Medicaid Provider Spending

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

STC PEDIATRICS LLC

NPI: 1346884756 · PHILADELPHIA, PA 19134 · Internal Medicine Physician · NPI assigned 10/30/2019

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

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

$131K
Total Medicaid Paid
9,465
Total Claims
9,089
Beneficiaries
19
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date10/30/2019

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 520 $6K
2021 359 $854.10
2022 3,253 $27K
2023 2,911 $53K
2024 2,422 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,008 956 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 326 317 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 173 167 $17K
92551 1,907 1,847 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 173 156 $10K
96127 1,454 1,412 $8K
99173 1,538 1,492 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 243 231 $3K
99384 29 28 $3K
90686 429 372 $2K
96160 137 130 $636.62
36415 Collection of venous blood by venipuncture 169 166 $486.20
81025 262 254 $372.44
86703 73 72 $305.35
90734 225 206 $258.00
90620 574 564 $63.00
90688 98 97 $0.00
G9920 Screening performed and negative 631 608 $0.00
91300 16 14 $0.00