Medicaid Provider Spending

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

WELLSPAN MEDICAL GROUP

NPI: 1841935186 · NEW OXFORD, PA 17350 · Family Medicine Physician · NPI assigned 05/02/2022

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

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

$40K
Total Medicaid Paid
953
Total Claims
878
Beneficiaries
4
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRANK, LAURA (CREDENTIALING MANAGER)
NPI Enumeration Date05/02/2022

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 FAIRFIELD PA $180K
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 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
2022 220 $10K
2023 396 $18K
2024 337 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 681 622 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 210 199 $12K
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) 49 45 $79.60
90686 13 12 $0.00