Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1568884351 · YORK, PA 17403 · Obstetrics & Gynecology Physician · NPI assigned 01/13/2014

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

Authorized official WILKINSON, AMY controls 20+ related entities in our dataset. Read more

$47K
Total Medicaid Paid
1,044
Total Claims
1,012
Beneficiaries
4
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILKINSON, AMY (CREDENTIALING SUPERVISOR)
NPI Enumeration Date01/13/2014

Related Entities

Other providers sharing the same authorized official: WILKINSON, AMY

ProviderCityStateTotal Paid
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC WORMLEYSBURG PA $1.86M
PINNACLE HEALTH MEDICAL SERVICES LANCASTER PA $887K
PINNACLE HEALTH MEDICAL SERVICES MECHANICSBURG PA $775K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $557K
WELLSPAN MEDICAL GROUP YORK PA $501K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $375K
WELLSPAN MEDICAL GROUP YORK PA $212K
WELLSPAN MEDICAL GROUP YORK PA $150K
WELLSPAN MEDICAL GROUP ASPERS PA $138K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $90K
WELLSPAN MEDICAL GROUP GETTYSBURG PA $87K
PINNACLE HEALTH MEDICAL SERVICES EPHRATA PA $79K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $69K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $53K
PINNACLE HEALTH MEDICAL SERVICES YORK PA $37K
PINNACLE HEALTH MEDICAL SERVICES LITITZ PA $29K
PINNACLE HEALTH MEDICAL SERVICES CARLISLE PA $27K
PINNACLE HEALTH MEDICAL SERVICES HUMMELSTOWN PA $22K
PINNACLE HEALTH MEDICAL SERVICES ENOLA PA $19K
PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $595.70
2021 337 $15K
2022 225 $11K
2023 226 $10K
2024 242 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 887 859 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 131 129 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $347.45
81025 13 12 $53.40