NP / PA
Penn State Health Medical Group, LLC
Penn State Health Medical Group, LLC was paid $4.52M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoPENN STATE HEALTH MEDICAL GROUP, LLC
LANCASTER, PA 17603
LANCASTER, PA 17603
33aNPI1972032761assigned 06/06/2017
33bProvider typeMedical Physician Assistant
28Total paid$4.52M
24GClaims138,478
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Pennsylvania
Rank by total paid#1 of 282
Median peer was paid$6K
This provider vs. median767×
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 MOYER-SWINKO, TRACY controls 12+ 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 | 1,090 | $40K | |
| 2019 | 2,135 | $62K | |
| 2020 | 4,273 | $93K | |
| 2021 | 19,423 | $604K | |
| 2022 | 24,557 | $861K | |
| 2023 | 43,796 | $1.44M | |
| 2024incomplete | 43,204 | $1.42M |
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 | 38% | 21,921 | 21,093 | $1.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 22,921 | 21,652 | $1.65M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 3,129 | 3,097 | $259K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 1,858 | 1,808 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 1,495 | 1,455 | $121K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.1% | 16,020 | 14,706 | $94K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 2,107 | 2,071 | $91K |
| 93000 | 1.3% | 7,558 | 7,462 | $58K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,107 | 1,053 | $53K |
| 93297 | <1% | 1,920 | 1,870 | $26K | |
| 93296 | <1% | 2,489 | 2,458 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,469 | 1,440 | $21K |
77 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,395 | $17K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 1,102 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 173 | $16K |
| 90686 | <1% | 2,971 | $14K | |
| 92551 | <1% | 2,078 | $14K | |
| 93294 | <1% | 1,027 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | $12K |
| 3074F | <1% | 9,944 | $11K | |
| 99173 | <1% | 2,354 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 338 | $9K |
| 3078F | <1% | 7,655 | $8K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 272 | $8K |
| 87428 | <1% | 201 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $7K |
| 0072A | <1% | 159 | $7K | |
| 93295 | <1% | 367 | $7K | |
| 83655 | <1% | 1,437 | $6K | |
| 3079F | <1% | 1,411 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 298 | $5K |
| 93016 | <1% | 319 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 694 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 369 | $4K |
| 0064A | <1% | 100 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $4K |
| 0071A | <1% | 79 | $3K | |
| 99177 | <1% | 383 | $3K | |
| 93298 | <1% | 167 | $3K | |
| 93018 | <1% | 305 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 27 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 303 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 225 | $3K |
| 90734 | <1% | 742 | $2K | |
| 0002A | <1% | 50 | $2K | |
| 0004A | <1% | 50 | $2K | |
| 99383 | <1% | 18 | $2K | |
| 90461 | <1% | 57 | $2K | |
| 0001A | <1% | 31 | $1K | |
| 90651 | <1% | 610 | $1K | |
| 90677 | <1% | 875 | $1K | |
| 90670 | <1% | 1,135 | $1K | |
| 93244 | <1% | 85 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90656 | <1% | 732 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 813 | $1K |
| 96127 | <1% | 309 | $993.23 | |
| 99188 | <1% | 98 | $986.98 | |
| 90715 | <1% | 718 | $938.44 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $904.46 |
| 92552 | <1% | 31 | $741.82 | |
| 3075F | <1% | 137 | $725.00 | |
| 96161 | <1% | 776 | $657.58 | |
| 93299 | <1% | 26 | $635.49 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $610.91 |
| 3077F | <1% | 67 | $595.00 | |
| 0052A | <1% | 13 | $520.00 | |
| 93793 | <1% | 70 | $504.63 | |
| 90647 | <1% | 1,308 | $484.32 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 17 | $395.94 |
| 90716 | <1% | 337 | $322.91 | |
| 93227 | <1% | 26 | $320.23 | |
| 90723 | <1% | 1,255 | $312.98 | |
| 85018 | <1% | 126 | $267.93 | |
| 90662 | <1% | 59 | $261.04 | |
| 80061 | Lipid panel | <1% | 24 | $235.41 |
| 3080F | <1% | 53 | $190.00 | |
| 90696 | <1% | 386 | $130.00 | |
| 80305 | <1% | 12 | $123.10 | |
| 90710 | <1% | 399 | $110.00 | |
| 90633 | <1% | 997 | $101.91 | |
| 90707 | <1% | 360 | $40.35 | |
| 90681 | <1% | 621 | $21.65 | |
| 90700 | <1% | 301 | $10.48 | |
| 3008F | 0% | 3,942 | $0.00 | |
| 36416 | 0% | 179 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 158 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 29 | $0.00 |
| 94760 | 0% | 12 | $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 officialMOYER-SWINKO, TRACY (VP/CHIEF FINANCIAL OFFICER)
Parent organizationPENN STATE HEALTH
| Provider | Location | Paid |
|---|---|---|
| Penn State Health Medical Group, LLC | West Reading, PA | $7.68M |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $2.30M |
| Penn State Health Medical Group, LLC | Harrisburg, PA | $841K |
| Penn State Health Medical Group, LLC | Carlisle, PA | $322K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $182K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $154K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $138K |
| Penn State Health Medical Group, LLC | Lemoyne, PA | $120K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $116K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $83K |
| Penn State Health Medical Group, LLC | Harrisburg, PA | $68K |
| Penn State Health Medical Group, LLC | Camp Hill, PA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.