Physician
Geisinger Clinic
Geisinger Clinic was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoGEISINGER CLINIC
TUNKHANNOCK, PA 18657
TUNKHANNOCK, PA 18657
33aNPI1891746277assigned 05/12/2006
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$1.11M
24GClaims30,409
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in Pennsylvania
Rank by total paid#2 of 28
Median peer was paid$120K
This provider vs. median9.2×
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 MULL, CINDY 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 | |
|---|---|---|---|
| 2018 | 12 | $551.74 | |
| 2020 | 890 | $28K | |
| 2021 | 5,836 | $238K | |
| 2022 | 6,141 | $254K | |
| 2023 | 5,810 | $256K | |
| 2024incomplete | 11,720 | $330K |
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 | 52% | 11,167 | 10,582 | $580K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 4,662 | 4,452 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 980 | 973 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 1,020 | 991 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 587 | 584 | $50K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 699 | 684 | $48K |
| 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) | 3.5% | 4,343 | 4,086 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 229 | 223 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 754 | 713 | $14K |
| 90686 | <1% | 741 | 740 | $8K | |
| G0008 | Administration of influenza virus vaccine | <1% | 468 | 465 | $5K |
| 90670 | <1% | 343 | 341 | $3K |
25 more codes
| 90723 | <1% | 269 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 342 | $2K |
| 90677 | <1% | 169 | $2K | |
| 90647 | <1% | 202 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | $2K |
| 92551 | <1% | 984 | $1K | |
| 90680 | <1% | 131 | $1K | |
| 85027 | <1% | 163 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 95 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 181 | $997.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 187 | $958.49 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 68 | $619.73 |
| 81003 | <1% | 178 | $556.93 | |
| 90656 | <1% | 189 | $519.02 | |
| 90734 | <1% | 56 | $406.20 | |
| 90648 | <1% | 34 | $322.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $159.44 |
| 99173 | <1% | 903 | $124.20 | |
| 90633 | <1% | 12 | $114.50 | |
| 81025 | <1% | 25 | $106.36 | |
| 93793 | <1% | 13 | $77.73 | |
| 85610 | <1% | 16 | $59.50 | |
| 83655 | <1% | 99 | $23.00 | |
| 3008F | 0% | 15 | $0.00 | |
| 90746 | 0% | 13 | $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 officialMULL, CINDY (SYSTEM DIRECTOR ENROLLMENTS)
| Provider | Location | Paid |
|---|---|---|
| Geisinger Clinic | Danville, PA | $74.54M |
| Community Medical Center | Scranton, PA | $22.62M |
| Geisinger Clinic | Danville, PA | $14.93M |
| West Shore Advanced Life Support Services, INC. | Danville, PA | $4.41M |
| Geisinger Clinic | Pottsville, PA | $3.39M |
| Geisinger Clinic | Lewistown, PA | $2.93M |
| Geisinger Clinic | Scranton, PA | $2.63M |
| Geisinger Clinic | Wilkes Barre, PA | $2.35M |
| Geisinger Clinic | Danville, PA | $2.28M |
| Geisinger Jersey Shore Hospital | Jersey Shore, PA | $2.17M |
| Geisinger Clinic | Scranton, PA | $1.71M |
| Geisinger Clinic | Orwigsburg, PA | $974K |
| Geisinger Clinic | Pittston, PA | $942K |
| Geisinger Clinic | Berwick, PA | $896K |
| Geisinger Clinic Selinsgrove | Selinsgrove, PA | $819K |
| Geisinger Clinic | Philipsburg, PA | $678K |
| Geisinger Clinic | Lewisburg, PA | $557K |
| Geisinger Clinic | Mountain Top, PA | $523K |
| Geisinger Clinic | Kulpmont, PA | $489K |
| Geisinger Clinic | Frackville, PA | $479K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.