Supplier
Geisinger Clinic
Geisinger Clinic was paid $2.35M by Medicaid between May 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoGEISINGER CLINIC
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
33aNPI1366492902assigned 05/12/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.35M
24GClaims87,909
24DCodes billed19
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#48 of 279
Median peer was paid$181K
This provider vs. median13×
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 MULL, CINDY 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 | 12 | $3K | |
| 2019 | 15 | $120.00 | |
| 2020 | 2,265 | $50K | |
| 2021 | 18,404 | $444K | |
| 2022 | 20,170 | $484K | |
| 2023 | 26,547 | $667K | |
| 2024incomplete | 20,496 | $698K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 21,840 | 21,482 | $1.02M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 12,002 | 11,797 | $736K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.0% | 7,017 | 3,182 | $212K |
| 92015 | Determination of refractive state | 9.0% | 35,882 | 35,281 | $211K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 3.0% | 3,914 | 1,769 | $70K |
| 92228 | 1.2% | 1,317 | 1,301 | $28K | |
| V2020 | Frames, purchases | 1.1% | 3,530 | 3,197 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,306 | 616 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 354 | 165 | $6K |
| 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% | 160 | 142 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 174 | 169 | $5K |
| 92133 | <1% | 201 | 194 | $4K |
7 more codes
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 12 | $3K |
| 92134 | <1% | 58 | $1K | |
| V2201 | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 48 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $670.49 |
| 92227 | <1% | 57 | $391.36 | |
| 92250 | <1% | 12 | $102.45 | |
| V2799 | Vision item or service, miscellaneous | 0% | 12 | $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 officialMULL, CINDY (SYSTEM DIRECTOR ENROLLMENTS)
| Provider | Location | Paid |
|---|---|---|
| Geisinger Clinic | Danville, PA | $74.54M |
| Community Medical Center | Scranton, PA | $22.62M |
| Geisinger Clinic | Danville, PA | $14.93M |
| West Shore Advanced Life Support Services, INC. | Danville, PA | $4.41M |
| Geisinger Clinic | Pottsville, PA | $3.39M |
| Geisinger Clinic | Lewistown, PA | $2.93M |
| Geisinger Clinic | Scranton, PA | $2.63M |
| Geisinger Clinic | Danville, PA | $2.28M |
| Geisinger Jersey Shore Hospital | Jersey Shore, PA | $2.17M |
| Geisinger Clinic | Scranton, PA | $1.71M |
| Geisinger Clinic | Tunkhannock, PA | $1.11M |
| Geisinger Clinic | Orwigsburg, PA | $974K |
| Geisinger Clinic | Pittston, PA | $942K |
| Geisinger Clinic | Berwick, PA | $896K |
| Geisinger Clinic Selinsgrove | Selinsgrove, PA | $819K |
| Geisinger Clinic | Philipsburg, PA | $678K |
| Geisinger Clinic | Lewisburg, PA | $557K |
| Geisinger Clinic | Mountain Top, PA | $523K |
| Geisinger Clinic | Kulpmont, PA | $489K |
| Geisinger Clinic | Frackville, PA | $479K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.