Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tower Health Medical Group

Tower Health Medical Group was paid $2.54M by Medicaid between Nov 2018 and Dec 2024, across 36 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 35% of everything it billed.

33Billing provider infoTOWER HEALTH MEDICAL GROUP
WEST READING, PA 19611
33aNPI1700369535assigned 09/07/2018
28Total paid$2.54M
24GClaims102,509
24DCodes billed36
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Pennsylvania

Rank by total paid#2 of 707
Median peer was paid$5K
This provider vs. median528×

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 EHINGER, ROBERT 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
201844$620.40
20191,492$14K
20204,577$88K
202126,843$607K
202226,360$656K
202324,502$670K
2024incomplete18,691$506K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 35% 12,312 12,105 $878K
70450 Computed tomography, head or brain; without contrast material 19% 13,529 13,018 $495K
71046 Radiologic examination, chest; 2 views 12% 32,239 31,758 $305K
71045 Radiologic examination, chest; single view 6.3% 24,553 21,672 $160K
77067 Screening mammography, bilateral, including computer-aided detection 6.1% 4,369 4,352 $156K
77063 Screening digital breast tomosynthesis, bilateral 4.9% 4,294 4,279 $124K
76705 Ultrasound, abdominal, real time with image documentation; limited 3.4% 3,044 3,005 $86K
72125 Computed tomography, cervical spine; without contrast material 2.5% 1,330 1,307 $64K
71275 Computed tomographic angiography, chest, with contrast material 1.9% 572 559 $47K
76830 Ultrasound, transvaginal 1.5% 1,084 1,077 $38K
76642 1.2% 952 945 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.0% 400 393 $26K
24 more codes
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 560 $22K
93975 <1% 246 $18K
76770 <1% 536 $18K
77066 Tomosynthesis, mammo <1% 287 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 288 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 216 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 145 $10K
77062 <1% 225 $7K
74018 <1% 539 $4K
77065 Tomosynthesis, mammo <1% 79 $3K
93971 <1% 128 $2K
74019 <1% 215 $2K
70498 <1% 24 $2K
70496 <1% 25 $2K
76536 <1% 68 $2K
77061 <1% 37 $1K
76885 <1% 26 $938.25
93970 <1% 26 $538.88
71250 <1% 12 $536.26
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 12 $383.10
77080 <1% 30 $274.31
73630 <1% 27 $235.90
73030 <1% 12 $118.93
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 68 $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 officialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
Same official

Other billing entities under EHINGER, ROBERT

Full network →
ProviderLocationPaid
Reading HospitalWest Reading, PA$58.34M
STC Pediatrics LLCPhiladelphia, PA$12.21M
STC Pediatrics LLCPhiladelphia, PA$8.73M
Tower Health Medical GroupWest Reading, PA$7.99M
Chestnut Hill Clinic Company, LLCPhiladelphia, PA$2.28M
STC Pediatrics LLCPhiladelphia, PA$2.14M
STC Pediatrics LLCPhiladelphia, PA$2.04M
Tower Direct LLCWest Reading, PA$1.95M
STC Pediatrics LLCPhiladelphia, PA$1.82M
STC Pediatrics LLCPhiladelphia, PA$1.18M
STC Pediatrics LLCPhiladelphia, PA$997K
STC Pediatrics LLCJenkintown, PA$836K
Tower Health Medical GroupWest Reading, PA$835K
STC Pediatrics LLCPhiladelphia, PA$795K
STC Pediatrics LLCPhiladelphia, PA$784K
Tower Health Medical GroupWyomissing, PA$733K
STC Pediatrics LLCPhiladelphia, PA$711K
Tower Health Medical GroupReading, PA$698K
Tower Health Medical GroupWest Reading, PA$613K
STC Pediatrics LLCPhiladelphia, PA$502K

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