Medicaid Provider Spending

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

PENN STATE HEALTH MEDICAL GROUP, LLC

NPI: 1801433149 · LEMOYNE, PA 17043 · Pediatric Pulmonology Physician · NPI assigned 12/05/2019

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

Authorized official MOYER-SWINKO, TRACY controls 12+ related entities in our dataset. Read more

$120K
Total Medicaid Paid
3,670
Total Claims
2,166
Beneficiaries
15
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMOYER-SWINKO, TRACY (VP/CHIEF FINANCIAL OFFICER)
Parent OrganizationPENN STATE HEALTH
NPI Enumeration Date12/05/2019

Related Entities

Other providers sharing the same authorized official: MOYER-SWINKO, TRACY

ProviderCityStateTotal Paid
PENN STATE HEALTH MEDICAL GROUP, LLC WEST READING PA $7.68M
PENN STATE HEALTH MEDICAL GROUP, LLC LANCASTER PA $4.52M
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $2.30M
PENN STATE HEALTH MEDICAL GROUP, LLC HARRISBURG PA $841K
PENN STATE HEALTH MEDICAL GROUP, LLC CARLISLE PA $322K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $182K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $154K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $138K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $116K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $83K
PENN STATE HEALTH MEDICAL GROUP, LLC HARRISBURG PA $68K
PENN STATE HEALTH MEDICAL GROUP, LLC CAMP HILL PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,567 $49K
2022 745 $19K
2023 1,047 $41K
2024 311 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 2,226 761 $93K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 141 137 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110 107 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27 12 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 40 40 $3K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 72 72 $2K
95806 51 50 $2K
94729 14 13 $342.39
94727 12 12 $255.94
94060 12 12 $232.43
4004F 147 145 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 595 585 $0.00
3023F 126 125 $0.00
G8843 Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense) 12 12 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 85 83 $0.00