Physician
Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $120K by Medicaid between Jan 2021 and Oct 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 77% of everything it billed.
33Billing provider infoPENN STATE HEALTH MEDICAL GROUP, LLC
LEMOYNE, PA 17043
LEMOYNE, PA 17043
33aNPI1801433149assigned 12/05/2019
33bProvider typePediatric Pulmonology Physician
28Total paid$120K
24GClaims3,670
24DCodes billed15
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Pennsylvania
Rank by total paid#4 of 13
Median peer was paid$38K
This provider vs. median3.2×
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 MOYER-SWINKO, TRACY controls 12+ 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 | |
|---|---|---|---|
| 2021 | 1,567 | $49K | |
| 2022 | 745 | $19K | |
| 2023 | 1,047 | $41K | |
| 2024incomplete | 311 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 77% | 2,226 | 761 | $93K |
| 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 | 8.2% | 141 | 137 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 110 | 107 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.1% | 27 | 12 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.7% | 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 | 1.5% | 72 | 72 | $2K |
| 95806 | 1.5% | 51 | 50 | $2K | |
| 94729 | <1% | 14 | 13 | $342.39 | |
| 94727 | <1% | 12 | 12 | $255.94 | |
| 94060 | <1% | 12 | 12 | $232.43 | |
| 4004F | 0% | 147 | 145 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 595 | 585 | $0.00 |
3 more codes
| 3023F | 0% | 126 | $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) | 0% | 12 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 85 | $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 officialMOYER-SWINKO, TRACY (VP/CHIEF FINANCIAL OFFICER)
Parent organizationPENN STATE HEALTH
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.