Medicaid Provider Spending

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

PENN STATE HEALTH MEDICAL GROUP, LLC

NPI: 1609347152 · WEST READING, PA 19611 · Pediatrics Physician · NPI assigned 12/10/2018

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

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

$7.68M
Total Medicaid Paid
186,660
Total Claims
182,382
Beneficiaries
50
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOYER-SWINKO, TRACY (VP, CHIEF FINANCIAL OFFICER)
Parent OrganizationPENN STATE HEALTH
NPI Enumeration Date12/10/2018

Related Entities

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

ProviderCityStateTotal Paid
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 $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 5,069 $205K
2020 10,873 $351K
2021 40,385 $1.75M
2022 47,894 $1.90M
2023 44,148 $1.90M
2024 38,291 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,880 30,229 $2.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,550 11,019 $1.31M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,148 10,073 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,973 8,864 $883K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,068 6,971 $656K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,377 5,280 $570K
92551 13,504 13,243 $120K
99177 17,383 17,253 $84K
99188 5,709 5,673 $81K
90686 10,145 10,083 $70K
96127 8,752 8,518 $38K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,356 3,120 $34K
90460 Immunization administration through 18 years of age via any route, first or only component 1,107 974 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 604 566 $27K
90670 4,083 4,062 $25K
99215 Prolong outpt/office vis 139 112 $22K
90723 3,422 3,402 $20K
90651 2,545 2,503 $20K
90734 2,084 2,010 $19K
90647 3,282 3,260 $18K
96161 7,410 7,269 $17K
90680 2,375 2,366 $14K
90633 2,173 2,145 $11K
90710 2,054 2,043 $10K
83655 10,884 10,816 $10K
90620 1,317 1,304 $7K
90656 925 924 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 414 400 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 258 258 $6K
96160 3,106 3,068 $6K
90677 935 917 $5K
90715 992 985 $5K
90696 877 876 $5K
90700 746 739 $4K
99460 25 25 $2K
69210 41 41 $2K
90461 30 27 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 75 71 $1K
96156 13 13 $920.89
87428 13 12 $839.33
0071A 14 14 $560.00
36415 Collection of venous blood by venipuncture 156 154 $520.24
90681 175 170 $280.00
99051 17 15 $194.00
96151 16 14 $37.69
85018 12 12 $16.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $0.12
80061 Lipid panel 13 13 $0.01
36416 371 366 $0.00
G9920 Screening performed and negative 100 98 $0.00