Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1295826915 · WEST READING, PA 19611 · Maternal & Fetal Medicine Physician · NPI assigned 09/27/2006

Deactivated NPI · This NPI was deactivated on 01/09/2008. Reactivated 03/26/2008.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$724K
Total Medicaid Paid
17,189
Total Claims
13,628
Beneficiaries
11
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $303.30
2020 782 $33K
2021 5,113 $198K
2022 3,597 $158K
2023 4,055 $171K
2024 3,629 $164K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,271 6,965 $283K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,475 2,449 $269K
59025 Fetal non-stress test 4,500 2,057 $69K
76819 Fetal biophysical profile; without non-stress testing 690 514 $31K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 888 667 $26K
76820 649 317 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 282 282 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 204 182 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 79 79 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61 59 $3K
76821 90 57 $3K