Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLSPAN MEDICAL GROUP

NPI: 1790853695 · FAIRFIELD, PA 17320 · Family Medicine Physician · NPI assigned 12/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FRANK, LAURA controls 20+ related entities in our dataset. Read more

$180K
Total Medicaid Paid
3,513
Total Claims
3,269
Beneficiaries
7
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (CVO-MANAGER)
NPI Enumeration Date12/01/2006

Related Entities

Other providers sharing the same authorized official: FRANK, LAURA

ProviderCityStateTotal 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 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 YORK PA $13K
WELLSPAN MEDICAL GROUP JACOBUS PA $10K
WELLSPAN MEDICAL GROUP LEBANON PA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $473.13
2020 114 $6K
2021 1,083 $57K
2022 993 $51K
2023 979 $50K
2024 330 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,702 1,596 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,506 1,383 $67K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 31 $844.02
G0008 Administration of influenza virus vaccine 48 48 $629.35
90686 101 99 $459.43
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) 14 14 $63.68
3008F 107 98 $0.00