Tower Health Medical Group
Tower Health Medical Group was paid $850K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.
WEST READING, PA 19611
Next to other Hospitalist Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 36 | $174.25 | |
| 2020 | 880 | $12K | |
| 2021 | 4,494 | $120K | |
| 2022 | 4,102 | $202K | |
| 2023 | 4,597 | $306K | |
| 2024incomplete | 2,811 | $210K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 55% | 11,838 | 5,294 | $469K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 2,450 | 1,224 | $161K |
| 99223 | Prolong inpt eval add15 m | 13% | 919 | 898 | $113K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.5% | 779 | 765 | $56K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 386 | 366 | $32K |
| 99221 | 1.3% | 276 | 265 | $11K | |
| 99217 | <1% | 244 | 236 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | 12 | $584.60 |
| 99225 | <1% | 16 | 13 | $462.66 |
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.
Who's on the registration
| Provider | Location | 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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.