Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $154K by Medicaid between Nov 2021 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
CAMP HILL, PA 17011
Next to other Maternal & Fetal Medicine 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 | |
|---|---|---|---|
| 2021 | 13 | $500.50 | |
| 2022 | 507 | $30K | |
| 2023 | 1,579 | $76K | |
| 2024incomplete | 863 | $47K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 1,656 | 1,456 | $101K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 699 | 596 | $29K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 12% | 256 | 230 | $18K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.4% | 26 | 25 | $4K |
| 59025 | Fetal non-stress test | <1% | 23 | 13 | $990.95 |
| 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 | <1% | 12 | 12 | $824.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 61 | 60 | $297.68 |
| 3078F | 0% | 41 | 37 | $0.00 | |
| 3074F | 0% | 175 | 170 | $0.00 | |
| 90656 | 0% | 13 | 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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.