Behavioral
Wellspan Medical Group
Wellspan Medical Group was paid $22.34M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 27% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17402
YORK, PA 17402
33aNPI1740249325assigned 03/21/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$22.34M
24GClaims309,754
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Pennsylvania
Rank by total paid#2 of 83
Median peer was paid$213K
This provider vs. median105×
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 SWEITZER, JENNIFER 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 | |
|---|---|---|---|
| 2018 | 190 | $13K | |
| 2019 | 369 | $24K | |
| 2020 | 23,351 | $1.40M | |
| 2021 | 65,438 | $4.14M | |
| 2022 | 72,229 | $4.72M | |
| 2023 | 74,198 | $6.02M | |
| 2024incomplete | 73,979 | $6.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 27% | 81,114 | 53,046 | $6.02M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 21% | 70,684 | 64,092 | $4.80M |
| 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 | 18% | 43,309 | 40,813 | $3.99M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11% | 12,286 | 11,147 | $2.43M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.5% | 14,776 | 13,733 | $1.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 8,540 | 7,978 | $564K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.3% | 12,693 | 4,889 | $504K |
| 96131 | 2.1% | 2,726 | 1,531 | $480K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 12,159 | 10,428 | $478K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.0% | 7,567 | 5,959 | $455K |
| H0034 | Medication training and support, per 15 minutes | 1.4% | 6,414 | 5,810 | $324K |
| 96130 | <1% | 2,854 | 1,526 | $185K |
18 more codes
| 96127 | <1% | 21,351 | $169K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,047 | $80K |
| 99205 | Prolong outpt/office vis | <1% | 686 | $75K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 706 | $75K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 5,187 | $70K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 1,554 | $41K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,292 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 500 | $30K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 114 | $20K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,462 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 165 | $16K |
| 96133 | <1% | 53 | $11K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 289 | $10K |
| 99201 | <1% | 91 | $6K | |
| 96132 | <1% | 54 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 55 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 14 | $923.80 |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $398.36 |
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 officialSWEITZER, JENNIFER (DIRECTOR PATIENT FINANCIAL SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $3.41M |
| Wellspan Medical Group | York, PA | $3.21M |
| Wellspan Medical Group | York, PA | $3.15M |
| Wellspan Medical Group | York, PA | $2.38M |
| Wellspan Medical Group | York, PA | $2.08M |
| Wellspan Medical Group | Hanover, PA | $1.91M |
| Wellspan Medical Group | York, PA | $1.75M |
| Wellspan Medical Group | Lebanon, PA | $1.60M |
| Wellspan Medical Group | York, PA | $1.57M |
| Wellspan Medical Group | York, PA | $1.34M |
| Wellspan Medical Group | Ephrata, PA | $1.32M |
| Wellspan Medical Group | Annville, PA | $902K |
| Wellspan Medical Group | York, PA | $793K |
| Wellspan Medical Group | York, PA | $635K |
| Wellspan Medical Group | York, PA | $566K |
| Wellspan Medical Group | York, PA | $491K |
| Wellspan Medical Group | Shippensburg, PA | $442K |
| Wellspan Medical Group | Waynesboro, PA | $439K |
| Wellspan Medical Group | Chambersburg, PA | $411K |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.