Medicaid Provider Spending

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

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

NPI: 1104342583 · DARBY, PA 19023 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 08/17/2017

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

Authorized official POWAR, AMIT controls 14+ related entities in our dataset. Read more

$434K
Total Medicaid Paid
9,286
Total Claims
8,769
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: POWAR, AMIT

ProviderCityStateTotal Paid
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $2.91M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $2.19M
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $1.79M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $1.49M
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $778K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $499K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $396K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $354K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $171K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $154K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $139K
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $100K
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $61K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 347 $663.09
2020 578 $31K
2021 2,987 $141K
2022 3,649 $156K
2023 1,634 $100K
2024 91 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,652 2,523 $127K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,732 1,669 $120K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 621 608 $81K
20610 1,233 1,122 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 398 388 $34K
99243 179 178 $26K
J1040 Injection, methylprednisolone acetate, 80 mg 670 662 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 230 189 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 603 591 $144.95
99238 Hospital discharge day management, 30 minutes or less 12 12 $51.00
99232 Subsequent hospital care, per day, moderate complexity 157 52 $50.46
1159F 106 101 $0.00
3078F 65 65 $0.00
1160F 109 103 $0.00
3077F 32 30 $0.00
1036F 121 120 $0.00
3074F 58 58 $0.00
3008F 141 136 $0.00
1125F 167 162 $0.00