Medicaid Provider Spending

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

CHESTNUT HILL CLINIC COMPANY, LLC

NPI: 1508936071 · PHILADELPHIA, PA 19118 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 11/09/2006

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

Authorized official EHINGER, ROBERT controls 20+ related entities in our dataset. Read more

$2.28M
Total Medicaid Paid
49,838
Total Claims
47,855
Beneficiaries
26
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: EHINGER, ROBERT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 400 $3K
2019 23 $983.58
2020 5,350 $227K
2021 17,200 $717K
2022 15,540 $672K
2023 11,325 $659K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 25,758 24,891 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,623 8,373 $284K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,699 3,587 $202K
99283 Emergency department visit for the evaluation and management, moderate severity 4,572 4,385 $176K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,774 3,628 $105K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,056 1,029 $46K
99232 Subsequent hospital care, per day, moderate complexity 460 202 $10K
99215 Prolong outpt/office vis 166 154 $7K
90715 183 181 $5K
99233 Prolong inpt eval add15 m 177 93 $5K
90686 518 518 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 164 162 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 79 $4K
90651 44 43 $2K
99223 Prolong inpt eval add15 m 28 27 $2K
99307 93 90 $830.58
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 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 26 26 $466.96
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 19 19 $446.08
90734 31 31 $408.67
86580 99 87 $394.96
99222 Initial hospital care, per day, moderate complexity 14 12 $334.43
99238 Hospital discharge day management, 30 minutes or less 25 24 $327.57
36415 Collection of venous blood by venipuncture 91 88 $260.86
82962 112 100 $168.14
81025 14 13 $63.20