Medicaid Provider Spending

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

TEMPLE FACULTY PRACTICE PLAN INC

NPI: 1548742489 · PHILADELPHIA, PA 19140 · Gastroenterology 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

$1.00M
Total Medicaid Paid
12,016
Total Claims
11,489
Beneficiaries
17
Codes Billed
2020-11
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 $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
TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA $243K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 222 $15K
2021 1,239 $82K
2022 4,033 $341K
2023 4,315 $386K
2024 2,207 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,151 5,002 $266K
99244 Office or other outpatient consultation, moderate to high complexity 1,553 1,517 $203K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,411 1,380 $185K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 876 856 $79K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 217 198 $67K
45380 Colonoscopy, flexible; with biopsy, single or multiple 357 341 $64K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 160 156 $35K
99232 Subsequent hospital care, per day, moderate complexity 649 443 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 696 679 $25K
99254 279 264 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 228 224 $12K
99243 28 28 $2K
99222 Initial hospital care, per day, moderate complexity 56 54 $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) 167 160 $2K
91034 42 41 $2K
91010 121 121 $2K
91200 25 25 $162.73