Geisinger Wyoming Valley
Geisinger Wyoming Valley was paid $1.19M by Medicaid between Oct 2020 and Dec 2024, across 21 billing codes. Its largest line is 0202U, Oncology (prostate), multianalyte, gene expression profiling — 35% of everything it billed.
FORTY FORT, PA 18704
Next to other Clinic/Center 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 | 638 | $29K | |
| 2021 | 4,351 | $384K | |
| 2022 | 3,019 | $319K | |
| 2023 | 3,366 | $272K | |
| 2024incomplete | 2,355 | $183K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 35% | 1,644 | 1,597 | $412K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 26% | 2,510 | 2,475 | $315K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 24% | 5,354 | 5,072 | $288K |
| 76819 | Fetal biophysical profile; without non-stress testing | 6.0% | 1,103 | 767 | $71K |
| X0621 | 2.9% | 168 | 106 | $34K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1.2% | 171 | 171 | $14K |
| 83655 | <1% | 1,016 | 1,014 | $11K | |
| 76820 | <1% | 292 | 153 | $9K | |
| Q3014 | Telehealth originating site facility fee | <1% | 583 | 562 | $8K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 128 | 95 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 77 | 68 | $6K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 191 | 191 | $3K |
9 more codes
| 76827 | <1% | 47 | $3K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 34 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 18 | $2K |
| 87430 | <1% | 209 | $1K | |
| 76825 | <1% | 41 | $1K | |
| 76801 | <1% | 15 | $598.87 | |
| 96040 | <1% | 25 | $560.76 | |
| 85018 | <1% | 83 | $280.83 | |
| 93325 | 0% | 20 | $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 |
|---|---|---|
| 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 | Tunkhannock, PA | $1.11M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.