Physician
Tower Health Medical Group
Tower Health Medical Group was paid $366K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoTOWER HEALTH MEDICAL GROUP
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1033450424assigned 03/08/2013
33bProvider typePediatrics Physician
28Total paid$366K
24GClaims9,485
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#250 of 1,257
Median peer was paid$45K
This provider vs. median8.1×
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 RAYME, BRIAN 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 | |
|---|---|---|---|
| 2018 | 255 | $10K | |
| 2019 | 427 | $19K | |
| 2020 | 479 | $17K | |
| 2021 | 1,900 | $60K | |
| 2022 | 2,156 | $74K | |
| 2023 | 2,258 | $98K | |
| 2024incomplete | 2,010 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 5,427 | 5,081 | $228K |
| 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 | 15% | 891 | 771 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 274 | 271 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 245 | 243 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 557 | 344 | $9K |
| 90686 | 1.9% | 1,018 | 1,008 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | 37 | $4K |
| 87631 | <1% | 12 | 12 | $2K | |
| 92551 | <1% | 177 | 177 | $2K | |
| 90670 | <1% | 245 | 242 | $1K | |
| 90633 | <1% | 86 | 86 | $680.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | 30 | $585.84 |
10 more codes
| 99173 | <1% | 108 | $576.05 | |
| 90680 | <1% | 85 | $390.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $367.03 |
| 90698 | <1% | 40 | $221.00 | |
| 90656 | <1% | 112 | $169.00 | |
| 90700 | <1% | 12 | $155.80 | |
| 90744 | <1% | 12 | $142.40 | |
| 96160 | <1% | 27 | $92.07 | |
| 0071A | 0% | 36 | $0.00 | |
| 0072A | 0% | 41 | $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 officialRAYME, BRIAN (EVP & CFO)
| Provider | Location | Paid |
|---|---|---|
| STC Opco LLC | Philadelphia, PA | $69.20M |
| Tower Health Urgent Care, LLC | Douglassville, PA | $11.77M |
| Pottstown Hospital, LLC | Pottstown, PA | $7.54M |
| Phoenixville Hospital, LLC | Phoenixville, PA | $4.61M |
| Pottstown Clinic Company LLC | Pottstown, PA | $2.96M |
| Tower Drexel Academic Medical Group LLC | Philadelphia, PA | $2.47M |
| STC Opco LLC | Philadelphia, PA | $2.06M |
| STC Pediatrics LLC | Philadelphia, PA | $2.06M |
| STC Pediatrics LLC | Philadelphia, PA | $1.73M |
| Phoenixville Clinic Company LLC | Phoenixville, PA | $1.68M |
| STC Pediatrics LLC | Philadelphia, PA | $1.48M |
| STC Pediatrics LLC | Philadelphia, PA | $1.31M |
| Tower Health Medical Group | Wyomissing, PA | $1.28M |
| STC Pediatrics LLC | Philadelphia, PA | $988K |
| Tower Health Medical Group | West Reading, PA | $850K |
| Tower Health Medical Group | West Reading, PA | $724K |
| Tower Health Medical Group | West Reading, PA | $720K |
| Tower Health Medical Group | Birdsboro, PA | $543K |
| STC Pediatrics LLC | Philadelphia, PA | $497K |
| STC Pediatrics LLC | Philadelphia, PA | $462K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.