Physician
Geisinger Clinic
Geisinger Clinic was paid $2.63M by Medicaid between Nov 2019 and Dec 2024, across 57 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 18% of everything it billed.
33Billing provider infoGEISINGER CLINIC
FORTY FORT, PA 18704
FORTY FORT, PA 18704
33aNPI1427291947assigned 04/14/2009
33bProvider typePediatric Infectious Diseases Physician
28Total paid$2.63M
24GClaims75,432
24DCodes billed57
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Pediatric Infectious Diseases Physician providers in Pennsylvania
Rank by total paid#1 of 6
Median peer was paid$177K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 30 | $559.05 | |
| 2020 | 2,683 | $70K | |
| 2021 | 17,825 | $855K | |
| 2022 | 16,473 | $530K | |
| 2023 | 18,880 | $586K | |
| 2024incomplete | 19,541 | $586K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 5,353 | 5,295 | $480K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 5,155 | 4,776 | $384K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 4,406 | 4,321 | $382K |
| J2357 | Injection, omalizumab, 5 mg | 11% | 265 | 181 | $295K |
| 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 | 11% | 5,257 | 5,017 | $290K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 7,630 | 7,306 | $276K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 2,417 | 2,375 | $212K |
| 90686 | 1.5% | 4,411 | 4,366 | $40K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 1,886 | 1,781 | $38K |
| 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% | 2,581 | 2,470 | $25K |
| 90670 | <1% | 2,604 | 2,577 | $25K | |
| 90723 | <1% | 2,552 | 2,517 | $25K |
45 more codes
| 90647 | <1% | 2,406 | $23K | |
| 90680 | <1% | 1,942 | $18K | |
| 97802 | <1% | 246 | $14K | |
| 90633 | <1% | 1,344 | $13K | |
| 97803 | <1% | 281 | $10K | |
| 90677 | <1% | 1,023 | $9K | |
| 90651 | <1% | 725 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 238 | $6K |
| 90656 | <1% | 617 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 194 | $5K |
| 90734 | <1% | 407 | $4K | |
| 0071A | <1% | 95 | $4K | |
| 92551 | <1% | 6,698 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 232 | $3K |
| 0072A | <1% | 68 | $3K | |
| 95117 | <1% | 396 | $3K | |
| 90707 | <1% | 234 | $2K | |
| 90648 | <1% | 220 | $2K | |
| 90700 | <1% | 212 | $2K | |
| 90716 | <1% | 213 | $2K | |
| 90696 | <1% | 176 | $2K | |
| 90710 | <1% | 172 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 168 | $1K |
| 90681 | <1% | 124 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $1K |
| 99177 | <1% | 3,752 | $873.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $701.50 |
| 90620 | <1% | 77 | $677.00 | |
| 96127 | <1% | 1,568 | $662.76 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $648.31 |
| 99381 | <1% | 12 | $630.00 | |
| 83655 | <1% | 2,372 | $598.36 | |
| 0083A | <1% | 14 | $576.80 | |
| 0081A | <1% | 13 | $535.60 | |
| 0082A | <1% | 12 | $504.00 | |
| 99173 | <1% | 1,371 | $324.30 | |
| 90715 | <1% | 84 | $233.81 | |
| 80061 | Lipid panel | <1% | 927 | $209.30 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $195.50 |
| 90621 | <1% | 14 | $150.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,000 | $144.72 |
| 90381 | <1% | 15 | $144.20 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 12 | $138.00 |
| 85018 | <1% | 230 | $74.20 | |
| 96160 | <1% | 904 | $45.04 |
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 ENROLLMENT)
| 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 | Wilkes Barre, PA | $2.35M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.