Medicaid Provider Spending

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

LANCASTER GENERAL MEDICAL GROUP

NPI: 1922073865 · LITITZ, PA 17543 · Pediatrics Physician · NPI assigned 02/22/2006

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

Authorized official KENNEDY, DENISE controls 20+ related entities in our dataset. Read more

$476K
Total Medicaid Paid
20,151
Total Claims
19,543
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKENNEDY, DENISE (VICE PRESIDENT FINANCIAL SERVICES)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: KENNEDY, DENISE

ProviderCityStateTotal Paid
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $2.17M
LANCASTER GENERAL MEDICAL GROUP LEBANON PA $1.29M
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $1.24M
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $1.05M
LANCASTER GENERAL MEDICAL GROUP ELIZABETHTOWN PA $846K
LANCASTER GENERAL MEDICAL GROUP PARKESBURG PA $698K
LANCASTER GENERAL MEDICAL GROUP EPHRATA PA $436K
LANCASTER GENERAL MEDICAL GROUP PARKESBURG PA $394K
LANCASTER GENERAL MEDICAL GROUP LITITZ PA $383K
LANCASTER GENERAL MEDICAL GROUP MARIETTA PA $373K
LANCASTER GENERAL MEDICAL GROUP LEBANON PA $345K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $339K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $319K
LANCASTER GENERAL MEDICAL GROUP ELIZABETHTOWN PA $319K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $277K
LANCASTER GENERAL MEDICAL GROUP MANHEIM PA $267K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $249K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $229K
LANCASTER GENERAL MEDICAL GROUP EAST PETERSBURG PA $190K
LANCASTER GENERAL MEDICAL GROUP LANCASTER PA $182K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 505 $29K
2019 202 $9K
2020 681 $15K
2021 3,953 $73K
2022 4,628 $78K
2023 5,047 $120K
2024 5,135 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,797 7,461 $292K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 746 736 $63K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 408 405 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 469 455 $25K
90686 2,224 2,198 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 219 187 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 62 61 $6K
99490 Ccm add 20min 177 175 $5K
90670 1,291 1,279 $5K
90647 1,266 1,217 $4K
90723 1,210 1,203 $3K
90680 1,042 1,032 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 87 $2K
90633 833 798 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 334 305 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 28 $1K
90651 374 370 $930.00
0002A 22 22 $926.00
90734 165 164 $626.00
90700 182 178 $617.00
90656 371 371 $600.00
90707 177 160 $530.00
90716 136 134 $510.00
90696 38 38 $126.00
90710 40 37 $120.00
90677 340 335 $0.00
90620 43 42 $0.00
90480 18 14 $0.00
90715 29 29 $0.00
91321 22 22 $0.00