Physician
Geisinger Clinic
Geisinger Clinic was paid $364K by Medicaid between Aug 2020 and Dec 2024, across 26 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 28% of everything it billed.
33Billing provider infoGEISINGER CLINIC
COAL TOWNSHIP, PA 17866
COAL TOWNSHIP, PA 17866
33aNPI1740585918assigned 01/20/2011
33bProvider typePediatrics Physician
28Total paid$364K
24GClaims8,552
24DCodes billed26
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#251 of 1,257
Median peer was paid$45K
This provider vs. median8.0×
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 MULL, CINDY 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 | |
|---|---|---|---|
| 2020 | 391 | $16K | |
| 2021 | 1,981 | $93K | |
| 2022 | 2,612 | $110K | |
| 2023 | 2,084 | $93K | |
| 2024incomplete | 1,484 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 28% | 1,203 | 1,185 | $103K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 22% | 1,166 | 1,071 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,027 | 1,889 | $71K |
| 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% | 1,113 | 1,047 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 364 | 362 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 63 | 61 | $5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 318 | 290 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | 31 | $3K |
| 90686 | <1% | 199 | 197 | $2K | |
| 90670 | <1% | 160 | 158 | $2K | |
| 90723 | <1% | 149 | 147 | $2K | |
| 90677 | <1% | 77 | 77 | $751.30 |
14 more codes
| 90680 | <1% | 72 | $738.40 | |
| 90647 | <1% | 60 | $608.80 | |
| 92551 | <1% | 472 | $588.17 | |
| 90648 | <1% | 57 | $555.60 | |
| 90681 | <1% | 38 | $359.90 | |
| 99173 | <1% | 356 | $283.15 | |
| 90633 | <1% | 24 | $240.20 | |
| 83655 | <1% | 387 | $224.46 | |
| 90656 | <1% | 16 | $164.80 | |
| 90381 | <1% | 12 | $102.70 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 136 | $32.16 |
| 85018 | <1% | 25 | $29.30 | |
| 96127 | 0% | 14 | $0.00 | |
| 80061 | Lipid panel | 0% | 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.
From NPPES
Who's on the registration
Authorized officialMULL, CINDY (SYSTEM DIRECTOR ENROLLMENTS)
| Provider | Location | Paid |
|---|---|---|
| Geisinger Clinic | Danville, PA | $74.54M |
| Community Medical Center | Scranton, PA | $22.62M |
| Geisinger Clinic | Danville, PA | $14.93M |
| West Shore Advanced Life Support Services, INC. | Danville, PA | $4.41M |
| Geisinger Clinic | Pottsville, PA | $3.39M |
| Geisinger Clinic | Lewistown, PA | $2.93M |
| Geisinger Clinic | Scranton, PA | $2.63M |
| Geisinger Clinic | Wilkes Barre, PA | $2.35M |
| Geisinger Clinic | Danville, PA | $2.28M |
| Geisinger Jersey Shore Hospital | Jersey Shore, PA | $2.17M |
| Geisinger Clinic | Scranton, PA | $1.71M |
| Geisinger Clinic | Tunkhannock, PA | $1.11M |
| Geisinger Clinic | Orwigsburg, PA | $974K |
| Geisinger Clinic | Pittston, PA | $942K |
| Geisinger Clinic | Berwick, PA | $896K |
| Geisinger Clinic Selinsgrove | Selinsgrove, PA | $819K |
| Geisinger Clinic | Philipsburg, PA | $678K |
| Geisinger Clinic | Lewisburg, PA | $557K |
| Geisinger Clinic | Mountain Top, PA | $523K |
| Geisinger Clinic | Kulpmont, PA | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.