Physician
The Milton S. Hershey Medical Center Physicians Group
The Milton S. Hershey Medical Center Physicians Group was paid $26.66M by Medicaid between Jan 2018 and Dec 2024, across 227 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoTHE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP
HERSHEY, PA 17033
HERSHEY, PA 17033
33aNPI1255482089assigned 01/16/2007
33bProvider typeAddiction Medicine (Anesthesiology) Physician
28Total paid$26.66M
24GClaims645,161
24DCodes billed227
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Anesthesiology) Physician providers in Pennsylvania
Rank by total paid#1 of 6
Median peer was paid$6K
This provider vs. median4,839×
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 MCKENNA, DONALD controls 12+ 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 | 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 | |
| 2024incomplete | 140,132 | $5.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 94,577 | 91,038 | $5.22M |
| 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 | 19% | 61,027 | 58,848 | $4.95M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 34,669 | 33,840 | $3.41M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.4% | 16,793 | 16,234 | $1.99M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.5% | 6,925 | 6,756 | $936K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 10,972 | 10,814 | $782K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.3% | 15,277 | 10,281 | $624K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 5,154 | 5,056 | $608K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 22,808 | 5,053 | $513K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 14,774 | 13,584 | $485K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 8,707 | 8,410 | $443K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.5% | 6,626 | 6,495 | $411K |
215 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 4,587 | $338K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.2% | 5,369 | $313K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 4,252 | $292K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 35,984 | $263K |
| 71045 | Radiologic examination, chest; single view | <1% | 32,981 | $240K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 2,503 | $216K |
| 88307 | <1% | 2,655 | $180K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,916 | $179K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,328 | $178K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,703 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,737 | $173K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 5,027 | $170K |
| 93304 | <1% | 3,483 | $167K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 9,529 | $154K |
| 92060 | <1% | 4,937 | $152K | |
| 76770 | <1% | 4,408 | $142K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,181 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,934 | $130K |
| 99205 | Prolong outpt/office vis | <1% | 794 | $121K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 3,493 | $117K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,980 | $107K |
| 92557 | <1% | 3,728 | $102K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,038 | $100K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 2,408 | $94K |
| 92567 | <1% | 9,894 | $92K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 531 | $84K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,825 | $72K |
| 74018 | <1% | 9,486 | $72K | |
| 95782 | <1% | 562 | $67K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 598 | $65K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 6,792 | $61K |
| 59025 | Fetal non-stress test | <1% | 2,384 | $61K |
| 93325 | <1% | 9,874 | $56K | |
| 01922 | <1% | 371 | $55K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 210 | $54K |
| 93321 | <1% | 6,045 | $53K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 969 | $52K |
| 64615 | <1% | 562 | $50K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 255 | $50K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 55 | $48K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,716 | $46K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 656 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 583 | $39K |
| 88112 | <1% | 1,161 | $37K | |
| 94010 | <1% | 4,017 | $33K | |
| 90686 | <1% | 5,533 | $30K | |
| 99243 | <1% | 219 | $28K | |
| 92201 | <1% | 1,524 | $28K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 632 | $27K |
| 76830 | Ultrasound, transvaginal | <1% | 813 | $27K |
| 92015 | Determination of refractive state | <1% | 5,613 | $26K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 130 | $26K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 290 | $24K |
| 92134 | <1% | 1,276 | $21K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 615 | $21K |
| 95251 | <1% | 754 | $20K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 559 | $18K |
| 95816 | <1% | 352 | $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) | <1% | 411 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 158 | $16K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 406 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 152 | $16K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 654 | $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% | 1,071 | $14K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 150 | $14K |
| 93227 | <1% | 741 | $14K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 529 | $14K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 527 | $13K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 215 | $12K |
| 76825 | <1% | 83 | $12K | |
| 88304 | <1% | 1,131 | $12K | |
| 92228 | <1% | 788 | $11K | |
| 90670 | <1% | 3,323 | $11K | |
| 71250 | <1% | 257 | $11K | |
| 90723 | <1% | 3,889 | $11K | |
| 90647 | <1% | 3,330 | $10K | |
| 76820 | <1% | 313 | $9K | |
| 84165 | <1% | 578 | $8K | |
| 85060 | <1% | 373 | $8K | |
| 85390 | <1% | 277 | $8K | |
| 93971 | <1% | 365 | $7K | |
| 99220 | <1% | 46 | $7K | |
| 93970 | <1% | 229 | $7K | |
| 3074F | <1% | 25,907 | $7K | |
| 90633 | <1% | 2,802 | $7K | |
| 92551 | <1% | 860 | $6K | |
| 00920 | <1% | 90 | $6K | |
| 90681 | <1% | 2,360 | $6K | |
| 73630 | <1% | 786 | $6K | |
| 93320 | <1% | 287 | $6K | |
| 99173 | <1% | 1,263 | $6K | |
| 92504 | <1% | 706 | $5K | |
| 83020 | <1% | 345 | $5K | |
| 3078F | <1% | 20,373 | $5K | |
| 93308 | <1% | 179 | $5K | |
| 95886 | <1% | 81 | $5K | |
| 92579 | <1% | 182 | $5K | |
| 92133 | <1% | 354 | $5K | |
| 88342 | <1% | 166 | $5K | |
| 92083 | <1% | 233 | $5K | |
| 76821 | <1% | 80 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 79 | $5K |
| 31575 | <1% | 78 | $4K | |
| 92002 | <1% | 106 | $4K | |
| 64642 | <1% | 59 | $4K | |
| 92587 | <1% | 338 | $4K | |
| 54161 | <1% | 25 | $4K | |
| 99217 | <1% | 72 | $4K | |
| 74019 | <1% | 435 | $4K | |
| 99460 | <1% | 63 | $4K | |
| 99219 | <1% | 38 | $4K | |
| 76827 | <1% | 80 | $4K | |
| 72100 | <1% | 378 | $4K | |
| 90716 | <1% | 1,307 | $4K | |
| 90710 | <1% | 1,455 | $3K | |
| 90707 | <1% | 1,329 | $3K | |
| 73560 | <1% | 484 | $3K | |
| 90700 | <1% | 1,317 | $3K | |
| 93000 | <1% | 221 | $3K | |
| 90696 | <1% | 1,330 | $3K | |
| 72170 | <1% | 420 | $3K | |
| 99188 | <1% | 309 | $3K | |
| 99443 | <1% | 41 | $3K | |
| 90651 | <1% | 1,423 | $3K | |
| 90461 | <1% | 86 | $3K | |
| 77072 | <1% | 341 | $2K | |
| 31579 | <1% | 25 | $2K | |
| 90734 | <1% | 1,337 | $2K | |
| 90715 | <1% | 859 | $2K | |
| 74230 | <1% | 99 | $2K | |
| 20610 | <1% | 70 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 24 | $2K |
| 00731 | <1% | 26 | $2K | |
| 94060 | <1% | 235 | $2K | |
| 76506 | <1% | 73 | $2K | |
| 93298 | <1% | 83 | $2K | |
| 94726 | <1% | 200 | $2K | |
| 90961 | <1% | 12 | $2K | |
| 73610 | <1% | 251 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $2K |
| 94729 | <1% | 251 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 532 | $2K |
| 93356 | <1% | 140 | $2K | |
| 88300 | <1% | 379 | $2K | |
| 3079F | <1% | 1,868 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 45 | $2K |
| 73030 | <1% | 199 | $2K | |
| 95811 | <1% | 12 | $1K | |
| 17110 | <1% | 40 | $1K | |
| 76642 | <1% | 39 | $1K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 13 | $1K |
| 88312 | <1% | 63 | $1K | |
| 83655 | <1% | 1,899 | $1K | |
| 88302 | <1% | 159 | $1K | |
| 94375 | <1% | 26 | $1K | |
| 31231 | <1% | 15 | $1K | |
| 88173 | <1% | 14 | $1K | |
| 95873 | <1% | 69 | $967.29 | |
| 86334 | <1% | 63 | $966.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 97 | $952.01 |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 13 | $943.43 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 28 | $897.23 |
| 93018 | <1% | 68 | $874.23 | |
| 76536 | <1% | 27 | $841.65 | |
| 93350 | <1% | 15 | $788.56 | |
| 76801 | <1% | 12 | $738.88 | |
| 72082 | <1% | 57 | $691.83 | |
| 93294 | <1% | 28 | $680.17 | |
| 93295 | <1% | 30 | $649.60 | |
| 93297 | <1% | 26 | $645.83 | |
| 86077 | <1% | 12 | $610.22 | |
| 64643 | <1% | 13 | $579.90 | |
| 73562 | <1% | 64 | $568.82 | |
| 88172 | <1% | 14 | $549.39 | |
| 99152 | <1% | 56 | $535.81 | |
| 78264 | <1% | 16 | $526.34 | |
| 73090 | <1% | 71 | $506.90 | |
| 88141 | <1% | 27 | $483.21 | |
| 86335 | <1% | 26 | $460.47 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 12 | $451.36 |
| 20552 | <1% | 16 | $449.72 | |
| 77076 | <1% | 15 | $441.23 | |
| 92558 | <1% | 96 | $436.01 | |
| 96040 | <1% | 117 | $405.76 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 26 | $389.39 |
| 85097 | <1% | 13 | $347.61 | |
| 72081 | <1% | 24 | $330.96 | |
| 85576 | <1% | 27 | $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 | <1% | 14 | $312.75 |
| 88311 | <1% | 31 | $294.68 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 13 | $279.66 |
| 11720 | <1% | 26 | $261.18 | |
| 3077F | <1% | 118 | $225.00 | |
| 11721 | <1% | 17 | $222.35 | |
| 93225 | <1% | 13 | $169.70 | |
| 99177 | <1% | 15 | $157.82 | |
| 94728 | <1% | 13 | $146.32 | |
| 73502 | <1% | 14 | $128.98 | |
| 3080F | <1% | 65 | $125.00 | |
| 3075F | <1% | 54 | $120.00 | |
| 71010 | <1% | 15 | $112.50 | |
| 70360 | <1% | 12 | $97.79 | |
| 73130 | <1% | 14 | $95.93 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $93.50 |
| 85018 | <1% | 97 | $64.50 | |
| 77080 | <1% | 12 | $57.94 | |
| 11719 | <1% | 12 | $54.98 | |
| 96161 | <1% | 27 | $53.21 | |
| 80061 | Lipid panel | <1% | 25 | $8.00 |
| 96127 | <1% | 77 | $4.57 | |
| 3008F | 0% | 23,351 | $0.00 | |
| 90677 | 0% | 1,145 | $0.00 | |
| 90656 | 0% | 727 | $0.00 | |
| 90381 | 0% | 51 | $0.00 | |
| 90380 | 0% | 14 | $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 officialMCKENNA, DONALD (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.