Tower Health Medical Group
Tower Health Medical Group was paid $724K by Medicaid between Sep 2019 and Dec 2024, across 11 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 39% of everything it billed.
WEST READING, PA 19611
Next to other Maternal & Fetal Medicine 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 | |
|---|---|---|---|
| 2019 | 13 | $303.30 | |
| 2020 | 782 | $33K | |
| 2021 | 5,113 | $198K | |
| 2022 | 3,597 | $158K | |
| 2023 | 4,055 | $171K | |
| 2024incomplete | 3,629 | $164K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 39% | 7,271 | 6,965 | $283K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 37% | 2,475 | 2,449 | $269K |
| 59025 | Fetal non-stress test | 9.5% | 4,500 | 2,057 | $69K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.2% | 690 | 514 | $31K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.5% | 888 | 667 | $26K |
| 76820 | 2.6% | 649 | 317 | $19K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 282 | 282 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 204 | 182 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | 79 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 61 | 59 | $3K |
| 76821 | <1% | 90 | 57 | $3K |
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 | $850K |
| 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.