Physician
Wellspan Medical Group
Wellspan Medical Group was paid $2.83M by Medicaid between Sep 2019 and Dec 2024, across 19 billing codes. Its largest line is S9083, Global fee urgent care centers — 78% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17403
YORK, PA 17403
33aNPI1861045551assigned 07/22/2019
33bProvider typeEmergency Medicine Physician
28Total paid$2.83M
24GClaims55,093
24DCodes billed19
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#16 of 1,211
Median peer was paid$19K
This provider vs. median145×
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.
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 | 435 | $7K | |
| 2020 | 1,854 | $102K | |
| 2021 | 8,821 | $477K | |
| 2022 | 15,383 | $713K | |
| 2023 | 16,446 | $821K | |
| 2024incomplete | 12,154 | $708K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 78% | 29,953 | 28,763 | $2.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 13,780 | 13,087 | $354K |
| 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 | 5.3% | 4,358 | 4,244 | $150K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.9% | 2,045 | 1,968 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 544 | 528 | $29K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,939 | 1,814 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 426 | 404 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 155 | 149 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | 40 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 182 | 168 | $2K |
| 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 | <1% | 25 | 25 | $2K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 380 | 352 | $1K |
7 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 340 | $876.28 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 723 | $496.97 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $453.00 |
| 81003 | <1% | 64 | $127.90 | |
| 81002 | <1% | 69 | $53.18 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 41 | $34.94 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 15 | $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 officialDIAZ, JULIANN (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | Manchester, PA | $612K |
| Wellspan Medical Group | Christiana, PA | $158K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.