Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1639718224 · RED LION, PA 17356 · Family Medicine Physician · NPI assigned 12/30/2019

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

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

$58K
Total Medicaid Paid
1,008
Total Claims
944
Beneficiaries
4
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (MANAGER-CVS)
NPI Enumeration Date12/30/2019

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 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 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
2021 54 $4K
2022 127 $8K
2023 429 $24K
2024 398 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 947 884 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $691.21
90656 34 34 $0.00
90686 12 12 $0.00