Physician
Lancaster General Hospital
Lancaster General Hospital was paid $882K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoLANCASTER GENERAL HOSPITAL
LANCASTER, PA 17602
LANCASTER, PA 17602
33aNPI1902051824assigned 11/19/2008
33bProvider typeAllergy & Immunology Physician
28Total paid$882K
24GClaims26,543
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Pennsylvania
Rank by total paid#3 of 45
Median peer was paid$46K
This provider vs. median19×
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 WELCH, GARY 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 | 75 | $3K | |
| 2019 | 123 | $5K | |
| 2020 | 2,952 | $79K | |
| 2021 | 14,678 | $463K | |
| 2022 | 6,746 | $236K | |
| 2023 | 225 | $11K | |
| 2024incomplete | 1,744 | $85K |
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 | 42% | 7,266 | 6,945 | $367K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 10,042 | 9,444 | $360K |
| T1001 | Nursing assessment / evaluation | 2.5% | 127 | 124 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 609 | 245 | $21K |
| 90686 | 2.0% | 1,724 | 1,721 | $18K | |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 105 | 103 | $8K |
| 90715 | <1% | 497 | 495 | $8K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 194 | 154 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 77 | 74 | $6K |
| 90651 | <1% | 388 | 386 | $6K | |
| 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% | 83 | 83 | $5K |
| 90670 | <1% | 576 | 576 | $4K |
35 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 101 | $4K |
| 0002A | <1% | 83 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 39 | $3K |
| 92551 | <1% | 414 | $3K | |
| 90647 | <1% | 428 | $3K | |
| 90723 | <1% | 431 | $3K | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 15 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 63 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 557 | $2K |
| 0001A | <1% | 54 | $2K | |
| 90633 | <1% | 317 | $2K | |
| 99173 | <1% | 413 | $2K | |
| 90734 | <1% | 342 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 27 | $2K |
| 90680 | <1% | 346 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $2K |
| 90656 | <1% | 261 | $2K | |
| 96127 | <1% | 288 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $986.00 |
| 90746 | <1% | 15 | $878.27 | |
| 0072A | <1% | 18 | $748.00 | |
| 90716 | <1% | 78 | $729.96 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 39 | $706.96 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 14 | $397.50 |
| 90707 | <1% | 31 | $317.40 | |
| 90700 | <1% | 37 | $255.00 | |
| 90696 | <1% | 13 | $134.00 | |
| 90710 | <1% | 13 | $132.00 | |
| 3044F | <1% | 134 | $130.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $121.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $117.48 |
| 3074F | <1% | 85 | $100.00 | |
| 3078F | <1% | 45 | $70.00 | |
| 81003 | <1% | 12 | $26.97 | |
| 90677 | 0% | 27 | $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 officialWELCH, GARY (CHIEF OPERATING OFFICER)
Parent organizationLANCASTER GENERAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Lancaster General Hospital | Lancaster, PA | $33.78M |
| Lancaster General Hospital | Quarryville, PA | $630K |
| Lancaster General Hospital | Lancaster, PA | $381K |
| Lancaster General Medical Group | Ephrata, PA | $320K |
| Lancaster General Hospital | Lancaster, PA | $299K |
| Lancaster General Hospital | Lancaster, PA | $289K |
| Lancaster General Medical Group | Lancaster, PA | $192K |
| Lancaster General Hospital | Lancaster, PA | $189K |
| Lancaster General Hospital | Lancaster, PA | $187K |
| Lancaster General Hospital | Lancaster, PA | $176K |
| Lancaster General Hospital | Lancaster, PA | $174K |
| Lancaster General Hospital | Lancaster, PA | $168K |
| Lancaster General Hospital | Lancaster, PA | $155K |
| Lancaster General Hospital | Lancaster, PA | $150K |
| Lancaster General Hospital | Lancaster, PA | $79K |
| Lancaster General Hospital | Parkesburg, PA | $60K |
| Lancaster General Hospital | Lancaster, PA | $45K |
| Lancaster General Hospital | Lancaster, PA | $42K |
| Lancaster General Hospital | Lancaster, PA | $29K |
| Lancaster General Hospital | Lancaster, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.