Physician
Nazareth Physician Services, INC.
Nazareth Physician Services, INC. was paid $171K by Medicaid between Oct 2020 and Jan 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.
33Billing provider infoNAZARETH PHYSICIAN SERVICES, INC.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
33aNPI1710447016assigned 03/22/2019
33bProvider typeGastroenterology Physician
28Total paid$171K
24GClaims2,975
24DCodes billed11
24AFirst – last monthOct 2020 – Jan 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#16 of 178
Median peer was paid$6K
This provider vs. median30×
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 POWAR, AMIT controls 14+ 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 | |
|---|---|---|---|
| 2020 | 195 | $3K | |
| 2021 | 807 | $18K | |
| 2022 | 1,023 | $78K | |
| 2023 | 912 | $69K | |
| 2024incomplete | 38 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 33% | 1,035 | 606 | $56K |
| 99222 | Initial hospital care, per day, moderate complexity | 13% | 242 | 233 | $22K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 13% | 1,192 | 727 | $22K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 135 | 133 | $22K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.7% | 126 | 123 | $17K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.3% | 52 | 52 | $14K |
| 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 | 3.5% | 74 | 66 | $6K |
| 99223 | Prolong inpt eval add15 m | 2.8% | 29 | 28 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 46 | 34 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 28 | 27 | $2K |
| 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% | 16 | 15 | $905.77 |
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 officialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
| Provider | Location | 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 | $396K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $354K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.