Spirit Physician Services, INC
Spirit Physician Services, INC was paid $443K by Medicaid between Jun 2018 and Oct 2022, across 26 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 39% of everything it billed.
MECHANICSBURG, PA 17055
Next to other Pediatrics Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 118 | $4K | |
| 2019 | 240 | $8K | |
| 2020 | 1,381 | $42K | |
| 2021 | 7,055 | $263K | |
| 2022 | 3,313 | $127K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 39% | 1,868 | 1,852 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 970 | 954 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,012 | 1,904 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 580 | 570 | $53K |
| 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 | 2.8% | 197 | 180 | $12K |
| 90686 | 1.7% | 900 | 886 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 259 | 246 | $7K |
| 90670 | 1.4% | 827 | 818 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 505 | 501 | $5K |
| 90723 | <1% | 455 | 449 | $3K | |
| 90647 | <1% | 459 | 451 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 209 | 203 | $2K |
14 more codes
| 90680 | <1% | 261 | $2K | |
| 92551 | <1% | 687 | $1K | |
| 90633 | <1% | 194 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 83 | $997.06 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 356 | $941.30 |
| 99173 | <1% | 532 | $863.36 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 35 | $843.70 |
| 83655 | <1% | 583 | $771.94 | |
| 99177 | <1% | 46 | $156.75 | |
| 90707 | <1% | 12 | $110.00 | |
| 90710 | <1% | 12 | $80.00 | |
| 85018 | <1% | 40 | $40.81 | |
| 96161 | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Geisinger Clinic | Danville, PA | $74.54M |
| Community Medical Center | Scranton, PA | $22.62M |
| Geisinger Clinic | Danville, PA | $14.93M |
| West Shore Advanced Life Support Services, INC. | Danville, PA | $4.41M |
| Geisinger Clinic | Pottsville, PA | $3.39M |
| Geisinger Clinic | Lewistown, PA | $2.93M |
| Geisinger Clinic | Scranton, PA | $2.63M |
| Geisinger Clinic | Wilkes Barre, PA | $2.35M |
| Geisinger Clinic | Danville, PA | $2.28M |
| Geisinger Jersey Shore Hospital | Jersey Shore, PA | $2.17M |
| Geisinger Clinic | Scranton, PA | $1.71M |
| Geisinger Clinic | Tunkhannock, PA | $1.11M |
| Geisinger Clinic | Orwigsburg, PA | $974K |
| Geisinger Clinic | Pittston, PA | $942K |
| Geisinger Clinic | Berwick, PA | $896K |
| Geisinger Clinic Selinsgrove | Selinsgrove, PA | $819K |
| Geisinger Clinic | Philipsburg, PA | $678K |
| Geisinger Clinic | Lewisburg, PA | $557K |
| Geisinger Clinic | Mountain Top, PA | $523K |
| Geisinger Clinic | Kulpmont, PA | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.