Wellspan Medical Group
Wellspan Medical Group was paid $13K by Medicaid between Mar 2023 and Jul 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 44% of everything it billed.
YORK, PA 17403
Next to other Ophthalmology 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 | |
|---|---|---|---|
| 2023 | 322 | $13K | |
| 2024incomplete | 68 | $639.10 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 44% | 101 | 99 | $6K |
| 67028 | Intravitreal injection of a pharmacologic agent | 31% | 43 | 37 | $4K |
| 92134 | 14% | 72 | 71 | $2K | |
| 92015 | Determination of refractive state | 6.4% | 161 | 159 | $842.75 |
| 92250 | 4.7% | 13 | 12 | $619.81 |
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 |
|---|---|---|
| Wellspan Medical Group | York, PA | $1.02M |
| Wellspan Medical Group | Ephrata, PA | $404K |
| Wellspan Medical Group | York, PA | $367K |
| Wellspan Medical Group | Leola, PA | $322K |
| Wellspan Medical Group | New Freedom, PA | $263K |
| Wellspan Medical Group | Reinholds, PA | $201K |
| Wellspan Medical Group | Fairfield, PA | $180K |
| Wellspan Medical Group | York, PA | $100K |
| Wellspan Medical Group | Hanover, PA | $87K |
| Wellspan Medical Group | Ephrata, PA | $74K |
| Wellspan Medical Group | Hagerstown, MD | $71K |
| Wellspan Medical Group | Mercersburg, PA | $65K |
| Wellspan Medical Group | Red Lion, PA | $58K |
| Wellspan Medical Group | New Oxford, PA | $40K |
| Wellspan Medical Group | Ephrata, PA | $32K |
| Wellspan Medical Group | Chambersburg, PA | $22K |
| Wellspan Medical Group | York, PA | $19K |
| Wellspan Medical Group | York, PA | $16K |
| Wellspan Medical Group | Jacobus, PA | $10K |
| Wellspan Medical Group | Lebanon, PA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.