Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENN STATE HEALTH MEDICAL GROUP, LLC

NPI: 1457824013 · HARRISBURG, PA 17111 · Diagnostic Radiology Physician · NPI assigned 01/07/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOYER-SWINKO, TRACY controls 12+ related entities in our dataset. Read more

$841K
Total Medicaid Paid
46,473
Total Claims
44,650
Beneficiaries
35
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOYER-SWINKO, TRACY (EX. VICE PRES, CHIEF FINANCIAL OFC)
Parent OrganizationPENN STATE HEALTH
NPI Enumeration Date01/07/2019

Related Entities

Other providers sharing the same authorized official: MOYER-SWINKO, TRACY

ProviderCityStateTotal Paid
PENN STATE HEALTH MEDICAL GROUP, LLC WEST READING PA $7.68M
PENN STATE HEALTH MEDICAL GROUP, LLC LANCASTER PA $4.52M
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $2.30M
PENN STATE HEALTH MEDICAL GROUP, LLC CARLISLE PA $322K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $182K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $154K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $138K
PENN STATE HEALTH MEDICAL GROUP, LLC LEMOYNE PA $120K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $116K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $83K
PENN STATE HEALTH MEDICAL GROUP, LLC HARRISBURG PA $68K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 345 $2K
2020 1,779 $22K
2021 9,440 $136K
2022 11,394 $197K
2023 13,618 $278K
2024 9,897 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 4,817 4,740 $315K
71046 Radiologic examination, chest; 2 views 14,270 14,041 $119K
77067 Screening mammography, bilateral, including computer-aided detection 3,365 3,352 $111K
71045 Radiologic examination, chest; single view 14,925 14,047 $93K
77063 Screening digital breast tomosynthesis, bilateral 2,147 2,140 $53K
70450 Computed tomography, head or brain; without contrast material 1,690 1,642 $47K
74176 Computed tomography, abdomen and pelvis; without contrast material 535 531 $33K
76830 Ultrasound, transvaginal 380 379 $12K
76642 369 323 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 183 159 $7K
71275 Computed tomographic angiography, chest, with contrast material 81 78 $5K
73630 701 577 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 181 178 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 238 224 $4K
73564 443 361 $4K
77065 Tomosynthesis, mammo 136 134 $4K
73030 449 386 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 40 40 $3K
73610 350 313 $3K
73562 192 135 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 44 38 $1K
73130 153 124 $1K
77066 Tomosynthesis, mammo 32 27 $985.35
70551 Magnetic resonance imaging, brain; without contrast material 14 14 $722.02
73110 73 62 $522.58
72110 60 56 $480.43
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $471.46
74018 51 48 $397.43
72125 Computed tomography, cervical spine; without contrast material 12 12 $350.07
76536 12 12 $263.56
73560 36 27 $229.74
72100 14 12 $115.48
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 349 311 $0.00
7025F 12 12 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 105 101 $0.00