Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $68K by Medicaid between Sep 2020 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
HARRISBURG, PA 17111
Next to other Clinical Medical Laboratory providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 201 | $3K | |
| 2021 | 1,322 | $24K | |
| 2022 | 1,933 | $27K | |
| 2023 | 1,091 | $13K | |
| 2024incomplete | 954 | $1K |
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 | 52% | 567 | 528 | $35K |
| J1756 | Injection, iron sucrose, 1 mg | 30% | 2,089 | 976 | $21K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 13% | 195 | 153 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 15 | 13 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 218 | 189 | $1K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 2,204 | 1,280 | $329.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 159 | 145 | $173.48 |
| 80053 | Comprehensive metabolic panel | <1% | 16 | 14 | $73.22 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 19 | 12 | $1.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 19 | 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.
Who's on the registration
| 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 | Lemoyne, PA | $120K |
| 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 | Camp Hill, PA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.