NP / PA
Abington Memorial Hospital
Abington Memorial Hospital was paid $734K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoABINGTON MEMORIAL HOSPITAL
ABINGTON, PA 19001
ABINGTON, PA 19001
33aNPI1366835571assigned 03/12/2015
33bProvider typeObstetrics & Gynecology Nurse Practitioner
28Total paid$734K
24GClaims23,423
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Nurse Practitioner providers in Pennsylvania
Rank by total paid#2 of 12
Median peer was paid$30K
This provider vs. median25×
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 WALSH, MICHAEL 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 | |
|---|---|---|---|
| 2020 | 710 | $21K | |
| 2021 | 4,439 | $158K | |
| 2022 | 7,883 | $236K | |
| 2023 | 5,307 | $171K | |
| 2024incomplete | 5,084 | $147K |
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 | 42% | 7,357 | 6,634 | $305K |
| 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 | 41% | 6,169 | 5,582 | $300K |
| T1001 | Nursing assessment / evaluation | 6.0% | 335 | 329 | $44K |
| 0502F | 4.7% | 5,729 | 5,075 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 688 | 579 | $23K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 87 | 87 | $7K |
| 90715 | <1% | 407 | 405 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 114 | 109 | $3K |
| 90746 | <1% | 296 | 293 | $3K | |
| 0500F | <1% | 449 | 440 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 233 | 196 | $2K |
| 81002 | <1% | 1,200 | 1,086 | $2K |
8 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 47 | $850.89 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 62 | $750.20 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $561.28 |
| 99401 | <1% | 47 | $514.71 | |
| 90686 | <1% | 68 | $185.52 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $134.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $58.91 |
| 90651 | 0% | 61 | $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 officialWALSH, MICHAEL (SENIOR VP FINANCE)
Parent organizationABINGTON MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Abington Memorial Hospital | Abington, PA | $16.59M |
| Lansdale Hospital Corporation | Lansdale, PA | $2.70M |
| Dignity Health | Capitola, CA | $873K |
| Abington Memorial Hospital | Jenkintown, PA | $300K |
| Abington Memorial Hospital | Abington, PA | $250K |
| Abington Memorial Hospital | Willow Grove, PA | $214K |
| Abington Memorial Hospital | Warminster, PA | $164K |
| Abington Memorial Hospital | Lansdale, PA | $160K |
| Abington Memorial Hospital | Philadelphia, PA | $157K |
| Abington Memorial Hospital | Jenkintown, PA | $147K |
| Abington Memorial Hospital | Abington, PA | $143K |
| Mike Walsh Physical Therapy, LLC | Dover, DE | $108K |
| Abington Memorial Hospital | Abington, PA | $96K |
| Abington Memorial Hospital | Warminster, PA | $96K |
| Abington Memorial Hospital | Warminster, PA | $91K |
| Abington Memorial Hospital | Abington, PA | $61K |
| Abington Memorial Hospital | Feasterville, PA | $61K |
| Abington Memorial Hospital | Abington, PA | $42K |
| Abington Memorial Hospital | Blue Bell, PA | $28K |
| Abington Memorial Hospital | Southampton, PA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.