Physician
Wellspan Medical Group
Wellspan Medical Group was paid $404K by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoWELLSPAN MEDICAL GROUP
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1972054401assigned 10/19/2016
33bProvider typeFamily Medicine Physician
28Total paid$404K
24GClaims8,927
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#169 of 2,756
Median peer was paid$19K
This provider vs. median21×
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 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 | |
|---|---|---|---|
| 2020 | 183 | $9K | |
| 2021 | 3,979 | $169K | |
| 2022 | 2,283 | $105K | |
| 2023 | 1,289 | $64K | |
| 2024incomplete | 1,193 | $57K |
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 | 66% | 4,578 | 4,258 | $268K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,428 | 1,346 | $55K |
| 0001A | 6.8% | 652 | 641 | $28K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.1% | 1,069 | 998 | $25K |
| 0002A | 5.3% | 474 | 471 | $22K | |
| 90686 | <1% | 228 | 225 | $1K | |
| 0004A | <1% | 152 | 152 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | 27 | $1K |
| 0011A | <1% | 52 | 52 | $1K | |
| 0012A | <1% | 24 | 24 | $808.88 | |
| 0054A | <1% | 71 | 71 | $450.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | 27 | $253.55 |
7 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $112.50 |
| 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) | 0% | 43 | $0.00 |
| 90715 | 0% | 15 | $0.00 | |
| 90656 | 0% | 32 | $0.00 | |
| 0064A | 0% | 14 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 90619 | 0% | 13 | $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 officialFRANK, LAURA (MANAGER-CVS)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $1.02M |
| 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.