Medicaid Provider Spending

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

STC PEDIATRICS LLC

NPI: 1184269888 · PHILADELPHIA, PA 19114 · Pediatrics Physician · NPI assigned 11/18/2019

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

Authorized official EHINGER, ROBERT controls 20+ related entities in our dataset. Read more

$2.04M
Total Medicaid Paid
65,870
Total Claims
63,438
Beneficiaries
50
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
NPI Enumeration Date11/18/2019

Related Entities

Other providers sharing the same authorized official: EHINGER, ROBERT

ProviderCityStateTotal 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
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
TOWER HEALTH MEDICAL GROUP WEST READING PA $835K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 64 $251.50
2020 2,548 $39K
2021 8,514 $112K
2022 20,049 $370K
2023 18,727 $823K
2024 15,968 $700K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,750 8,359 $444K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,402 9,893 $351K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,894 3,838 $341K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,310 3,254 $271K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,143 3,082 $263K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,753 1,717 $145K
90460 Immunization administration through 18 years of age via any route, first or only component 3,214 2,896 $61K
92551 4,804 4,704 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,321 2,159 $23K
99173 4,104 4,025 $23K
90686 2,959 2,844 $11K
90670 1,848 1,787 $11K
87428 280 265 $8K
90723 1,390 1,351 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 913 896 $4K
90651 664 636 $4K
92552 944 917 $3K
90647 498 454 $3K
90716 852 823 $3K
90681 795 767 $3K
96156 55 55 $3K
90461 677 631 $3K
90707 844 814 $2K
90734 655 632 $2K
90677 273 273 $2K
90648 1,468 1,467 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 253 250 $2K
90633 877 845 $2K
36415 Collection of venous blood by venipuncture 525 508 $1K
90656 260 259 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 42 40 $543.30
96127 86 86 $473.20
99499 13 13 $421.00
85018 215 212 $304.78
90696 283 283 $273.00
90700 213 203 $259.05
90715 262 262 $252.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $205.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $197.08
90620 250 250 $91.00
G9920 Screening performed and negative 1,004 990 $0.00
G9919 Screening performed and positive and provision of recommendations 89 87 $0.00
99442 13 13 $0.00
0071A 174 149 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 135 129 $0.00
0004A 14 13 $0.00
91307 27 27 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 73 70 $0.00
0072A 213 172 $0.00
0001A 13 12 $0.00