Physician
Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $7.68M by Medicaid between Feb 2019 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPENN STATE HEALTH MEDICAL GROUP, LLC
WEST READING, PA 19611
WEST READING, PA 19611
33aNPI1609347152assigned 12/10/2018
33bProvider typePediatrics Physician
28Total paid$7.68M
24GClaims186,660
24DCodes billed50
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#8 of 1,257
Median peer was paid$45K
This provider vs. median169×
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.
Entity ProliferationAuthorized official MOYER-SWINKO, TRACY controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 5,069 | $205K | |
| 2020 | 10,873 | $351K | |
| 2021 | 40,385 | $1.75M | |
| 2022 | 47,894 | $1.90M | |
| 2023 | 44,148 | $1.90M | |
| 2024incomplete | 38,291 | $1.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 31,880 | 30,229 | $2.52M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 11,550 | 11,019 | $1.31M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 10,148 | 10,073 | $1.01M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 8,973 | 8,864 | $883K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 7,068 | 6,971 | $656K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 5,377 | 5,280 | $570K |
| 92551 | 1.6% | 13,504 | 13,243 | $120K | |
| 99177 | 1.1% | 17,383 | 17,253 | $84K | |
| 99188 | 1.1% | 5,709 | 5,673 | $81K | |
| 90686 | <1% | 10,145 | 10,083 | $70K | |
| 96127 | <1% | 8,752 | 8,518 | $38K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,356 | 3,120 | $34K |
38 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,107 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 604 | $27K |
| 90670 | <1% | 4,083 | $25K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 139 | $22K |
| 90723 | <1% | 3,422 | $20K | |
| 90651 | <1% | 2,545 | $20K | |
| 90734 | <1% | 2,084 | $19K | |
| 90647 | <1% | 3,282 | $18K | |
| 96161 | <1% | 7,410 | $17K | |
| 90680 | <1% | 2,375 | $14K | |
| 90633 | <1% | 2,173 | $11K | |
| 90710 | <1% | 2,054 | $10K | |
| 83655 | <1% | 10,884 | $10K | |
| 90620 | <1% | 1,317 | $7K | |
| 90656 | <1% | 925 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 414 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 258 | $6K |
| 96160 | <1% | 3,106 | $6K | |
| 90677 | <1% | 935 | $5K | |
| 90715 | <1% | 992 | $5K | |
| 90696 | <1% | 877 | $5K | |
| 90700 | <1% | 746 | $4K | |
| 99460 | <1% | 25 | $2K | |
| 69210 | <1% | 41 | $2K | |
| 90461 | <1% | 30 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | $1K |
| 96156 | <1% | 13 | $920.89 | |
| 87428 | <1% | 13 | $839.33 | |
| 0071A | <1% | 14 | $560.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 156 | $520.24 |
| 90681 | <1% | 175 | $280.00 | |
| 99051 | <1% | 17 | $194.00 | |
| 96151 | <1% | 16 | $37.69 | |
| 85018 | <1% | 12 | $16.57 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $0.12 |
| 80061 | Lipid panel | <1% | 13 | $0.01 |
| 36416 | 0% | 371 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 100 | $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.
From NPPES
Who's on the registration
Authorized officialMOYER-SWINKO, TRACY (VP, CHIEF FINANCIAL OFFICER)
Parent organizationPENN STATE HEALTH
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.