Physician
Tower Health Medical Group
Tower Health Medical Group was paid $7.99M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 62% of everything it billed.
33Billing provider infoTOWER HEALTH MEDICAL GROUP
WEST READING, PA 19611
WEST READING, PA 19611
33aNPI1740342278assigned 12/14/2006
33bProvider typeMedical Toxicology (Emergency Medicine) Physician
28Total paid$7.99M
24GClaims115,081
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Toxicology (Emergency Medicine) Physician providers in Pennsylvania
Rank by total paid#2 of 9
Median peer was paid$67K
This provider vs. median118×
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
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 | |
|---|---|---|---|
| 2018 | 3,948 | $126K | |
| 2019 | 2,645 | $131K | |
| 2020 | 4,908 | $247K | |
| 2021 | 26,474 | $1.37M | |
| 2022 | 26,970 | $1.43M | |
| 2023 | 28,343 | $2.28M | |
| 2024incomplete | 21,793 | $2.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 62% | 70,509 | 68,795 | $4.94M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 24% | 21,391 | 21,005 | $1.90M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 16,820 | 16,525 | $910K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.2% | 5,456 | 5,288 | $175K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 335 | 334 | $56K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 498 | 491 | $8K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 48 | 48 | $848.53 |
| 99441 | <1% | 24 | 24 | $240.00 |
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)
| 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 | $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 |
| STC Pediatrics LLC | Philadelphia, PA | $502K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.