Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lancaster General Hospital

Lancaster General Hospital was paid $150K by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes. Its largest line is 95886, — 36% of everything it billed.

33Billing provider infoLANCASTER GENERAL HOSPITAL
LANCASTER, PA 17601
33aNPI1699202671assigned 05/22/2017
33bProvider typePain Medicine Physician
28Total paid$150K
24GClaims1,829
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Pain Medicine Physician providers in Pennsylvania

Rank by total paid#5 of 21
Median peer was paid$14K
This provider vs. median10×

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 WELCH, GARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020142$11K
2021478$43K
2022434$41K
2023570$43K
2024incomplete205$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95886 36% 544 518 $54K
99244 Office or other outpatient consultation, moderate to high complexity 24% 287 281 $36K
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 16% 378 369 $24K
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 8.4% 142 142 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.4% 331 324 $11K
95911 6.3% 57 57 $9K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.6% 37 13 $2K
20552 <1% 33 29 $803.91
J1030 Injection, methylprednisolone acetate, 40 mg <1% 20 20 $87.61

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 officialWELCH, GARY (CHIEF OPERATING OFFICER)
Same official

Other billing entities under WELCH, GARY

Full network →
ProviderLocationPaid
Lancaster General HospitalLancaster, PA$33.78M
Lancaster General HospitalLancaster, PA$882K
Lancaster General HospitalQuarryville, PA$630K
Lancaster General HospitalLancaster, PA$381K
Lancaster General Medical GroupEphrata, PA$320K
Lancaster General HospitalLancaster, PA$299K
Lancaster General HospitalLancaster, PA$289K
Lancaster General Medical GroupLancaster, PA$192K
Lancaster General HospitalLancaster, PA$189K
Lancaster General HospitalLancaster, PA$187K
Lancaster General HospitalLancaster, PA$176K
Lancaster General HospitalLancaster, PA$174K
Lancaster General HospitalLancaster, PA$168K
Lancaster General HospitalLancaster, PA$155K
Lancaster General HospitalLancaster, PA$79K
Lancaster General HospitalParkesburg, PA$60K
Lancaster General HospitalLancaster, PA$45K
Lancaster General HospitalLancaster, PA$42K
Lancaster General HospitalLancaster, PA$29K
Lancaster General HospitalLancaster, PA$29K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.