Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Tower Health Medical Group

Tower Health Medical Group was paid $39K by Medicaid between Nov 2021 and Oct 2024, across 4 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 45% of everything it billed.

33Billing provider infoTOWER HEALTH MEDICAL GROUP
WEST READING, PA 19611
33aNPI1427149335assigned 09/27/2006
28Total paid$39K
24GClaims366
24DCodes billed4
24AFirst – last monthNov 2021 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Pennsylvania

Rank by total paid#163 of 511
Median peer was paid$14K
This provider vs. median2.7×

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 RAYME, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202112$403.30
202246$19K
2023128$9K
2024incomplete180$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 45% 12 12 $18K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 183 146 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 11% 100 88 $4K
99238 Hospital discharge day management, 30 minutes or less 9.8% 71 70 $4K

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 officialRAYME, BRIAN (EVP & CFO)
Same official

Other billing entities under RAYME, BRIAN

Full network →
ProviderLocationPaid
STC Opco LLCPhiladelphia, PA$69.20M
Tower Health Urgent Care, LLCDouglassville, PA$11.77M
Pottstown Hospital, LLCPottstown, PA$7.54M
Phoenixville Hospital, LLCPhoenixville, PA$4.61M
Pottstown Clinic Company LLCPottstown, PA$2.96M
Tower Drexel Academic Medical Group LLCPhiladelphia, PA$2.47M
STC Opco LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$1.73M
Phoenixville Clinic Company LLCPhoenixville, PA$1.68M
STC Pediatrics LLCPhiladelphia, PA$1.48M
STC Pediatrics LLCPhiladelphia, PA$1.31M
Tower Health Medical GroupWyomissing, PA$1.28M
STC Pediatrics LLCPhiladelphia, PA$988K
Tower Health Medical GroupWest Reading, PA$850K
Tower Health Medical GroupWest Reading, PA$724K
Tower Health Medical GroupWest Reading, PA$720K
Tower Health Medical GroupBirdsboro, PA$543K
STC Pediatrics LLCPhiladelphia, PA$497K
STC Pediatrics LLCPhiladelphia, PA$462K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.