Lancaster General Hospital
Lancaster General Hospital was paid $174K by Medicaid between Aug 2020 and Jul 2022, across 7 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 38% of everything it billed.
LANCASTER, PA 17601
Next to other Maternal & Fetal Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 583 | $23K | |
| 2021 | 2,314 | $99K | |
| 2022 | 1,190 | $52K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 38% | 2,021 | 1,843 | $67K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 31% | 581 | 552 | $53K |
| 76819 | Fetal biophysical profile; without non-stress testing | 29% | 1,350 | 1,159 | $50K |
| 76801 | <1% | 27 | 27 | $1K | |
| 76813 | <1% | 27 | 27 | $1K | |
| 59025 | Fetal non-stress test | <1% | 67 | 43 | $889.08 |
| 76820 | <1% | 14 | 12 | $402.93 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lancaster General Hospital | Lancaster, PA | $33.78M |
| Lancaster General Hospital | Lancaster, PA | $882K |
| Lancaster General Hospital | Quarryville, PA | $630K |
| Lancaster General Hospital | Lancaster, PA | $381K |
| Lancaster General Medical Group | Ephrata, PA | $320K |
| Lancaster General Hospital | Lancaster, PA | $299K |
| Lancaster General Hospital | Lancaster, PA | $289K |
| Lancaster General Medical Group | Lancaster, PA | $192K |
| Lancaster General Hospital | Lancaster, PA | $189K |
| Lancaster General Hospital | Lancaster, PA | $187K |
| Lancaster General Hospital | Lancaster, PA | $176K |
| Lancaster General Hospital | Lancaster, PA | $168K |
| Lancaster General Hospital | Lancaster, PA | $155K |
| Lancaster General Hospital | Lancaster, PA | $150K |
| Lancaster General Hospital | Lancaster, PA | $79K |
| Lancaster General Hospital | Parkesburg, PA | $60K |
| Lancaster General Hospital | Lancaster, PA | $45K |
| Lancaster General Hospital | Lancaster, PA | $42K |
| Lancaster General Hospital | Lancaster, PA | $29K |
| Lancaster General Hospital | Lancaster, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.