Wellspan Medical Group
Wellspan Medical Group was paid $1.34M by Medicaid between Mar 2018 and Dec 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 38% of everything it billed.
YORK, PA 17403
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 | 48 | $400.95 | |
| 2019 | 61 | $495.95 | |
| 2020 | 485 | $8K | |
| 2021 | 6,472 | $247K | |
| 2022 | 5,267 | $321K | |
| 2023 | 4,934 | $341K | |
| 2024incomplete | 6,744 | $422K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 38% | 12,612 | 3,861 | $516K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 30% | 6,427 | 2,873 | $407K |
| 99223 | Prolong inpt eval add15 m | 16% | 2,032 | 1,961 | $217K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.3% | 1,713 | 1,636 | $111K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.4% | 718 | 695 | $58K |
| 99220 | 1.6% | 286 | 281 | $21K | |
| 99217 | <1% | 119 | 115 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 63 | 62 | $3K |
| 99253 | <1% | 27 | 26 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | 12 | $601.49 |
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 |
|---|---|---|
| Wellspan Medical Group | York, PA | $22.34M |
| Wellspan Medical Group | York, PA | $3.41M |
| Wellspan Medical Group | York, PA | $3.21M |
| Wellspan Medical Group | York, PA | $3.15M |
| Wellspan Medical Group | York, PA | $2.38M |
| Wellspan Medical Group | York, PA | $2.08M |
| Wellspan Medical Group | Hanover, PA | $1.91M |
| Wellspan Medical Group | York, PA | $1.75M |
| Wellspan Medical Group | Lebanon, PA | $1.60M |
| Wellspan Medical Group | York, PA | $1.57M |
| Wellspan Medical Group | Ephrata, PA | $1.32M |
| Wellspan Medical Group | Annville, PA | $902K |
| Wellspan Medical Group | York, PA | $793K |
| Wellspan Medical Group | York, PA | $635K |
| Wellspan Medical Group | York, PA | $566K |
| Wellspan Medical Group | York, PA | $491K |
| Wellspan Medical Group | Shippensburg, PA | $442K |
| Wellspan Medical Group | Waynesboro, PA | $439K |
| Wellspan Medical Group | Chambersburg, PA | $411K |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.