Physician
Wellspan Medical Group
Wellspan Medical Group was paid $1.75M by Medicaid between Oct 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17402
YORK, PA 17402
33aNPI1831251792assigned 12/15/2006
28Total paid$1.75M
24GClaims32,593
24DCodes billed22
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Pennsylvania
Rank by total paid#1 of 21
Median peer was paid$55K
This provider vs. median32×
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 SWEITZER, JENNIFER 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 | |
|---|---|---|---|
| 2019 | 61 | $229.03 | |
| 2020 | 966 | $39K | |
| 2021 | 8,546 | $413K | |
| 2022 | 7,848 | $439K | |
| 2023 | 7,887 | $446K | |
| 2024incomplete | 7,285 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 15,139 | 14,722 | $769K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 3,897 | 3,793 | $291K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.4% | 1,179 | 1,166 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 4,730 | 4,607 | $155K |
| 95886 | 7.4% | 2,336 | 1,923 | $130K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.0% | 967 | 938 | $87K |
| 99205 | Prolong outpt/office vis | 3.1% | 447 | 433 | $55K |
| 64405 | 1.6% | 1,229 | 606 | $28K | |
| 64615 | 1.3% | 198 | 198 | $23K | |
| 95721 | <1% | 96 | 91 | $11K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 66 | 26 | $11K |
| 95819 | <1% | 674 | 663 | $6K |
10 more codes
| 95816 | <1% | 464 | $5K | |
| 64400 | <1% | 574 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
| 95911 | <1% | 12 | $1K | |
| 95910 | <1% | 18 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 54 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $698.34 |
| 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% | 208 | $168.87 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 214 | $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 officialSWEITZER, JENNIFER (DIRECTOR & AO)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $22.34M |
| Wellspan Medical Group | York, PA | $3.41M |
| Wellspan Medical Group | York, PA | $3.21M |
| Wellspan Medical Group | York, PA | $3.15M |
| Wellspan Medical Group | York, PA | $2.38M |
| Wellspan Medical Group | York, PA | $2.08M |
| Wellspan Medical Group | Hanover, PA | $1.91M |
| Wellspan Medical Group | Lebanon, PA | $1.60M |
| Wellspan Medical Group | York, PA | $1.57M |
| Wellspan Medical Group | York, PA | $1.34M |
| Wellspan Medical Group | Ephrata, PA | $1.32M |
| Wellspan Medical Group | Annville, PA | $902K |
| Wellspan Medical Group | York, PA | $793K |
| Wellspan Medical Group | York, PA | $635K |
| Wellspan Medical Group | York, PA | $566K |
| Wellspan Medical Group | York, PA | $491K |
| Wellspan Medical Group | Shippensburg, PA | $442K |
| Wellspan Medical Group | Waynesboro, PA | $439K |
| Wellspan Medical Group | Chambersburg, PA | $411K |
| Wellspan Medical Group | York, PA | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.