WELLSPAN MEDICAL GROUP
NPI: 1437227055
· MANCHESTER, PA 17345
· Nurse Practitioner
· NPI assigned 12/01/2006
$456K
Total Medicaid Paid
Provider Details
| Authorized Official | VEST, TINA (CREDENTIALING SUPERVISOR) |
| NPI Enumeration Date | 12/01/2006 |
Related Entities
Other providers sharing the same authorized official: VEST, TINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$256.90 |
| 2020 |
373 |
$19K |
| 2021 |
2,248 |
$121K |
| 2022 |
2,887 |
$141K |
| 2023 |
2,235 |
$112K |
| 2024 |
1,332 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,960 |
4,681 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,569 |
3,384 |
$152K |
| 90686 |
|
335 |
330 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$522.52 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$225.90 |
| 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) |
60 |
54 |
$164.16 |
| 90656 |
|
76 |
75 |
$0.00 |
| 3008F |
|
37 |
34 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |