Physician
Wellspan Medical Group
Wellspan Medical Group was paid $1.02M by Medicaid between Mar 2023 and Nov 2024, across 1 billing code. Its largest line is 99429, — 100% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
YORK, PA 17403
YORK, PA 17403
33aNPI1912645136assigned 05/26/2022
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.02M
24GClaims800
24DCodes billed1
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Pennsylvania
Rank by total paid#2 of 72
Median peer was paid$11K
This provider vs. median95×
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.
Single-Code Concentration100% of spending on code 99429 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official FRANK, LAURA 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 | |
|---|---|---|---|
| 2023 | 305 | $407K | |
| 2024incomplete | 495 | $609K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99429 | 100% | 800 | 764 | $1.02M |
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 officialFRANK, LAURA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | Ephrata, PA | $404K |
| Wellspan Medical Group | York, PA | $367K |
| Wellspan Medical Group | Leola, PA | $322K |
| Wellspan Medical Group | New Freedom, PA | $263K |
| Wellspan Medical Group | Reinholds, PA | $201K |
| Wellspan Medical Group | Fairfield, PA | $180K |
| Wellspan Medical Group | York, PA | $100K |
| Wellspan Medical Group | Hanover, PA | $87K |
| Wellspan Medical Group | Ephrata, PA | $74K |
| Wellspan Medical Group | Hagerstown, MD | $71K |
| Wellspan Medical Group | Mercersburg, PA | $65K |
| Wellspan Medical Group | Red Lion, PA | $58K |
| Wellspan Medical Group | New Oxford, PA | $40K |
| Wellspan Medical Group | Ephrata, PA | $32K |
| Wellspan Medical Group | Chambersburg, PA | $22K |
| Wellspan Medical Group | York, PA | $19K |
| Wellspan Medical Group | York, PA | $16K |
| Wellspan Medical Group | York, PA | $13K |
| Wellspan Medical Group | Jacobus, PA | $10K |
| Wellspan Medical Group | Lebanon, PA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.