Physician
Spirit Physician Services, INC.
Spirit Physician Services, INC. was paid $849K by Medicaid between Oct 2018 and Oct 2022, across 18 billing codes. Its largest line is 99284, emergency room visit (serious) — 73% of everything it billed.
33Billing provider infoSPIRIT PHYSICIAN SERVICES, INC.
CAMP HILL, PA 17011
CAMP HILL, PA 17011
33aNPI1447584669assigned 09/21/2009
33bProvider typeSurgery Physician
28Total paid$849K
24GClaims18,537
24DCodes billed18
24AFirst – last monthOct 2018 – Oct 2022
Compared with peers
Next to other Surgery Physician providers in Pennsylvania
Rank by total paid#10 of 190
Median peer was paid$3K
This provider vs. median255×
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 GATESMAN, DAVID controls 13+ 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 | |
|---|---|---|---|
| 2018 | 30 | $450.00 | |
| 2019 | 91 | $4K | |
| 2020 | 1,321 | $58K | |
| 2021 | 9,911 | $444K | |
| 2022 | 7,184 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 73% | 11,763 | 11,529 | $622K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 14% | 4,138 | 4,068 | $119K |
| 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 | 5.1% | 847 | 817 | $43K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.8% | 419 | 416 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 154 | 154 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 386 | 379 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 324 | 129 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 151 | 147 | $8K |
| 99460 | <1% | 43 | 42 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | 34 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 79 | 39 | $1K |
| 99255 | <1% | 15 | 15 | $693.25 |
6 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | $670.40 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | $582.76 |
| 11102 | <1% | 12 | $352.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $92.54 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 26 | $52.70 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 15 | $37.94 |
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 officialGATESMAN, DAVID (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Spirit Physician Services, INC. | Harrisburg, PA | $396K |
| Spirit Physician Services INC | Mechanicsburg, PA | $272K |
| Spirit Physician Services | Camp Hill, PA | $253K |
| Spirit Physician Services, INC. | Camp Hill, PA | $104K |
| Spirit Physician Services INC | Duncannon, PA | $97K |
| Spirit Physician Services, INC. | Camp Hill, PA | $66K |
| Spirit Physician Services INC | Dillsburg, PA | $63K |
| Spirit Physician Services, INC | Marysville, PA | $37K |
| Spirit Physician Services INC | Camp Hill, PA | $37K |
| Spirit Physician Services, INC. | Harrisburg, PA | $13K |
| Spirit Physician Services, INC | Camp Hill, PA | $6K |
| Spirit Physician Services, INC. | New Cumberland, PA | $2K |
| Spirit Physician Services INC. | Mechanicsburg, PA | $551.26 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.