Medicaid Provider Spending

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

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

NPI: 1710403191 · DARBY, PA 19023 · Urology Physician · NPI assigned 08/17/2017

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

Authorized official POWAR, AMIT controls 14+ related entities in our dataset. Read more

$396K
Total Medicaid Paid
6,831
Total Claims
6,550
Beneficiaries
19
Codes Billed
2018-03
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: POWAR, AMIT

ProviderCityStateTotal Paid
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $2.91M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $2.19M
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $1.79M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $1.49M
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $778K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $499K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $434K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $354K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $171K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $154K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $139K
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $100K
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $61K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 204 $1K
2020 310 $18K
2021 2,192 $113K
2022 1,863 $110K
2023 2,155 $145K
2024 107 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,483 2,379 $121K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,633 1,552 $115K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 523 516 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 260 256 $38K
99222 Initial hospital care, per day, moderate complexity 199 187 $24K
51798 973 939 $18K
99244 Office or other outpatient consultation, moderate to high complexity 64 64 $15K
99243 59 56 $9K
99223 Prolong inpt eval add15 m 19 19 $3K
52000 14 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 40 24 $2K
81002 279 272 $638.60
74420 13 13 $322.84
3078F 32 31 $0.00
1159F 49 47 $0.00
1160F 50 48 $0.00
3008F 57 55 $0.00
3074F 24 24 $0.00
1036F 60 56 $0.00