Medicaid Provider Spending

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

TEMPLE FACULTY PRACTICE PLAN INC

NPI: 1518449453 · PHILADELPHIA, PA 19140 · Hepatology Physician · NPI assigned 09/06/2018

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

Authorized official WOODARD, TONYA controls 20+ related entities in our dataset. Read more

$217K
Total Medicaid Paid
3,808
Total Claims
3,647
Beneficiaries
10
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOODARD, TONYA (DIRECTOR REVENUE CYCLE)
NPI Enumeration Date09/06/2018

Related Entities

Other providers sharing the same authorized official: WOODARD, TONYA

ProviderCityStateTotal Paid
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $18.39M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $5.13M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $3.81M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $3.31M
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $1.78M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $1.53M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $1.52M
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $1.20M
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $1.19M
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $1.16M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $1.00M
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $927K
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $909K
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $857K
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $615K
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $569K
TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA PA $458K
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION PHILADELPHIA PA $407K
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $335K
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $323K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 105 $6K
2021 458 $24K
2022 1,066 $55K
2023 1,207 $75K
2024 972 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,958 2,850 $157K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 331 322 $33K
99215 Prolong outpt/office vis 160 150 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88 85 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 13 $3K
99254 16 15 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 165 164 $2K
99232 Subsequent hospital care, per day, moderate complexity 50 24 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 12 $2K