Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1134460264 · READING, PA 19606 · Internal Medicine Physician · NPI assigned 03/14/2013

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

Authorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more

$44K
Total Medicaid Paid
1,305
Total Claims
1,257
Beneficiaries
5
Codes Billed
2019-03
First Month
2021-05
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (CFO)
NPI Enumeration Date03/14/2013

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal Paid
STC OPCO LLC PHILADELPHIA PA $69.20M
TOWER HEALTH URGENT CARE, LLC DOUGLASSVILLE PA $11.77M
POTTSTOWN HOSPITAL, LLC POTTSTOWN PA $7.54M
PHOENIXVILLE HOSPITAL, LLC PHOENIXVILLE PA $4.61M
POTTSTOWN CLINIC COMPANY LLC POTTSTOWN PA $2.96M
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC PHILADELPHIA PA $2.47M
STC OPCO LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $1.73M
PHOENIXVILLE CLINIC COMPANY LLC PHOENIXVILLE PA $1.68M
STC PEDIATRICS LLC PHILADELPHIA PA $1.48M
STC PEDIATRICS LLC PHILADELPHIA PA $1.31M
TOWER HEALTH MEDICAL GROUP WYOMISSING PA $1.28M
STC PEDIATRICS LLC PHILADELPHIA PA $988K
TOWER HEALTH MEDICAL GROUP WEST READING PA $850K
TOWER HEALTH MEDICAL GROUP WEST READING PA $724K
TOWER HEALTH MEDICAL GROUP WEST READING PA $720K
TOWER HEALTH MEDICAL GROUP BIRDSBORO PA $543K
STC PEDIATRICS LLC PHILADELPHIA PA $497K
STC PEDIATRICS LLC PHILADELPHIA PA $462K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17 $1K
2020 265 $11K
2021 1,023 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 459 449 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 620 584 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 158 156 $5K
87631 28 28 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 40 40 $2K