NP / PA
Wellspan Medical Group
Wellspan Medical Group was paid $3.41M by Medicaid between Oct 2020 and Dec 2024, across 34 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 32% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17403
YORK, PA 17403
33aNPI1629139621assigned 12/13/2006
33bProvider typeObstetrics & Gynecology Nurse Practitioner
28Total paid$3.41M
24GClaims66,338
24DCodes billed34
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Nurse Practitioner providers in Pennsylvania
Rank by total paid#1 of 12
Median peer was paid$30K
This provider vs. median115×
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 SWEITZER, JENNIFER controls 20+ 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 | |
|---|---|---|---|
| 2020 | 1,423 | $94K | |
| 2021 | 15,555 | $957K | |
| 2022 | 16,912 | $728K | |
| 2023 | 16,457 | $842K | |
| 2024incomplete | 15,991 | $789K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 32% | 25,862 | 22,539 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 21,278 | 19,976 | $919K |
| T2023 | Targeted case management; per month | 11% | 1,336 | 1,336 | $391K |
| 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 | 6.5% | 3,679 | 3,505 | $222K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 5.9% | 1,049 | 1,039 | $201K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 5.8% | 1,087 | 1,075 | $197K |
| 76830 | Ultrasound, transvaginal | 2.7% | 1,034 | 1,001 | $93K |
| T1001 | Nursing assessment / evaluation | 1.7% | 333 | 323 | $60K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.4% | 448 | 412 | $46K |
| 90651 | <1% | 427 | 422 | $24K | |
| 90715 | <1% | 2,315 | 2,276 | $24K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 600 | 575 | $21K |
22 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 223 | $17K |
| 76801 | <1% | 138 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 856 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 173 | $13K |
| 99429 | <1% | 44 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 422 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,868 | $8K |
| S0612 | Annual gynecological examination, established patient | <1% | 243 | $7K |
| 90686 | <1% | 358 | $2K | |
| 81025 | <1% | 495 | $2K | |
| J2790 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) | <1% | 212 | $2K |
| 81002 | <1% | 552 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $608.20 |
| 99385 | <1% | 14 | $342.20 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $288.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $80.30 |
| 87210 | <1% | 12 | $77.12 | |
| 90656 | 0% | 78 | $0.00 | |
| 0503F | 0% | 27 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 29 | $0.00 |
| 90678 | 0% | 15 | $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 officialSWEITZER, JENNIFER (DIRECTOR AND AO)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $22.34M |
| Wellspan Medical Group | York, PA | $3.21M |
| Wellspan Medical Group | York, PA | $3.15M |
| Wellspan Medical Group | York, PA | $2.38M |
| Wellspan Medical Group | York, PA | $2.08M |
| Wellspan Medical Group | Hanover, PA | $1.91M |
| Wellspan Medical Group | York, PA | $1.75M |
| Wellspan Medical Group | Lebanon, PA | $1.60M |
| Wellspan Medical Group | York, PA | $1.57M |
| Wellspan Medical Group | York, PA | $1.34M |
| Wellspan Medical Group | Ephrata, PA | $1.32M |
| Wellspan Medical Group | Annville, PA | $902K |
| Wellspan Medical Group | York, PA | $793K |
| Wellspan Medical Group | York, PA | $635K |
| Wellspan Medical Group | York, PA | $566K |
| Wellspan Medical Group | York, PA | $491K |
| Wellspan Medical Group | Shippensburg, PA | $442K |
| Wellspan Medical Group | Waynesboro, PA | $439K |
| Wellspan Medical Group | Chambersburg, PA | $411K |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.