Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TOWER HEALTH MEDICAL GROUP

NPI: 1033450424 · WYOMISSING, PA 19610 · Pediatrics Physician · NPI assigned 03/08/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more

$366K
Total Medicaid Paid
9,485
Total Claims
8,787
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date03/08/2013

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 255 $10K
2019 427 $19K
2020 479 $17K
2021 1,900 $60K
2022 2,156 $74K
2023 2,258 $98K
2024 2,010 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,427 5,081 $228K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 891 771 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 274 271 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 245 243 $26K
90460 Immunization administration through 18 years of age via any route, first or only component 557 344 $9K
90686 1,018 1,008 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37 37 $4K
87631 12 12 $2K
92551 177 177 $2K
90670 245 242 $1K
90633 86 86 $680.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 30 $585.84
99173 108 108 $576.05
90680 85 85 $390.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $367.03
90698 40 40 $221.00
90656 112 112 $169.00
90700 12 12 $155.80
90744 12 12 $142.40
96160 27 27 $92.07
0071A 36 36 $0.00
0072A 41 41 $0.00