Behavioral
NPI deactivated
Tower Health Medical Group
Tower Health Medical Group was paid $238K by Medicaid between May 2020 and Dec 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoTOWER HEALTH MEDICAL GROUP
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1194892471assigned 11/29/2006
33bProvider typePsychologist
28Total paid$238K
24GClaims5,163
24DCodes billed14
24AFirst – last monthMay 2020 – Dec 2022
Compared with peers
Next to other Psychologist providers in Pennsylvania
Rank by total paid#57 of 170
Median peer was paid$102K
This provider vs. median2.3×
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 EHINGER, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 174 | $10K | |
| 2021 | 2,711 | $119K | |
| 2022 | 2,278 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,132 | 2,114 | $73K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30% | 1,221 | 1,203 | $72K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 192 | 188 | $31K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 174 | 173 | $16K |
| 99205 | Prolong outpt/office vis | 5.5% | 96 | 96 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 150 | 150 | $13K |
| S9470 | Nutritional counseling, dietitian visit | 4.0% | 759 | 753 | $10K |
| 43775 | 1.6% | 26 | 26 | $4K | |
| 99401 | 1.3% | 242 | 242 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | 49 | $1K |
| 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 | <1% | 41 | 41 | $794.69 |
| 2022F | <1% | 55 | 55 | $190.00 |
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 officialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
| Provider | Location | 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 |
| STC Pediatrics LLC | Philadelphia, PA | $2.04M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.