Physician
Wellspan Medical Group
Wellspan Medical Group was paid $16K by Medicaid between Aug 2020 and Dec 2024, across 4 billing codes. Its largest line is 93793, — 84% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17404
YORK, PA 17404
33aNPI1437774098assigned 06/10/2020
33bProvider typeInternal Medicine Physician
28Total paid$16K
24GClaims6,440
24DCodes billed4
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#621 of 1,726
Median peer was paid$6K
This provider vs. median2.4×
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 FRANK, LAURA 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 | |
|---|---|---|---|
| 2020 | 684 | $1K | |
| 2021 | 1,780 | $5K | |
| 2022 | 1,214 | $4K | |
| 2023 | 1,249 | $3K | |
| 2024incomplete | 1,513 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93793 | 84% | 5,557 | 2,728 | $13K | |
| 85610 | 12% | 578 | 284 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 12 | 12 | $493.40 |
| 36416 | <1% | 293 | 118 | $144.00 |
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 officialFRANK, LAURA (CREDENTIALING MANAGER)
| Provider | Location | 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 | Chambersburg, PA | $22K |
| Wellspan Medical Group | York, PA | $19K |
| Wellspan Medical Group | York, PA | $13K |
| Wellspan Medical Group | Jacobus, PA | $10K |
| Wellspan Medical Group | Lebanon, PA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.