Organization

GEISINGER CLINIC

According to 2025 Medicare claims, GEISINGER CLINIC (NPI: 1528010006) practices clinical laboratory (billing independently) in the State College, PA market, with the plurality of this provider's patient population coming from Centre, PA. This provider's primary affiliated billing organization is GEISINGER CLINIC (NPI: 1528010006; TIN: 236291113) and primary practice location at 18657-8070. CLINIC is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

The organization's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 5,384 traditional Medicare patients, billed 25,223 HCPCS/CPT codes, and received $208,813 in Medicare payments. The top billing code was 80053 (Blood test, comprehensive group of blood chemicals). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing started with an early spike, then settled into a lower baseline, moving from $1,531,040 to $208,813. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$766K$1.5M2015 Medicare payment: $1,531,040 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $596,853 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $501,283 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $427,251 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $268,242 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $190,223 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $184,351 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $186,267 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $170,230 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $208,813 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201522,322195,715$1,531,040
201614,303101,551$596,853
201713,72684,914$501,283
201812,05170,884$427,251
20198,40340,404$268,242
20206,45927,154$190,223
20216,40725,813$184,351
20226,43626,240$186,267
20235,37522,332$170,230
20245,38425,223$208,813

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

No connected Part D records

No connected Part D records

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
80053Blood test, comprehensive group of blood chemicals3,6107,098$10
80048Blood test, basic group of blood chemicals (calcium, total)1,5022,375$8
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2,6906,216$8
85027Complete blood cell count (red cells, white blood cell, platelets), automated test1,7052,896$6
81001Manual urinalysis test with examination using microscope, automated633847$3

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for GEISINGER CLINIC?

Tedicare shows public-source Medicare data for GEISINGER CLINIC (NPI 1528010006), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does GEISINGER CLINIC have ACO affiliation data?

GEISINGER CLINIC is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to GEISINGER CLINIC?

GEISINGER CLINIC is linked to GEISINGER CLINIC (billing NPI 1528010006) in the available physician profile data.

Does GEISINGER CLINIC have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.