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

Reading Hospital

Reading Hospital was paid $25K by Medicaid between Aug 2018 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.

33Billing provider infoREADING HOSPITAL
WEST READING, PA 19611
33aNPI1497844831assigned 10/12/2006
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims2,644
24DCodes billed16
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#732 of 1,257
Median peer was paid$45K
This provider vs. median0.6×

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$2.0K$4.0K2018201920202021202220232024
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
201812$52.70
201983$1K
2022134$422.40
2023924$7K
2024incomplete1,491$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 54% 347 327 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 39 39 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 40 38 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10.0% 26 26 $3K
99173 <1% 94 89 $241.28
92551 <1% 16 16 $171.74
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 12 $120.40
96127 <1% 12 12 $0.02
96160 <1% 13 13 $0.02
G0009 Administration of pneumococcal vaccine 0% 515 512 $0.00
90677 0% 260 246 $0.00
G0008 Administration of influenza virus vaccine 0% 501 494 $0.00
4 more codes
90698 0% 487 $0.00
90651 0% 44 $0.00
90744 0% 113 $0.00
90633 0% 125 $0.00

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.