Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1740342278 · WEST READING, PA 19611 · Medical Toxicology (Emergency Medicine) Physician · NPI assigned 12/14/2006

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

Authorized official EHINGER, ROBERT controls 20+ related entities in our dataset. Read more

$7.99M
Total Medicaid Paid
115,081
Total Claims
112,510
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEHINGER, ROBERT (SR VP FINANCIAL OPERATIONS)
NPI Enumeration Date12/14/2006

Related Entities

Other providers sharing the same authorized official: EHINGER, ROBERT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 21,793 $2.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 70,509 68,795 $4.94M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 21,391 21,005 $1.90M
99283 Emergency department visit for the evaluation and management, moderate severity 16,820 16,525 $910K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,456 5,288 $175K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 335 334 $56K
99281 Emergency department visit for the evaluation and management, self-limited or minor 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 48 48 $848.53
99441 24 24 $240.00