NP / PA
Wellspan Medical Group
Wellspan Medical Group was paid $1.88M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 31% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17404
YORK, PA 17404
33aNPI1811065626assigned 12/01/2006
33bProvider typeNurse Practitioner
28Total paid$1.88M
24GClaims52,614
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#2 of 372
Median peer was paid$7K
This provider vs. median274×
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 VEST, CHRISTINA controls 15+ 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 | 530 | $9K | |
| 2019 | 401 | $8K | |
| 2020 | 1,288 | $46K | |
| 2021 | 28,683 | $1.04M | |
| 2022 | 14,402 | $481K | |
| 2023 | 4,751 | $195K | |
| 2024incomplete | 2,559 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 31% | 22,153 | 20,479 | $575K |
| 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 | 25% | 8,664 | 8,384 | $472K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 8,773 | 8,196 | $371K |
| 0001A | 11% | 5,149 | 4,991 | $207K | |
| 0002A | 8.0% | 3,541 | 3,454 | $150K | |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | 1.6% | 68 | 65 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 394 | 387 | $13K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 33 | 31 | $13K |
| 0004A | <1% | 781 | 778 | $11K | |
| 80305 | <1% | 451 | 391 | $7K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 20 | 20 | $6K |
| 90686 | <1% | 729 | 714 | $4K |
20 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 113 | $4K |
| 90651 | <1% | 57 | $4K | |
| G0008 | Administration of influenza virus vaccine | <1% | 389 | $4K |
| 0054A | <1% | 119 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 222 | $2K |
| 0124A | <1% | 111 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 0052A | <1% | 47 | $1K | |
| 0051A | <1% | 27 | $1K | |
| 90707 | <1% | 12 | $619.00 | |
| 3074F | <1% | 71 | $585.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $382.90 |
| 3078F | <1% | 55 | $320.00 | |
| 86580 | <1% | 18 | $173.78 | |
| 90656 | <1% | 95 | $169.60 | |
| 3080F | <1% | 30 | $150.00 | |
| 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) | <1% | 99 | $127.36 |
| 91320 | 0% | 12 | $0.00 | |
| 3008F | 0% | 343 | $0.00 | |
| 0064A | 0% | 12 | $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 officialVEST, CHRISTINA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | Shrewsbury, PA | $1.22M |
| Wellspan Medical Group | Hanover, PA | $734K |
| Wellspan Medical Group | Dallastown, PA | $652K |
| Wellspan Medical Group | Lititz, PA | $560K |
| Wellspan Medical Group | Gettysburg, PA | $405K |
| Wellspan Medical Group | Lebanon, PA | $331K |
| Wellspan Medical Group | Littlestown, PA | $321K |
| Wellspan Medical Group | York, PA | $320K |
| Wellspan Medical Group | York, PA | $246K |
| Wellspan Medical Group | York, PA | $235K |
| Wellspan Medical Group | Red Lion, PA | $207K |
| Wellspan Medical Group | York, PA | $186K |
| Wellspan Medical Group | Thurmont, MD | $165K |
| Wellspan Medical Group | Dover, PA | $98K |
| Wellspan Medical Group | York, PA | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.