WELLSPAN MEDICAL GROUP
NPI: 1588114094
· EPHRATA, PA 17522
· Family Medicine Physician
· NPI assigned 10/07/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MOON, CHRISTINA controls 11+ related entities in our dataset. Read more
$467K
Total Medicaid Paid
Provider Details
| Authorized Official | MOON, CHRISTINA (SUPERVISOR-VERIFICATION SERVICES) |
| NPI Enumeration Date | 10/07/2016 |
Related Entities
Other providers sharing the same authorized official: MOON, CHRISTINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
363 |
$16K |
| 2021 |
2,363 |
$126K |
| 2022 |
2,804 |
$146K |
| 2023 |
2,392 |
$125K |
| 2024 |
1,055 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,806 |
4,496 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,630 |
3,368 |
$156K |
| 90686 |
|
272 |
267 |
$2K |
| 80305 |
|
78 |
63 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
82 |
79 |
$954.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$543.58 |
| 3008F |
|
84 |
79 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |