Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tower Health Medical Group

Tower Health Medical Group was paid $44K by Medicaid between Mar 2019 and May 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoTOWER HEALTH MEDICAL GROUP
READING, PA 19606
33aNPI1134460264assigned 03/14/2013
28Total paid$44K
24GClaims1,305
24DCodes billed5
24AFirst – last monthMar 2019 – May 2021
Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#350 of 1,726
Median peer was paid$6K
This provider vs. median6.8×

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.

Entity ProliferationAuthorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201917$1K
2020265$11K
20211,023$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 459 449 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32% 620 584 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 158 156 $5K
87631 10% 28 28 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.5% 40 40 $2K

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.

From NPPES

Who's on the registration

Authorized officialRAYME, BRIAN (CFO)
Same official

Other billing entities under RAYME, BRIAN

Full network →
ProviderLocationPaid
STC Opco LLCPhiladelphia, PA$69.20M
Tower Health Urgent Care, LLCDouglassville, PA$11.77M
Pottstown Hospital, LLCPottstown, PA$7.54M
Phoenixville Hospital, LLCPhoenixville, PA$4.61M
Pottstown Clinic Company LLCPottstown, PA$2.96M
Tower Drexel Academic Medical Group LLCPhiladelphia, PA$2.47M
STC Opco LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$1.73M
Phoenixville Clinic Company LLCPhoenixville, PA$1.68M
STC Pediatrics LLCPhiladelphia, PA$1.48M
STC Pediatrics LLCPhiladelphia, PA$1.31M
Tower Health Medical GroupWyomissing, PA$1.28M
STC Pediatrics LLCPhiladelphia, PA$988K
Tower Health Medical GroupWest Reading, PA$850K
Tower Health Medical GroupWest Reading, PA$724K
Tower Health Medical GroupWest Reading, PA$720K
Tower Health Medical GroupBirdsboro, PA$543K
STC Pediatrics LLCPhiladelphia, PA$497K
STC Pediatrics LLCPhiladelphia, PA$462K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.