Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Tower Health Medical Group

Tower Health Medical Group was paid $162K by Medicaid between Nov 2020 and Sep 2024, across 3 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 48% of everything it billed.

33Billing provider infoTOWER HEALTH MEDICAL GROUP
WEST READING, PA 19611
33aNPI1811088537assigned 09/27/2006
28Total paid$162K
24GClaims1,250
24DCodes billed3
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania

Rank by total paid#8 of 33
Median peer was paid$34K
This provider vs. median4.7×

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 RAYME, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2020150$13K
2021538$59K
2022300$37K
2023152$32K
2024incomplete110$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 48% 286 164 $78K
99479 Subsequent intensive care, per day, very low birth weight infant 47% 870 373 $76K
99480 Subsequent intensive care, per day, low birth weight infant 4.8% 94 51 $8K

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 officialRAYME, BRIAN (CFO)
Same official

Other billing entities under RAYME, BRIAN

Full network →
ProviderLocationPaid
STC Opco LLCPhiladelphia, PA$69.20M
Tower Health Urgent Care, LLCDouglassville, PA$11.77M
Pottstown Hospital, LLCPottstown, PA$7.54M
Phoenixville Hospital, LLCPhoenixville, PA$4.61M
Pottstown Clinic Company LLCPottstown, PA$2.96M
Tower Drexel Academic Medical Group LLCPhiladelphia, PA$2.47M
STC Opco LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$2.06M
STC Pediatrics LLCPhiladelphia, PA$1.73M
Phoenixville Clinic Company LLCPhoenixville, PA$1.68M
STC Pediatrics LLCPhiladelphia, PA$1.48M
STC Pediatrics LLCPhiladelphia, PA$1.31M
Tower Health Medical GroupWyomissing, PA$1.28M
STC Pediatrics LLCPhiladelphia, PA$988K
Tower Health Medical GroupWest Reading, PA$850K
Tower Health Medical GroupWest Reading, PA$724K
Tower Health Medical GroupWest Reading, PA$720K
Tower Health Medical GroupBirdsboro, PA$543K
STC Pediatrics LLCPhiladelphia, PA$497K
STC Pediatrics LLCPhiladelphia, PA$462K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.