Tower Health Medical Group
Tower Health Medical Group was paid $835K by Medicaid between Jan 2018 and May 2024, across 14 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 59% of everything it billed.
WEST READING, PA 19611
Next to other Interventional Cardiology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,797 | $24K | |
| 2019 | 5,854 | $23K | |
| 2020 | 5,064 | $36K | |
| 2021 | 20,417 | $205K | |
| 2022 | 19,756 | $218K | |
| 2023 | 21,097 | $250K | |
| 2024incomplete | 7,147 | $77K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 59% | 72,571 | 64,618 | $494K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 18% | 3,896 | 3,817 | $148K |
| 93000 | 8.0% | 4,513 | 4,414 | $66K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 6.5% | 2,299 | 2,264 | $55K |
| 93297 | 2.4% | 1,275 | 1,261 | $20K | |
| 93296 | 2.0% | 1,164 | 1,146 | $16K | |
| 93295 | 1.2% | 316 | 306 | $10K | |
| 93298 | 1.2% | 638 | 629 | $10K | |
| 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 | <1% | 229 | 223 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 59 | 57 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 17 | 12 | $1K |
| 93294 | <1% | 75 | 75 | $820.01 |
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.
Who's on the registration
| Provider | Location | 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 |
| 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 | Reading, PA | $698K |
| Tower Health Medical Group | West Reading, PA | $613K |
| STC Pediatrics LLC | Philadelphia, PA | $502K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.