Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $116K by Medicaid between Dec 2022 and Oct 2024, across 7 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 26% of everything it billed.
CAMP HILL, PA 17011
Next to other Neonatal-Perinatal Medicine 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 | |
|---|---|---|---|
| 2022 | 60 | $3K | |
| 2023 | 843 | $57K | |
| 2024incomplete | 691 | $56K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 26% | 342 | 328 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 555 | 271 | $26K |
| 99223 | Prolong inpt eval add15 m | 21% | 242 | 234 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 191 | 106 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.2% | 165 | 156 | $11K |
| 99236 | Prolong inpt eval add15 m | 6.8% | 68 | 68 | $8K |
| 99235 | 2.4% | 31 | 31 | $3K |
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 | Harrisburg, PA | $841K |
| 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 | $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.