Medicaid Provider Spending

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

PENN STATE HEALTH MEDICAL GROUP, LLC

NPI: 1649937152 · CAMP HILL, PA 17011 · Maternal & Fetal Medicine Physician · NPI assigned 11/18/2021

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

Authorized official MOYER-SWINKO, TRACY controls 12+ related entities in our dataset. Read more

$154K
Total Medicaid Paid
2,962
Total Claims
2,612
Beneficiaries
10
Codes Billed
2021-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOYER-SWINKO, TRACY (VP/CHIEF FINANCIAL OFFICER)
Parent OrganizationPENN STATE HEALTH
NPI Enumeration Date11/18/2021

Related Entities

Other providers sharing the same authorized official: MOYER-SWINKO, TRACY

ProviderCityStateTotal Paid
PENN STATE HEALTH MEDICAL GROUP, LLC WEST READING PA $7.68M
PENN STATE HEALTH MEDICAL GROUP, LLC LANCASTER PA $4.52M
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $2.30M
PENN STATE HEALTH MEDICAL GROUP, LLC HARRISBURG PA $841K
PENN STATE HEALTH MEDICAL GROUP, LLC CARLISLE PA $322K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $182K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $138K
PENN STATE HEALTH MEDICAL GROUP, LLC LEMOYNE PA $120K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $116K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $83K
PENN STATE HEALTH MEDICAL GROUP, LLC HARRISBURG PA $68K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $500.50
2022 507 $30K
2023 1,579 $76K
2024 863 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,656 1,456 $101K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 699 596 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 256 230 $18K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 26 25 $4K
59025 Fetal non-stress test 23 13 $990.95
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $824.50
36415 Collection of venous blood by venipuncture 61 60 $297.68
3078F 41 37 $0.00
3074F 175 170 $0.00
90656 13 13 $0.00