Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $841K by Medicaid between Jul 2019 and Dec 2024, across 35 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 37% of everything it billed.
HARRISBURG, PA 17111
Next to other Diagnostic Radiology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 345 | $2K | |
| 2020 | 1,779 | $22K | |
| 2021 | 9,440 | $136K | |
| 2022 | 11,394 | $197K | |
| 2023 | 13,618 | $278K | |
| 2024incomplete | 9,897 | $206K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 37% | 4,817 | 4,740 | $315K |
| 71046 | Radiologic examination, chest; 2 views | 14% | 14,270 | 14,041 | $119K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 13% | 3,365 | 3,352 | $111K |
| 71045 | Radiologic examination, chest; single view | 11% | 14,925 | 14,047 | $93K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 6.3% | 2,147 | 2,140 | $53K |
| 70450 | Computed tomography, head or brain; without contrast material | 5.5% | 1,690 | 1,642 | $47K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 3.9% | 535 | 531 | $33K |
| 76830 | Ultrasound, transvaginal | 1.4% | 380 | 379 | $12K |
| 76642 | 1.1% | 369 | 323 | $9K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 183 | 159 | $7K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 81 | 78 | $5K |
| 73630 | <1% | 701 | 577 | $5K |
23 more codes
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 181 | $4K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 238 | $4K |
| 73564 | <1% | 443 | $4K | |
| 77065 | Tomosynthesis, mammo | <1% | 136 | $4K |
| 73030 | <1% | 449 | $3K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 40 | $3K |
| 73610 | <1% | 350 | $3K | |
| 73562 | <1% | 192 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 44 | $1K |
| 73130 | <1% | 153 | $1K | |
| 77066 | Tomosynthesis, mammo | <1% | 32 | $985.35 |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 14 | $722.02 |
| 73110 | <1% | 73 | $522.58 | |
| 72110 | <1% | 60 | $480.43 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $471.46 |
| 74018 | <1% | 51 | $397.43 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 12 | $350.07 |
| 76536 | <1% | 12 | $263.56 | |
| 73560 | <1% | 36 | $229.74 | |
| 72100 | <1% | 14 | $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) | 0% | 349 | $0.00 |
| 7025F | 0% | 12 | $0.00 | |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 105 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.