PENN STATE HEALTH MEDICAL GROUP, LLC
NPI: 1972032761
· LANCASTER, PA 17603
· 363AM0700X
$4.52M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
43,204 |
$1.42M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
21,921 |
21,093 |
$1.72M |
| 99213 |
|
22,921 |
21,652 |
$1.65M |
| 99392 |
|
3,129 |
3,097 |
$259K |
| 99391 |
|
1,858 |
1,808 |
$140K |
| 99393 |
|
1,495 |
1,455 |
$121K |
| 93010 |
|
16,020 |
14,706 |
$94K |
| 93306 |
|
2,107 |
2,071 |
$91K |
| 93000 |
|
7,558 |
7,462 |
$58K |
| 99212 |
|
1,107 |
1,053 |
$53K |
| 93297 |
|
1,920 |
1,870 |
$26K |
| 93296 |
|
2,489 |
2,458 |
$25K |
| 90471 |
|
1,469 |
1,440 |
$21K |
| G2211 |
Complex e/m visit add on |
1,395 |
1,340 |
$17K |
| G2066 |
Inter devc remote 30d |
1,102 |
1,078 |
$16K |
| 99215 |
Prolong outpt/office vis |
173 |
169 |
$16K |
| 90686 |
|
2,971 |
2,924 |
$14K |
| 92551 |
|
2,078 |
2,047 |
$14K |
| 93294 |
|
1,027 |
1,018 |
$12K |
| 99394 |
|
122 |
119 |
$12K |
| 3074F |
|
9,944 |
9,491 |
$11K |
| 99173 |
|
2,354 |
2,297 |
$9K |
| 90460 |
|
338 |
285 |
$9K |
| 3078F |
|
7,655 |
7,318 |
$8K |
| 99309 |
|
272 |
117 |
$8K |
| 87428 |
|
201 |
196 |
$8K |
| 99203 |
|
84 |
84 |
$7K |
| 0072A |
|
159 |
159 |
$7K |
| 93295 |
|
367 |
355 |
$7K |
| 83655 |
|
1,437 |
1,419 |
$6K |
| 3079F |
|
1,411 |
1,384 |
$5K |
| 90472 |
|
298 |
295 |
$5K |
| 93016 |
|
319 |
311 |
$4K |
| 36415 |
|
694 |
676 |
$4K |
| G0008 |
Admin influenza virus vac |
369 |
365 |
$4K |
| 0064A |
|
100 |
100 |
$4K |
| 99204 |
|
43 |
40 |
$4K |
| 0071A |
|
79 |
79 |
$3K |
| 99177 |
|
383 |
380 |
$3K |
| 93298 |
|
167 |
167 |
$3K |
| 93018 |
|
305 |
298 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| 99308 |
|
303 |
260 |
$3K |
| 87880 |
|
225 |
219 |
$3K |
| 90734 |
|
742 |
712 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 0004A |
|
50 |
50 |
$2K |
| 99383 |
|
18 |
18 |
$2K |
| 90461 |
|
57 |
41 |
$2K |
| 0001A |
|
31 |
31 |
$1K |
| 90651 |
|
610 |
578 |
$1K |
| 90677 |
|
875 |
850 |
$1K |
| 90670 |
|
1,135 |
1,121 |
$1K |
| 93244 |
|
85 |
85 |
$1K |
| 99395 |
|
12 |
12 |
$1K |
| 90656 |
|
732 |
729 |
$1K |
| 96110 |
|
813 |
693 |
$1K |
| 96127 |
|
309 |
306 |
$993.23 |
| 99188 |
|
98 |
97 |
$986.98 |
| 90715 |
|
718 |
701 |
$938.44 |
| 99222 |
|
13 |
12 |
$904.46 |
| 92552 |
|
31 |
31 |
$741.82 |
| 3075F |
|
137 |
136 |
$725.00 |
| 96161 |
|
776 |
761 |
$657.58 |
| 93299 |
|
26 |
26 |
$635.49 |
| 78452 |
|
13 |
13 |
$610.91 |
| 3077F |
|
67 |
64 |
$595.00 |
| 0052A |
|
13 |
13 |
$520.00 |
| 93793 |
|
70 |
61 |
$504.63 |
| 90647 |
|
1,308 |
1,294 |
$484.32 |
| 99232 |
|
17 |
12 |
$395.94 |
| 90716 |
|
337 |
331 |
$322.91 |
| 93227 |
|
26 |
25 |
$320.23 |
| 90723 |
|
1,255 |
1,243 |
$312.98 |
| 85018 |
|
126 |
126 |
$267.93 |
| 90662 |
|
59 |
49 |
$261.04 |
| 80061 |
|
24 |
24 |
$235.41 |
| 3080F |
|
53 |
52 |
$190.00 |
| 90696 |
|
386 |
379 |
$130.00 |
| 80305 |
|
12 |
12 |
$123.10 |
| 90710 |
|
399 |
388 |
$110.00 |
| 90633 |
|
997 |
988 |
$101.91 |
| 90707 |
|
360 |
344 |
$40.35 |
| 90681 |
|
621 |
615 |
$21.65 |
| 90700 |
|
301 |
300 |
$10.48 |
| 3008F |
|
3,942 |
3,666 |
$0.00 |
| 36416 |
|
179 |
178 |
$0.00 |
| J3420 |
Vitamin b12 injection |
158 |
145 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
29 |
27 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |