Physician
Pottstown Clinic Company LLC
Pottstown Clinic Company LLC was paid $2.96M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoPOTTSTOWN CLINIC COMPANY LLC
POTTSTOWN, PA 19465
POTTSTOWN, PA 19465
33aNPI1649341934assigned 11/10/2006
33bProvider typePediatrics Physician
28Total paid$2.96M
24GClaims56,039
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#24 of 1,257
Median peer was paid$45K
This provider vs. median65×
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 RAYME, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 461 | $11K | |
| 2019 | 623 | $17K | |
| 2020 | 6,571 | $292K | |
| 2021 | 18,229 | $772K | |
| 2022 | 13,609 | $628K | |
| 2023 | 10,682 | $706K | |
| 2024incomplete | 5,864 | $536K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 20,542 | 19,994 | $1.32M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 4,850 | 4,740 | $356K |
| 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 | 9.4% | 5,321 | 5,180 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 5,859 | 5,560 | $214K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.2% | 3,139 | 3,062 | $154K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 1,428 | 1,376 | $137K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 3,257 | 999 | $98K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.9% | 2,976 | 2,902 | $85K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.2% | 1,440 | 1,361 | $66K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 873 | 373 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 614 | 611 | $50K |
| 99205 | Prolong outpt/office vis | <1% | 192 | 187 | $22K |
31 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 307 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,061 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 202 | $16K |
| 99220 | <1% | 199 | $15K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 227 | $14K |
| 88342 | <1% | 326 | $11K | |
| 90686 | <1% | 953 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 42 | $5K |
| 90670 | <1% | 390 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 329 | $2K |
| 90715 | <1% | 150 | $2K | |
| 90698 | <1% | 392 | $2K | |
| 88304 | <1% | 201 | $2K | |
| 90651 | <1% | 42 | $2K | |
| 99221 | <1% | 21 | $1K | |
| 88307 | <1% | 31 | $1K | |
| 90680 | <1% | 158 | $946.65 | |
| 90633 | <1% | 149 | $928.55 | |
| 90744 | <1% | 98 | $750.47 | |
| 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 | <1% | 30 | $538.80 |
| 88312 | <1% | 12 | $413.66 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $294.80 |
| 90734 | <1% | 20 | $121.85 | |
| 96160 | <1% | 16 | $52.39 | |
| 90707 | 0% | 19 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90696 | 0% | 12 | $0.00 |
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 officialRAYME, BRIAN (EVP & CFO)
| Provider | Location | 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 |
| 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 |
| Tower Health Medical Group | Birdsboro, PA | $543K |
| STC Pediatrics LLC | Philadelphia, PA | $497K |
| STC Pediatrics LLC | Philadelphia, PA | $462K |
| STC Pediatrics LLC | Philadelphia, PA | $449K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.