Medicaid Provider Spending

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

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

NPI: 1427573492 · DARBY, PA 19023 · Vascular Surgery Physician · NPI assigned 08/10/2017

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

Authorized official POWAR, AMIT controls 14+ related entities in our dataset. Read more

$354K
Total Medicaid Paid
4,442
Total Claims
4,207
Beneficiaries
20
Codes Billed
2018-02
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
NPI Enumeration Date08/10/2017

Related Entities

Other providers sharing the same authorized official: POWAR, AMIT

ProviderCityStateTotal Paid
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $2.91M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $2.19M
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $1.79M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $1.49M
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $778K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $499K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $434K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $396K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $171K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $154K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $139K
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $100K
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $61K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $601.33
2020 183 $9K
2021 1,068 $90K
2022 1,672 $114K
2023 1,327 $130K
2024 87 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,086 1,050 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,358 1,334 $73K
99205 Prolong outpt/office vis 227 226 $45K
99223 Prolong inpt eval add15 m 300 280 $41K
99245 111 110 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 144 140 $22K
99215 Prolong outpt/office vis 127 126 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 280 274 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40 38 $9K
99232 Subsequent hospital care, per day, moderate complexity 242 116 $8K
99222 Initial hospital care, per day, moderate complexity 32 30 $4K
99255 28 26 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 47 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 17 17 $516.96
3725F 86 85 $0.00
1160F 63 61 $0.00
1159F 48 47 $0.00
3074F 41 40 $0.00
3008F 76 74 $0.00
1036F 89 86 $0.00