Behavioral
Geisinger Clinic
Geisinger Clinic was paid $5.80M by Medicaid between Aug 2019 and Dec 2024, across 20 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 45% of everything it billed.
33Billing provider infoGEISINGER CLINIC
SCRANTON, PA 18508
SCRANTON, PA 18508
33aNPI1639600075assigned 03/27/2017
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$5.80M
24GClaims111,948
24DCodes billed20
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Pennsylvania
Rank by total paid#6 of 83
Median peer was paid$213K
This provider vs. median27×
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 MULL, CINDY 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 | |
|---|---|---|---|
| 2019 | 1,723 | $4K | |
| 2020 | 17,708 | $465K | |
| 2021 | 31,918 | $1.13M | |
| 2022 | 25,696 | $943K | |
| 2023 | 18,165 | $611K | |
| 2024incomplete | 16,738 | $2.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 45% | 25,335 | 24,979 | $2.60M |
| 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 | 32% | 36,917 | 30,053 | $1.83M |
| T2023 | Targeted case management; per month | 10% | 14,453 | 13,665 | $585K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 20,132 | 14,479 | $488K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.4% | 9,134 | 8,301 | $195K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,021 | 870 | $40K |
| Q3014 | Telehealth originating site facility fee | <1% | 598 | 441 | $18K |
| 80305 | <1% | 1,802 | 1,676 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 168 | 164 | $7K |
| 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) | <1% | 443 | 377 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | 75 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 91 | 90 | $4K |
8 more codes
| 99484 | <1% | 515 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 38 | $3K |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 16 | $2K |
| 81025 | <1% | 836 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 22 | $2K |
| 99499 | <1% | 23 | $854.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 59 | $44.43 |
| 99442 | 0% | 266 | $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 officialMULL, CINDY (DIRECTOR)
| 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.