Medicaid Provider Spending

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

TOWER HEALTH URGENT CARE, LLC

NPI: 1194293647 · DOUGLASSVILLE, PA 19518 · Family Medicine Physician · NPI assigned 11/02/2018

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

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

$11.77M
Total Medicaid Paid
156,048
Total Claims
151,370
Beneficiaries
21
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (CFO)
NPI Enumeration Date11/02/2018

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal Paid
STC OPCO LLC PHILADELPHIA PA $69.20M
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
STC PEDIATRICS LLC PHILADELPHIA PA $449K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 90 $0.00
2020 4,926 $397K
2021 38,091 $2.93M
2022 44,619 $3.41M
2023 42,889 $3.51M
2024 25,433 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 82,068 79,962 $8.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,458 26,155 $1.08M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,800 10,666 $670K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,919 8,832 $470K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,854 2,820 $230K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,699 7,415 $130K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,454 5,434 $86K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,014 1,936 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,159 1,593 $35K
87631 200 200 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,059 3,033 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 385 379 $10K
71046 Radiologic examination, chest; 2 views 261 259 $7K
81003 1,206 1,196 $3K
81025 133 130 $508.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 215 215 $364.57
J1885 Injection, ketorolac tromethamine, per 15 mg 482 476 $41.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 201 197 $40.26
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 375 366 $1.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 69 69 $0.00
90714 37 37 $0.00