Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC

NPI: 1952897738 · LEESPORT, PA 19533 · Family Medicine Physician · NPI assigned 07/05/2018

$21K
Total Medicaid Paid
279
Total Claims
251
Beneficiaries
3
Codes Billed
2021-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMASSINI, STEPHEN (EXECUTIVE VICE PRESIDENT, CFO)
Parent OrganizationPENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
NPI Enumeration Date07/05/2018

Related Entities

Other providers sharing the same authorized official: MASSINI, STEPHEN

ProviderCityStateTotal Paid
PENN STATE HEALTH LIFE LION, LLC CAMP HILL PA $6.91M
EVANGELICAL-GEISINGER HEALTH, LLC LEWISBURG PA $187.68
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $85.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 15 $918.21
2022 59 $4K
2023 205 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 202 180 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63 59 $6K
3074F 14 12 $0.00