NP / PA
Wellspan Medical Group
Wellspan Medical Group was paid $456K by Medicaid between Apr 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
MANCHESTER, PA 17345
MANCHESTER, PA 17345
33aNPI1437227055assigned 12/01/2006
33bProvider typeNurse Practitioner
28Total paid$456K
24GClaims9,088
24DCodes billed9
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#13 of 372
Median peer was paid$7K
This provider vs. median66×
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.
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 | |
|---|---|---|---|
| 2018 | 13 | $256.90 | |
| 2020 | 373 | $19K | |
| 2021 | 2,248 | $121K | |
| 2022 | 2,887 | $141K | |
| 2023 | 2,235 | $112K | |
| 2024incomplete | 1,332 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 4,960 | 4,681 | $302K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 3,569 | 3,384 | $152K |
| 90686 | <1% | 335 | 330 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $522.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 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) | <1% | 60 | 54 | $164.16 |
| 90656 | 0% | 76 | 75 | $0.00 | |
| 3008F | 0% | 37 | 34 | $0.00 | |
| 90715 | 0% | 12 | 12 | $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 officialVEST, TINA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Providence Recovery Service of Colorado LLC | Craig, CO | $217K |
| Tallahatchie General Hospital | Tutwiler, MS | $212K |
| Vest Psychiatric Services, LLC | Ashland, NE | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.