Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Philadelphia › NPI 1548742489
Physician

Temple Faculty Practice Plan INC

Temple Faculty Practice Plan INC was paid $1.00M by Medicaid between Nov 2020 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoTEMPLE FACULTY PRACTICE PLAN INC
PHILADELPHIA, PA 19140
33aNPI1548742489assigned 09/06/2018
28Total paid$1.00M
24GClaims12,016
24DCodes billed17
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#5 of 178
Median peer was paid$6K
This provider vs. median175×

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 WOODARD, TONYA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2020222$15K
20211,239$82K
20224,033$341K
20234,315$386K
2024incomplete2,207$179K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 5,151 5,002 $266K
99244 Office or other outpatient consultation, moderate to high complexity 20% 1,553 1,517 $203K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 18% 1,411 1,380 $185K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.9% 876 856 $79K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 6.7% 217 198 $67K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6.3% 357 341 $64K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3.5% 160 156 $35K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.4% 649 443 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 696 679 $25K
99254 2.3% 279 264 $23K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 228 224 $12K
99243 <1% 28 28 $2K
5 more codes
99222 Initial hospital care, per day, moderate complexity <1% 56 $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) <1% 167 $2K
91034 <1% 42 $2K
91010 <1% 121 $2K
91200 <1% 25 $162.73

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 officialWOODARD, TONYA (DIRECTOR REVENUE CYCLE)
Same official

Other billing entities under WOODARD, TONYA

Full network →
ProviderLocationPaid
Temple Faculty Practice Plan, INCPhiladelphia, PA$18.39M
Temple Faculty Practice Plan INCPhiladelphia, PA$5.13M
Temple Faculty Practice Plan INCPhiladelphia, PA$3.81M
Temple Faculty Practice Plan INCPhiladelphia, PA$3.31M
Temple Faculty Practice Plan, INCPhiladelphia, PA$1.78M
Temple Faculty Practice Plan INCPhiladelphia, PA$1.53M
Temple Faculty Practice Plan INCPhiladelphia, PA$1.52M
Temple Faculty Practice Plan, INCPhiladelphia, PA$1.20M
Temple Faculty Practice Plan, INCPhiladelphia, PA$1.19M
Temple Faculty Practice Plan, INCPhiladelphia, PA$1.16M
Temple Faculty Practice Plan INCPhiladelphia, PA$927K
Temple Faculty Practice Plan, INCPhiladelphia, PA$909K
Temple Faculty Practice Plan, INCPhiladelphia, PA$857K
Temple Faculty Practice Plan, INCPhiladelphia, PA$615K
Temple Faculty Practice Plan INCPhiladelphia, PA$569K
Temple Faculty Practice Plan, INCPhiladelphia, PA$458K
Temple University of the Commonwealth System of Higher EducationPhiladelphia, PA$407K
Temple Faculty Practice Plan INCPhiladelphia, PA$335K
Temple Faculty Practice Plan INCPhiladelphia, PA$323K
Temple Faculty Practice Plan INCPhiladelphia, PA$243K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.