Tower Health Medical Group
Tower Health Medical Group was paid $248K by Medicaid between Nov 2020 and Aug 2023, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
WYOMISSING, PA 19610
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 205 | $6K | |
| 2021 | 2,802 | $80K | |
| 2022 | 2,442 | $89K | |
| 2023 | 1,854 | $74K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 2,546 | 2,501 | $120K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 16% | 900 | 784 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 366 | 359 | $26K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 779 | 347 | $25K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.5% | 110 | 109 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.5% | 965 | 954 | $6K |
| 99254 | 2.2% | 71 | 69 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 154 | 153 | $5K |
| 95251 | 1.5% | 122 | 118 | $4K | |
| 2022F | 1.4% | 977 | 951 | $4K | |
| 3046F | <1% | 246 | 237 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | 15 | $343.53 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Reading Hospital | West Reading, PA | $58.34M |
| STC Pediatrics LLC | Philadelphia, PA | $12.21M |
| STC Pediatrics LLC | Philadelphia, PA | $8.73M |
| Tower Health Medical Group | West Reading, PA | $7.99M |
| Tower Health Medical Group | West Reading, PA | $2.54M |
| Chestnut Hill Clinic Company, LLC | Philadelphia, PA | $2.28M |
| STC Pediatrics LLC | Philadelphia, PA | $2.14M |
| STC Pediatrics LLC | Philadelphia, PA | $2.04M |
| Tower Direct LLC | West Reading, PA | $1.95M |
| STC Pediatrics LLC | Philadelphia, PA | $1.82M |
| STC Pediatrics LLC | Philadelphia, PA | $1.18M |
| STC Pediatrics LLC | Philadelphia, PA | $997K |
| STC Pediatrics LLC | Jenkintown, PA | $836K |
| Tower Health Medical Group | West Reading, PA | $835K |
| STC Pediatrics LLC | Philadelphia, PA | $795K |
| STC Pediatrics LLC | Philadelphia, PA | $784K |
| Tower Health Medical Group | Wyomissing, PA | $733K |
| STC Pediatrics LLC | Philadelphia, PA | $711K |
| Tower Health Medical Group | Reading, PA | $698K |
| Tower Health Medical Group | West Reading, PA | $613K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.