Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1629528211 · REINHOLDS, PA 17569 · Family Medicine Physician · NPI assigned 10/07/2016

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

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

$201K
Total Medicaid Paid
3,976
Total Claims
3,780
Beneficiaries
9
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (MANAGER-CVS)
NPI Enumeration Date10/07/2016

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 NEW FREEDOM PA $263K
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 155 $9K
2021 785 $38K
2022 1,069 $55K
2023 976 $49K
2024 991 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,554 2,429 $153K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,101 1,033 $45K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $1K
90686 170 170 $891.26
G0008 Administration of influenza virus vaccine 12 12 $134.70
99173 43 40 $62.97
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) 14 14 $48.26
92551 12 12 $21.70
90656 55 55 $0.00