Tower Health Medical Group
Tower Health Medical Group was paid $84K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
WYOMISSING, PA 19610
Next to other Emergency 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 | |
|---|---|---|---|
| 2018 | 197 | $14K | |
| 2019 | 369 | $25K | |
| 2020 | 1,199 | $46K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 85% | 1,406 | 1,269 | $72K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12% | 271 | 252 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 59 | 59 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 15 | $473.77 |
| 99201 | <1% | 14 | 14 | $303.42 |
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 |
|---|---|---|
| Chestnut Hill Hospital, LLC | Philadelphia, PA | $9.52M |
| Brandywine Hospital, LLC | Coatesville, PA | $2.97M |
| Jennersville Hospital, LLC | West Grove, PA | $1.35M |
| West Grove Clinic Company LLC | West Grove, PA | $157K |
| Tower Health Medical Group | Wyomissing, PA | $98K |
| STC Pediatrics LLC | Philadelphia, PA | $24K |
| Tower Drexel Academic Medical Group LLC | Philadelphia, PA | $18K |
| Tower Health Urgent Care, LLC | Kennett Square, PA | $9K |
| Tower Health Urgent Care, LLC | Philadelphia, PA | $8K |
| Tower Health Urgent Care, LLC | Philadelphia, PA | $4K |
| Tower Health Urgent Care, LLC | Doylestown, PA | $3K |
| Tower Health Medical Group | West Reading, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.