Medicaid Provider Spending

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

PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC

NPI: 1891394441 · CAMP HILL, PA 17011 · Physical Therapist · NPI assigned 10/23/2020

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

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$56K
Total Medicaid Paid
1,050
Total Claims
975
Beneficiaries
7
Codes Billed
2021-09
First Month
2023-11
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (CFO)
Parent OrganizationPENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
NPI Enumeration Date10/23/2020

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 161 $10K
2022 549 $29K
2023 340 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 522 475 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 125 116 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
36415 Collection of venous blood by venipuncture 103 96 $256.16
96127 13 13 $46.20
3078F 98 95 $30.00
3074F 176 167 $30.00