Wellspan Medical Group
Wellspan Medical Group was paid $1.11M by Medicaid between Jan 2019 and Dec 2024, across 12 billing codes. Its largest line is S9083, Global fee urgent care centers — 72% of everything it billed.
GETTYSBURG, PA 17325
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 | |
|---|---|---|---|
| 2019 | 344 | $24K | |
| 2020 | 572 | $30K | |
| 2021 | 4,314 | $253K | |
| 2022 | 5,341 | $293K | |
| 2023 | 4,187 | $245K | |
| 2024incomplete | 4,888 | $265K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 72% | 10,864 | 10,357 | $799K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,206 | 5,942 | $225K |
| 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 | 4.0% | 1,069 | 1,045 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 460 | 445 | $22K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 358 | 350 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 472 | 460 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 61 | 58 | $792.42 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | 18 | $225.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $124.00 |
| 81002 | <1% | 55 | 53 | $64.04 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | 14 | $30.50 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 54 | 53 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $5.21M |
| Wellspan Medical Group | Lititz, PA | $841K |
| Wellspan Medical Group | Lebanon, PA | $550K |
| Wellspan Medical Group | Ephrata, PA | $467K |
| Wellspan Medical Group | York, PA | $342K |
| Wellspan Medical Group | York, PA | $250K |
| Wellspan Medical Group | Lancaster, PA | $250K |
| Wellspan Medical Group | Myerstown, PA | $228K |
| Wellspan Medical Group | Ephrata, PA | $173K |
| Wellspan Medical Group | East Earl, PA | $136K |
| Wellspan Medical Group | Ephrata, PA | $101K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.