WELLSPAN MEDICAL GROUP
NPI: 1265983613
· EAST EARL, PA 17519
· Family Medicine Physician
· NPI assigned 10/20/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MOON, CHRISTINA controls 11+ related entities in our dataset. Read more
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | MOON, CHRISTINA (SUPERVISOR-VERIFICATION SERVICES) |
| NPI Enumeration Date | 10/20/2016 |
Related Entities
Other providers sharing the same authorized official: MOON, CHRISTINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$3K |
| 2021 |
658 |
$35K |
| 2022 |
757 |
$39K |
| 2023 |
675 |
$31K |
| 2024 |
647 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,797 |
1,671 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
747 |
$53K |
| 90686 |
|
84 |
83 |
$696.38 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$539.41 |
| 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) |
74 |
68 |
$131.54 |
| 90656 |
|
12 |
12 |
$0.00 |