Medicaid Provider Spending

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

FORNANCE PHYSICIAN SERVICES, INC

NPI: 1114206604 · LANSDALE, PA 19446 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 08/15/2011

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

Authorized official BURNETT-ROBINS, VERA controls 13+ related entities in our dataset. Read more

$184K
Total Medicaid Paid
3,328
Total Claims
3,210
Beneficiaries
5
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBURNETT-ROBINS, VERA (DIRECTOR PHYSICIAN BILLING)
NPI Enumeration Date08/15/2011

Related Entities

Other providers sharing the same authorized official: BURNETT-ROBINS, VERA

ProviderCityStateTotal 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 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 $58K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 109 $7K
2021 769 $45K
2022 953 $49K
2023 861 $49K
2024 636 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,214 3,109 $181K
95251 51 50 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 24 14 $725.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 25 25 $351.30
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $295.65