Lancaster General Hospital
Lancaster General Hospital was paid $289K by Medicaid between Aug 2018 and Nov 2024, across 6 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 54% of everything it billed.
LANCASTER, PA 17602
Next to other Family Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14 | $2K | |
| 2019 | 28 | $5K | |
| 2020 | 258 | $15K | |
| 2021 | 1,186 | $56K | |
| 2022 | 1,732 | $78K | |
| 2023 | 1,441 | $66K | |
| 2024incomplete | 1,090 | $67K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 54% | 3,297 | 2,501 | $155K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 29% | 1,160 | 1,121 | $85K |
| S9470 | Nutritional counseling, dietitian visit | 7.2% | 832 | 805 | $21K |
| 99501 | 5.6% | 239 | 222 | $16K | |
| T1001 | Nursing assessment / evaluation | 4.1% | 68 | 68 | $12K |
| A0425 | Ground mileage, per statute mile | <1% | 153 | 143 | $53.76 |
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.
Who's on the registration
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.