Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1629146709 · NEW FREEDOM, PA 17349 · Family Medicine Physician · NPI assigned 11/30/2006

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

Authorized official FRANK, LAURA controls 20+ related entities in our dataset. Read more

$263K
Total Medicaid Paid
4,981
Total Claims
4,800
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (MANAGER-CVS)
NPI Enumeration Date11/30/2006

Related Entities

Other providers sharing the same authorized official: FRANK, LAURA

ProviderCityStateTotal Paid
WELLSPAN MEDICAL GROUP YORK PA $1.02M
WELLSPAN MEDICAL GROUP EPHRATA PA $404K
WELLSPAN MEDICAL GROUP YORK PA $367K
WELLSPAN MEDICAL GROUP LEOLA PA $322K
WELLSPAN MEDICAL GROUP REINHOLDS PA $201K
WELLSPAN MEDICAL GROUP FAIRFIELD PA $180K
WELLSPAN MEDICAL GROUP YORK PA $100K
WELLSPAN MEDICAL GROUP HANOVER PA $87K
WELLSPAN MEDICAL GROUP EPHRATA PA $74K
WELLSPAN MEDICAL GROUP HAGERSTOWN MD $71K
WELLSPAN MEDICAL GROUP MERCERSBURG PA $65K
WELLSPAN MEDICAL GROUP RED LION PA $58K
WELLSPAN MEDICAL GROUP NEW OXFORD PA $40K
WELLSPAN MEDICAL GROUP EPHRATA PA $32K
WELLSPAN MEDICAL GROUP CHAMBERSBURG PA $22K
WELLSPAN MEDICAL GROUP YORK PA $19K
WELLSPAN MEDICAL GROUP YORK PA $16K
WELLSPAN MEDICAL GROUP YORK PA $13K
WELLSPAN MEDICAL GROUP JACOBUS PA $10K
WELLSPAN MEDICAL GROUP LEBANON PA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 230 $12K
2021 1,750 $96K
2022 1,505 $81K
2023 796 $40K
2024 700 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,385 3,259 $210K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,164 1,112 $50K
90686 319 317 $2K
0002A 19 19 $930.00
0001A 17 17 $840.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 25 24 $15.92
90656 52 52 $0.00