Fornance Physician Services, INC
Fornance Physician Services, INC was paid $58K by Medicaid between May 2018 and Jul 2021, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.
EAST NORRITON, PA 19403
Next to other Internal 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 | |
|---|---|---|---|
| 2018 | 13 | $276.15 | |
| 2020 | 1,068 | $21K | |
| 2021 | 1,749 | $36K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 60% | 2,102 | 1,005 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 428 | 393 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 67 | 64 | $6K |
| 99223 | Prolong inpt eval add15 m | 6.0% | 90 | 89 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 105 | 94 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 38 | 24 | $524.74 |
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 |
|---|---|---|
| Fornance Physician Services, INC | Norristown, PA | $805K |
| Fornance Physician Services, INC. | Norristown, PA | $563K |
| Fornance Physician Services, INC. | Collegeville, PA | $185K |
| Fornance Physician Services, INC | Lansdale, PA | $184K |
| Fornance Physician Services, INC | Norristown, PA | $100K |
| Fornance Physician Services, INC. | East Norriton, PA | $91K |
| Fornance Physician Services, INC | North Wales, PA | $74K |
| Fornance Physician Services, INC. | East Norriton, PA | $41K |
| Fornance Physician Services, INC. | Plymouth Meeting, PA | $38K |
| Fornance Physician Services, INC | Blue Bell, PA | $32K |
| Fornance Physician Services, INC. | East Norriton, PA | $25K |
| Fornance Physician Services | East Norriton, PA | $524.29 |
| Fornance Physician Services, INC | East Norriton, PA | $113.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.