Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1093266140 · READING, PA 19605 · Family Medicine Physician · NPI assigned 10/24/2016

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

Authorized official EHINGER, ROBERT controls 20+ related entities in our dataset. Read more

$698K
Total Medicaid Paid
27,851
Total Claims
25,422
Beneficiaries
11
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
NPI Enumeration Date10/24/2016

Related Entities

Other providers sharing the same authorized official: EHINGER, ROBERT

ProviderCityStateTotal Paid
READING HOSPITAL WEST READING PA $58.34M
STC PEDIATRICS LLC PHILADELPHIA PA $12.21M
STC PEDIATRICS LLC PHILADELPHIA PA $8.73M
TOWER HEALTH MEDICAL GROUP WEST READING PA $7.99M
TOWER HEALTH MEDICAL GROUP WEST READING PA $2.54M
CHESTNUT HILL CLINIC COMPANY, LLC PHILADELPHIA PA $2.28M
STC PEDIATRICS LLC PHILADELPHIA PA $2.14M
STC PEDIATRICS LLC PHILADELPHIA PA $2.04M
TOWER DIRECT LLC WEST READING PA $1.95M
STC PEDIATRICS LLC PHILADELPHIA PA $1.82M
STC PEDIATRICS LLC PHILADELPHIA PA $1.18M
STC PEDIATRICS LLC PHILADELPHIA PA $997K
STC PEDIATRICS LLC JENKINTOWN PA $836K
TOWER HEALTH MEDICAL GROUP WEST READING PA $835K
STC PEDIATRICS LLC PHILADELPHIA PA $795K
STC PEDIATRICS LLC PHILADELPHIA PA $784K
TOWER HEALTH MEDICAL GROUP WYOMISSING PA $733K
STC PEDIATRICS LLC PHILADELPHIA PA $711K
TOWER HEALTH MEDICAL GROUP WEST READING PA $613K
STC PEDIATRICS LLC PHILADELPHIA PA $502K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 781 $20K
2021 6,151 $170K
2022 7,229 $179K
2023 7,795 $186K
2024 5,895 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,594 6,903 $274K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,146 2,914 $178K
80305 10,634 9,383 $129K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,211 5,014 $75K
99253 372 355 $22K
99254 120 115 $14K
99252 85 84 $3K
99205 Prolong outpt/office vis 13 13 $2K
99215 Prolong outpt/office vis 18 18 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 623 588 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 35 35 $0.00