WELLSPAN MEDICAL GROUP
NPI: 1972054401
· EPHRATA, PA 17522
· Family Medicine Physician
· NPI assigned 10/19/2016
$404K
Total Medicaid Paid
Provider Details
| Authorized Official | FRANK, LAURA (MANAGER-CVS) |
| NPI Enumeration Date | 10/19/2016 |
Related Entities
Other providers sharing the same authorized official: FRANK, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
183 |
$9K |
| 2021 |
3,979 |
$169K |
| 2022 |
2,283 |
$105K |
| 2023 |
1,289 |
$64K |
| 2024 |
1,193 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,578 |
4,258 |
$268K |
| 99213 |
|
1,428 |
1,346 |
$55K |
| 0001A |
|
652 |
641 |
$28K |
| 99211 |
|
1,069 |
998 |
$25K |
| 0002A |
|
474 |
471 |
$22K |
| 90686 |
|
228 |
225 |
$1K |
| 0004A |
|
152 |
152 |
$1K |
| 87426 |
|
28 |
27 |
$1K |
| 0011A |
|
52 |
52 |
$1K |
| 0012A |
|
24 |
24 |
$808.88 |
| 0054A |
|
71 |
71 |
$450.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
27 |
$253.55 |
| 90471 |
|
14 |
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) |
43 |
38 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90656 |
|
32 |
32 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |