Medicaid Provider Spending

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

STC OPCO LLC

NPI: 1194368167 · PHILADELPHIA, PA 19134 · Sleep Disorder Diagnostic Clinic/Center · NPI assigned 10/23/2019

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

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

$69.20M
Total Medicaid Paid
455,601
Total Claims
396,622
Beneficiaries
267
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date10/23/2019

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal Paid
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
STC PEDIATRICS LLC PHILADELPHIA PA $449K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 617 $25K
2020 53,936 $4.69M
2021 132,965 $17.07M
2022 78,499 $12.31M
2023 80,761 $14.65M
2024 108,823 $20.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 74,654 72,253 $17.69M
99284 Emergency department visit for the evaluation and management, high severity 60,683 58,989 $15.05M
G0378 Hospital observation service, per hour 7,063 6,212 $13.63M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,097 1,084 $3.19M
41899 Unlisted procedure, dentoalveolar structures 1,035 1,015 $1.94M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 827 820 $1.91M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 15,083 14,026 $1.39M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,900 2,825 $1.21M
T1015 Clinic visit/encounter, all-inclusive 15,647 4,843 $941K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,825 2,902 $853K
D7140 Extraction, erupted tooth or exposed root 668 466 $790K
D2930 Prefabricated stainless steel crown - primary tooth 1,372 744 $660K
93325 3,482 3,340 $608K
94010 6,159 5,971 $555K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,826 5,631 $545K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 788 715 $537K
95810 Polysomnography; sleep staging with 4 or more additional parameters 843 823 $505K
99218 271 232 $438K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,724 1,799 $403K
D1120 Prophylaxis - child 824 762 $380K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,024 1,962 $353K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 212 198 $310K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10,824 10,371 $265K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 465 457 $238K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,407 4,216 $217K
D2934 126 124 $209K
95782 229 228 $207K
D1208 Topical application of fluoride, excluding varnish 166 130 $194K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,959 886 $166K
92567 7,926 7,716 $158K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,734 13,206 $157K
92579 2,252 2,219 $142K
72082 1,705 1,660 $117K
93304 537 515 $116K
76770 1,532 1,487 $115K
D1351 Sealant - per tooth 428 253 $110K
80053 Comprehensive metabolic panel 5,201 3,862 $105K
97161 608 582 $103K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,142 2,948 $103K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 961 846 $99K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 438 353 $97K
OP370 3,059 2,955 $93K
95812 527 520 $84K
67311 30 30 $76K
96375 Therapeutic injection; each additional sequential IV push 1,335 1,062 $72K
93308 369 355 $68K
70551 Magnetic resonance imaging, brain; without contrast material 214 210 $66K
92552 2,227 2,165 $64K
87631 958 951 $58K
93320 390 389 $57K
54161 27 25 $55K
92587 943 934 $54K
OP710 2,953 2,866 $51K
97165 240 233 $48K
82248 2,662 1,967 $47K
76825 306 298 $46K
P9016 Red blood cells, leukocytes reduced, each unit 350 324 $43K
93321 1,136 1,082 $41K
92555 2,529 2,497 $41K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 921 873 $41K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 111 107 $40K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 95 93 $40K
D2391 Resin-based composite - one surface, posterior, primary or permanent 67 65 $37K
83615 2,801 1,882 $35K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 40 40 $33K
95816 171 171 $32K
74019 1,259 1,223 $32K
71046 Radiologic examination, chest; 2 views 2,093 2,023 $31K
36430 393 358 $31K
82977 2,167 1,502 $31K
84100 3,433 2,320 $30K
84550 2,467 1,701 $30K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 80 77 $29K
83735 3,329 2,243 $29K
92588 210 205 $26K
76820 470 451 $26K
92550 490 480 $24K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,426 1,077 $24K
73562 823 808 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 666 622 $21K
92526 225 117 $20K
92523 108 108 $20K
73610 884 841 $20K
92556 763 744 $20K
OP272 2,063 1,982 $19K
93975 172 168 $19K
76827 306 296 $18K
85045 3,820 3,519 $18K
D1206 Topical application of fluoride varnish 674 656 $18K
99281 Emergency department visit for the evaluation and management, self-limited or minor 203 176 $17K
73630 775 735 $16K
93225 276 263 $15K
29075 94 92 $15K
77072 300 298 $14K
70360 525 521 $13K
73130 679 614 $13K
76885 128 123 $12K
73090 679 568 $12K
76700 Ultrasound, abdominal, real time with image documentation; complete 146 146 $12K
73590 506 447 $12K
76536 175 167 $11K
96415 181 156 $11K
72170 418 412 $11K
73080 468 424 $10K
96409 104 56 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 315 264 $9K
70486 105 105 $9K
86900 603 556 $9K
73521 158 157 $9K
92553 233 230 $8K
74018 476 446 $8K
29125 71 66 $8K
29425 41 38 $8K
73100 227 190 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 745 712 $8K
12011 259 256 $8K
70450 Computed tomography, head or brain; without contrast material 313 307 $7K
77074 95 94 $7K
97162 75 68 $7K
87081 1,357 1,312 $7K
87077 584 551 $6K
73110 482 429 $6K
29065 46 45 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 126 121 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,284 2,189 $6K
87086 Culture, bacterial; quantitative colony count, urine 973 937 $6K
86920 61 58 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 112 109 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 24 24 $6K
92557 125 122 $6K
73140 193 186 $5K
77073 139 138 $4K
94664 695 648 $4K
77075 70 63 $4K
0001A 654 568 $4K
80048 Basic metabolic panel (calcium, ionized) 585 540 $4K
J8499 Prescription drug, oral, non chemotherapeutic, nos 2,932 1,937 $4K
81001 2,567 2,462 $4K
76870 85 83 $3K
OP250 9,910 3,981 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 46 24 $3K
93976 99 97 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 313 301 $3K
D2933 15 14 $3K
76981 36 36 $3K
96361 Intravenous infusion, hydration; each additional hour 663 551 $3K
J3490 Unclassified drugs 7,849 4,927 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 436 411 $3K
0002A 232 199 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 354 345 $2K
92582 44 43 $2K
81002 1,097 1,054 $2K
81025 2,166 2,034 $2K
73552 121 115 $2K
86850 254 223 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 453 398 $2K
82962 634 532 $2K
94644 1,174 1,086 $2K
73030 150 138 $2K
16020 14 12 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 5,354 4,974 $2K
85027 376 309 $2K
73060 99 94 $2K
J2270 Injection, morphine sulfate, up to 10 mg 6,899 5,975 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13,611 12,525 $2K
87070 342 325 $2K
86901 257 225 $1K
J7120 Ringers lactate infusion, up to 1000 cc 8,964 8,489 $1K
73564 15 12 $1K
73560 54 52 $1K
73000 71 69 $1K
97166 13 13 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,917 8,116 $1K
24640 44 44 $1K
J2704 Injection, propofol, 10 mg 6,953 6,421 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 403 390 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 289 273 $964.01
87186 445 427 $932.07
12001 109 107 $889.64
92610 13 13 $853.72
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 28 14 $837.60
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 403 390 $825.99
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 666 652 $814.00
87507 14 12 $730.34
87040 289 268 $667.68
A9150 Non-prescription drugs 268 177 $648.61
87205 330 317 $519.00
J7050 Infusion, normal saline solution, 250 cc 1,211 937 $512.92
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 208 204 $504.80
76000 108 107 $498.96
88304 716 701 $495.68
J3535 Drug administered through a metered dose inhaler 179 153 $490.63
87088 484 477 $482.16
87486 309 304 $474.33
71045 Radiologic examination, chest; single view 102 99 $457.56
J7030 Infusion, normal saline solution , 1000 cc 1,521 1,383 $428.09
83690 435 405 $404.09
85007 207 171 $360.71
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 33 25 $353.09
86140 647 581 $350.99
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 176 163 $343.55
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 309 304 $328.78
J0696 Injection, ceftriaxone sodium, per 250 mg 194 172 $236.13
OP270 116 113 $225.74
82150 68 61 $214.29
94645 233 162 $210.93
J0690 Injection, cefazolin sodium, 500 mg 1,386 1,248 $209.45
80143 12 12 $206.32
88312 133 125 $206.28
J1885 Injection, ketorolac tromethamine, per 15 mg 2,692 2,428 $195.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,188 2,065 $187.29
92551 13 13 $182.39
84484 79 69 $165.24
76377 35 34 $163.44
90715 30 28 $162.26
72040 13 13 $161.22
85651 342 321 $156.12
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,341 919 $147.37
90686 44 44 $146.63
86701 149 147 $146.05
85730 148 139 $139.78
80305 267 259 $138.23
85610 161 151 $132.59
G0008 Administration of influenza virus vaccine 41 41 $107.79
87147 151 145 $107.52
84702 25 25 $99.51
96376 30 20 $94.86
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 14 14 $89.53
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,024 951 $85.86
87400 22 22 $84.97
87581 308 303 $82.23
J1596 Injection, glycopyrrolate, 0.1 mg 1,552 1,518 $79.27
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 473 460 $79.20
86403 33 33 $76.03
J2250 Injection, midazolam hydrochloride, per 1 mg 1,139 1,023 $74.75
84443 Thyroid stimulating hormone (TSH) 30 30 $64.98
84439 39 39 $54.88
82805 15 15 $51.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 127 96 $49.06
OP259 122 118 $37.09
85018 19 13 $33.62
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,562 1,498 $32.75
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 283 252 $31.50
86592 26 26 $23.96
98960 39 36 $22.08
85652 94 84 $16.46
87045 12 12 $16.08
J0171 Injection, adrenalin, epinephrine, 0.1 mg 33 25 $11.70
J1200 Injection, diphenhydramine hcl, up to 50 mg 39 27 $9.57
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 47 26 $8.28
36415 Collection of venous blood by venipuncture 192 132 $7.29
J8540 Dexamethasone, oral, 0.25 mg 14 14 $6.40
J7510 Prednisolone oral, per 5 mg 125 83 $2.68
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 536 522 $0.04
84145 13 13 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 44 38 $0.00
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 111 101 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 31 28 $0.00
J7999 Compounded drug, not otherwise classified 308 282 $0.00
00000 218 96 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 55 55 $0.00
85008 81 75 $0.00
86780 38 38 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17 17 $0.00
J3480 Injection, potassium chloride, per 2 meq 22 14 $0.00
99156 14 14 $0.00
12002 12 12 $0.00