Medicaid Provider Spending

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

READING HOSPITAL

NPI: 1497844831 · WEST READING, PA 19611 · Pediatrics Physician · NPI assigned 10/12/2006

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

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

$25K
Total Medicaid Paid
2,644
Total Claims
2,563
Beneficiaries
16
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date10/12/2006

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 $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
2018 12 $52.70
2019 83 $1K
2022 134 $422.40
2023 924 $7K
2024 1,491 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 347 327 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 39 39 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 40 38 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $3K
99173 94 89 $241.28
92551 16 16 $171.74
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $120.40
96127 12 12 $0.02
96160 13 13 $0.02
G0009 Administration of pneumococcal vaccine 515 512 $0.00
90677 260 246 $0.00
G0008 Administration of influenza virus vaccine 501 494 $0.00
90698 487 465 $0.00
90651 44 44 $0.00
90744 113 111 $0.00
90633 125 119 $0.00