Physician
Chestnut Hill Clinic Company, LLC
Chestnut Hill Clinic Company, LLC was paid $2.28M by Medicaid between Jan 2018 and Sep 2023, across 26 billing codes. Its largest line is 99284, emergency room visit (serious) — 62% of everything it billed.
33Billing provider infoCHESTNUT HILL CLINIC COMPANY, LLC
PHILADELPHIA, PA 19118
PHILADELPHIA, PA 19118
33aNPI1508936071assigned 11/09/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.28M
24GClaims49,838
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania
Rank by total paid#2 of 143
Median peer was paid$15K
This provider vs. median154×
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 EHINGER, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 400 | $3K | |
| 2019 | 23 | $983.58 | |
| 2020 | 5,350 | $227K | |
| 2021 | 17,200 | $717K | |
| 2022 | 15,540 | $672K | |
| 2023 | 11,325 | $659K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 62% | 25,758 | 24,891 | $1.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,623 | 8,373 | $284K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.9% | 3,699 | 3,587 | $202K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.7% | 4,572 | 4,385 | $176K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.6% | 3,774 | 3,628 | $105K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.0% | 1,056 | 1,029 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 460 | 202 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 166 | 154 | $7K |
| 90715 | <1% | 183 | 181 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 177 | 93 | $5K |
| 90686 | <1% | 518 | 518 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 164 | 162 | $4K |
14 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 79 | $4K |
| 90651 | <1% | 44 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $2K |
| 99307 | <1% | 93 | $830.58 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $771.45 |
| 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 | <1% | 26 | $466.96 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 19 | $446.08 |
| 90734 | <1% | 31 | $408.67 | |
| 86580 | <1% | 99 | $394.96 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $334.43 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $327.57 |
| 36415 | Collection of venous blood by venipuncture | <1% | 91 | $260.86 |
| 82962 | <1% | 112 | $168.14 | |
| 81025 | <1% | 14 | $63.20 |
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 officialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Reading Hospital | West Reading, PA | $58.34M |
| STC Pediatrics LLC | Philadelphia, PA | $12.21M |
| STC Pediatrics LLC | Philadelphia, PA | $8.73M |
| Tower Health Medical Group | West Reading, PA | $7.99M |
| Tower Health Medical Group | West Reading, PA | $2.54M |
| STC Pediatrics LLC | Philadelphia, PA | $2.14M |
| STC Pediatrics LLC | Philadelphia, PA | $2.04M |
| Tower Direct LLC | West Reading, PA | $1.95M |
| STC Pediatrics LLC | Philadelphia, PA | $1.82M |
| STC Pediatrics LLC | Philadelphia, PA | $1.18M |
| STC Pediatrics LLC | Philadelphia, PA | $997K |
| STC Pediatrics LLC | Jenkintown, PA | $836K |
| Tower Health Medical Group | West Reading, PA | $835K |
| STC Pediatrics LLC | Philadelphia, PA | $795K |
| STC Pediatrics LLC | Philadelphia, PA | $784K |
| Tower Health Medical Group | Wyomissing, PA | $733K |
| STC Pediatrics LLC | Philadelphia, PA | $711K |
| Tower Health Medical Group | Reading, PA | $698K |
| Tower Health Medical Group | West Reading, PA | $613K |
| STC Pediatrics LLC | Philadelphia, PA | $502K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.