1,806 $1K
88302 159 117 $1K
94375 26 25 $1K
31231 15 12 $1K
88173 14 14 $1K
95873 69 69 $967.29
86334 63 58 $966.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 97 97 $952.01
71275 Computed tomographic angiography, chest, with contrast material 13 13 $943.43
76700 Ultrasound, abdominal, real time with image documentation; complete 28 26 $897.23
93018 68 66 $874.23
76536 27 27 $841.65
93350 15 14 $788.56
76801 12 12 $738.88
72082 57 57 $691.83
93294 28 25 $680.17
93295 30 28 $649.60
93297 26 26 $645.83
86077 12 12 $610.22
64643 13 13 $579.90
73562 64 50 $568.82
88172 14 14 $549.39
99152 56 52 $535.81
78264 16 16 $526.34
73090 71 66 $506.90
88141 27 27 $483.21
86335 26 26 $460.47
72125 Computed tomography, cervical spine; without contrast material 12 12 $451.36
20552 16 12 $449.72
77076 15 14 $441.23
92558 96 95 $436.01
96040 117 116 $405.76
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 26 26 $389.39
85097 13 12 $347.61
72081 24 24 $330.96
85576 27 25 $326.04
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 14 13 $312.75
88311 31 27 $294.68
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $279.66
11720 26 26 $261.18
3077F 118 114 $225.00
11721 17 15 $222.35
93225 13 13 $169.70
99177 15 15 $157.82
94728 13 12 $146.32
73502 14 14 $128.98
3080F 65 61 $125.00
3075F 54 53 $120.00
71010 15 12 $112.50
70360 12 12 $97.79
73130 14 12 $95.93
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $93.50
85018 97 91 $64.50
77080 12 12 $57.94
11719 12 12 $54.98
96161 27 27 $53.21
80061 Lipid panel 25 25 $8.00
96127 77 69 $4.57
3008F 23,351 22,841 $0.00
90677 1,145 1,121 $0.00
90656 727 727 $0.00
90381 51 51 $0.00
90380 14 14 $0.00