Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLSPAN MEDICAL GROUP

NPI: 1386429702 · CHAMBERSBURG, PA 17201 · Internal Medicine Physician · NPI assigned 08/25/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FRANK, LAURA controls 20+ related entities in our dataset. Read more

$22K
Total Medicaid Paid
727
Total Claims
634
Beneficiaries
10
Codes Billed
2023-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (CREDENTIALING MANAGER)
NPI Enumeration Date08/25/2023

Related Entities

Other providers sharing the same authorized official: FRANK, LAURA

ProviderCityStateTotal Paid
WELLSPAN MEDICAL GROUP YORK PA $1.02M
WELLSPAN MEDICAL GROUP EPHRATA PA $404K
WELLSPAN MEDICAL GROUP YORK PA $367K
WELLSPAN MEDICAL GROUP LEOLA PA $322K
WELLSPAN MEDICAL GROUP NEW FREEDOM PA $263K
WELLSPAN MEDICAL GROUP REINHOLDS PA $201K
WELLSPAN MEDICAL GROUP FAIRFIELD PA $180K
WELLSPAN MEDICAL GROUP YORK PA $100K
WELLSPAN MEDICAL GROUP HANOVER PA $87K
WELLSPAN MEDICAL GROUP EPHRATA PA $74K
WELLSPAN MEDICAL GROUP HAGERSTOWN MD $71K
WELLSPAN MEDICAL GROUP MERCERSBURG PA $65K
WELLSPAN MEDICAL GROUP RED LION PA $58K
WELLSPAN MEDICAL GROUP NEW OXFORD PA $40K
WELLSPAN MEDICAL GROUP EPHRATA PA $32K
WELLSPAN MEDICAL GROUP YORK PA $19K
WELLSPAN MEDICAL GROUP YORK PA $16K
WELLSPAN MEDICAL GROUP YORK PA $13K
WELLSPAN MEDICAL GROUP JACOBUS PA $10K
WELLSPAN MEDICAL GROUP LEBANON PA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 80 $2K
2024 647 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 237 199 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123 118 $5K
99310 Prolong nursin fac eval 15m 90 84 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 15 15 $761.93
3074F 53 43 $240.00
3078F 30 24 $235.00
3080F 21 18 $110.00
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) 17 15 $47.76
3008F 124 104 $0.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 17 14 $0.00