Physician
Wellspan Medical Group
Wellspan Medical Group was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
LEBANON, PA 17046
LEBANON, PA 17046
33aNPI1356892889assigned 10/19/2016
33bProvider typePediatrics Physician
28Total paid$1.60M
24GClaims44,141
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#60 of 1,257
Median peer was paid$45K
This provider vs. median35×
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 SWEITZER, JENNIFER controls 20+ 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 | 111 | $2K | |
| 2019 | 110 | $3K | |
| 2020 | 1,867 | $69K | |
| 2021 | 13,629 | $482K | |
| 2022 | 11,614 | $426K | |
| 2023 | 9,272 | $344K | |
| 2024incomplete | 7,538 | $273K |
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 | 47% | 17,830 | 16,650 | $745K |
| 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 | 33% | 8,648 | 8,253 | $530K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 875 | 795 | $70K |
| 90651 | 3.2% | 1,265 | 1,257 | $52K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 571 | 564 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 369 | 362 | $33K |
| 90686 | <1% | 2,568 | 2,522 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 336 | 309 | $14K |
| 0001A | <1% | 232 | 199 | $9K | |
| 90715 | <1% | 562 | 555 | $8K | |
| G0008 | Administration of influenza virus vaccine | <1% | 697 | 687 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 68 | 66 | $6K |
51 more codes
| 90707 | <1% | 199 | $5K | |
| 0002A | <1% | 233 | $5K | |
| 90698 | <1% | 1,179 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 88 | $4K |
| 90670 | <1% | 840 | $4K | |
| 90732 | <1% | 43 | $3K | |
| 90750 | <1% | 26 | $3K | |
| 90633 | <1% | 548 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 514 | $2K |
| 90734 | <1% | 223 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 71 | $2K |
| 90744 | <1% | 416 | $2K | |
| 0011A | <1% | 37 | $2K | |
| 0012A | <1% | 34 | $2K | |
| 0054A | <1% | 47 | $2K | |
| 0004A | <1% | 97 | $2K | |
| 90680 | <1% | 431 | $1K | |
| 80305 | <1% | 68 | $951.95 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $894.03 |
| 90688 | <1% | 62 | $883.05 | |
| 3074F | <1% | 152 | $880.00 | |
| 3079F | <1% | 189 | $825.00 | |
| 90746 | <1% | 14 | $810.56 | |
| 0071A | <1% | 65 | $650.00 | |
| 3077F | <1% | 152 | $580.00 | |
| 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% | 372 | $515.85 |
| 90696 | <1% | 64 | $439.10 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 12 | $386.14 |
| 90656 | <1% | 294 | $368.24 | |
| 90710 | <1% | 47 | $368.00 | |
| 0051A | <1% | 15 | $348.17 | |
| 3078F | <1% | 70 | $290.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 503 | $265.53 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27 | $241.00 |
| 0052A | <1% | 29 | $211.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $198.45 |
| 3080F | <1% | 28 | $150.00 | |
| 0072A | <1% | 71 | $150.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 12 | $142.63 |
| 86580 | <1% | 32 | $133.60 | |
| 3075F | <1% | 39 | $130.00 | |
| 99173 | <1% | 286 | $121.05 | |
| 90716 | <1% | 15 | $120.00 | |
| 92551 | <1% | 151 | $108.46 | |
| 96127 | <1% | 49 | $58.53 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $0.96 |
| 3008F | 0% | 1,509 | $0.00 | |
| 90677 | 0% | 500 | $0.00 | |
| 90619 | 0% | 144 | $0.00 | |
| 96160 | 0% | 59 | $0.00 | |
| 0124A | 0% | 27 | $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 officialSWEITZER, JENNIFER (DIRECTOR-PFS)
| 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 | York, PA | $1.57M |
| Wellspan Medical Group | York, PA | $1.34M |
| 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.