Physician
Geisinger Clinic
Geisinger Clinic was paid $1.46M by Medicaid between Jun 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoGEISINGER CLINIC
DANVILLE, PA 17821
DANVILLE, PA 17821
33aNPI1790811446assigned 02/26/2007
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$1.46M
24GClaims38,758
24DCodes billed32
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in Pennsylvania
Rank by total paid#1 of 28
Median peer was paid$120K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 16 | $1K | |
| 2020 | 927 | $35K | |
| 2021 | 5,926 | $271K | |
| 2022 | 5,887 | $239K | |
| 2023 | 8,664 | $368K | |
| 2024incomplete | 17,338 | $541K |
Box 24 · Service lines
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 | 31% | 12,754 | 12,237 | $448K |
| 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 | 28% | 7,922 | 7,672 | $404K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,286 | 2,171 | $163K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,685 | 1,659 | $148K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,088 | 1,073 | $94K |
| 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) | 4.5% | 7,293 | 7,070 | $66K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 892 | 875 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 305 | 303 | $28K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 550 | 384 | $15K |
| 99310 | Prolong nursin fac eval 15m | <1% | 182 | 145 | $8K |
| 90686 | <1% | 535 | 532 | $5K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 168 | 164 | $3K |
20 more codes
| 90677 | <1% | 176 | $2K | |
| 99245 | <1% | 12 | $2K | |
| 90723 | <1% | 152 | $1K | |
| 90670 | <1% | 154 | $1K | |
| 90647 | <1% | 130 | $1K | |
| 92551 | <1% | 1,011 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $859.70 |
| 90680 | <1% | 120 | $855.50 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $360.05 |
| 99173 | <1% | 615 | $331.20 | |
| 90734 | <1% | 26 | $269.60 | |
| 90656 | <1% | 25 | $264.40 | |
| 90648 | <1% | 25 | $253.50 | |
| 90651 | <1% | 13 | $159.80 | |
| 90633 | <1% | 13 | $135.10 | |
| 83655 | <1% | 400 | $109.25 | |
| 96127 | <1% | 88 | $57.83 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $24.12 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 29 | $0.00 |
| 99177 | 0% | 27 | $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 ENROLLMENT)
| 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.