Suburban Medical Group LLC
Suburban Medical Group LLC was paid $1.65M by Medicaid between Jun 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
EAST NORRITON, PA 19401
Next to other Anesthesiology 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 | |
|---|---|---|---|
| 2018 | 71 | $411.89 | |
| 2020 | 1,623 | $54K | |
| 2021 | 7,676 | $297K | |
| 2022 | 17,156 | $450K | |
| 2023 | 19,574 | $594K | |
| 2024incomplete | 8,384 | $258K |
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 | 17% | 5,504 | 5,191 | $275K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,896 | 6,504 | $252K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 4,445 | 4,293 | $237K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 3,431 | 3,329 | $178K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.8% | 4,550 | 4,364 | $162K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 7.8% | 2,173 | 2,121 | $129K |
| 70450 | Computed tomography, head or brain; without contrast material | 6.7% | 3,688 | 3,490 | $111K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 4.4% | 1,379 | 1,327 | $72K |
| 71045 | Radiologic examination, chest; single view | 3.1% | 9,586 | 8,444 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 469 | 463 | $24K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 1.3% | 306 | 299 | $22K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.3% | 555 | 534 | $21K |
53 more codes
| 71250 | <1% | 400 | $13K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,725 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 222 | $12K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 177 | $7K |
| 73630 | <1% | 1,201 | $7K | |
| 90686 | <1% | 762 | $6K | |
| G0008 | Administration of influenza virus vaccine | <1% | 532 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 913 | $5K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 283 | $5K |
| 73610 | <1% | 618 | $4K | |
| 73562 | <1% | 557 | $4K | |
| 73130 | <1% | 598 | $4K | |
| 73030 | <1% | 459 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 58 | $3K |
| 90651 | <1% | 128 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 103 | $3K |
| 93971 | <1% | 144 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $2K |
| 76801 | <1% | 29 | $1K | |
| 71270 | <1% | 30 | $1K | |
| 70486 | <1% | 28 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 90 | $1K |
| 72110 | <1% | 98 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 86 | $1K |
| 74018 | <1% | 206 | $1K | |
| 90734 | <1% | 102 | $994.52 | |
| 73110 | <1% | 127 | $867.12 | |
| 73590 | <1% | 124 | $849.53 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 34 | $796.06 |
| 90715 | <1% | 72 | $770.50 | |
| 96127 | <1% | 241 | $718.94 | |
| 72100 | <1% | 71 | $695.50 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 25 | $587.80 |
| 73502 | <1% | 85 | $553.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 83 | $482.76 |
| 92551 | <1% | 160 | $464.50 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 18 | $392.86 |
| 93970 | <1% | 36 | $391.12 | |
| 99173 | <1% | 217 | $331.05 | |
| 74022 | <1% | 14 | $199.54 | |
| 73600 | <1% | 27 | $178.75 | |
| 73090 | <1% | 27 | $173.67 | |
| 72050 | <1% | 13 | $126.18 | |
| 90633 | <1% | 13 | $119.00 | |
| 73080 | <1% | 13 | $92.25 | |
| 73140 | <1% | 17 | $80.75 | |
| 3078F | <1% | 34 | $80.05 | |
| 3074F | <1% | 98 | $60.07 | |
| 96160 | <1% | 90 | $7.66 | |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 39 | $0.00 |
| 93880 | 0% | 13 | $0.00 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 140 | $0.00 |
| 3008F | 0% | 83 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.