Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1609291350 · BIRDSBORO, PA 19508 · Family Medicine Physician · NPI assigned 03/04/2014

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

Authorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more

$543K
Total Medicaid Paid
13,456
Total Claims
12,945
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date03/04/2014

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal Paid
STC OPCO LLC PHILADELPHIA PA $69.20M
TOWER HEALTH URGENT CARE, LLC DOUGLASSVILLE PA $11.77M
POTTSTOWN HOSPITAL, LLC POTTSTOWN PA $7.54M
PHOENIXVILLE HOSPITAL, LLC PHOENIXVILLE PA $4.61M
POTTSTOWN CLINIC COMPANY LLC POTTSTOWN PA $2.96M
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC PHILADELPHIA PA $2.47M
STC OPCO LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $1.73M
PHOENIXVILLE CLINIC COMPANY LLC PHOENIXVILLE PA $1.68M
STC PEDIATRICS LLC PHILADELPHIA PA $1.48M
STC PEDIATRICS LLC PHILADELPHIA PA $1.31M
TOWER HEALTH MEDICAL GROUP WYOMISSING PA $1.28M
STC PEDIATRICS LLC PHILADELPHIA PA $988K
TOWER HEALTH MEDICAL GROUP WEST READING PA $850K
TOWER HEALTH MEDICAL GROUP WEST READING PA $724K
TOWER HEALTH MEDICAL GROUP WEST READING PA $720K
STC PEDIATRICS LLC PHILADELPHIA PA $497K
STC PEDIATRICS LLC PHILADELPHIA PA $462K
STC PEDIATRICS LLC PHILADELPHIA PA $449K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 625 $12K
2019 125 $5K
2020 385 $15K
2021 5,226 $209K
2022 2,680 $108K
2023 2,786 $117K
2024 1,629 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,969 7,653 $376K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,106 2,011 $71K
0001A 626 597 $22K
0002A 481 456 $17K
0011A 397 391 $15K
0012A 377 374 $14K
99308 Subsequent nursing facility care, per day, straightforward 548 535 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 74 74 $7K
90686 628 617 $4K
99215 Prolong outpt/office vis 73 71 $3K
90732 12 12 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 18 13 $461.43
90682 14 14 $269.15
2022F 39 38 $260.00
3046F 15 15 $40.00
3044F 13 12 $30.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 12 $29.06
90656 31 30 $0.00
90677 20 20 $0.00