Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1811088537 · WEST READING, PA 19611 · Neonatal-Perinatal Medicine Physician · NPI assigned 09/27/2006

Deactivated NPI · This NPI was deactivated on 01/09/2008. Reactivated 03/27/2008.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more

$162K
Total Medicaid Paid
1,250
Total Claims
588
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (CFO)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: RAYME, BRIAN

ProviderCityStateTotal Paid
STC OPCO LLC PHILADELPHIA PA $69.20M
TOWER HEALTH URGENT CARE, LLC DOUGLASSVILLE PA $11.77M
POTTSTOWN HOSPITAL, LLC POTTSTOWN PA $7.54M
PHOENIXVILLE HOSPITAL, LLC PHOENIXVILLE PA $4.61M
POTTSTOWN CLINIC COMPANY LLC POTTSTOWN PA $2.96M
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC PHILADELPHIA PA $2.47M
STC OPCO LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $2.06M
STC PEDIATRICS LLC PHILADELPHIA PA $1.73M
PHOENIXVILLE CLINIC COMPANY LLC PHOENIXVILLE PA $1.68M
STC PEDIATRICS LLC PHILADELPHIA PA $1.48M
STC PEDIATRICS LLC PHILADELPHIA PA $1.31M
TOWER HEALTH MEDICAL GROUP WYOMISSING PA $1.28M
STC PEDIATRICS LLC PHILADELPHIA PA $988K
TOWER HEALTH MEDICAL GROUP WEST READING PA $850K
TOWER HEALTH MEDICAL GROUP WEST READING PA $724K
TOWER HEALTH MEDICAL GROUP WEST READING PA $720K
TOWER HEALTH MEDICAL GROUP BIRDSBORO PA $543K
STC PEDIATRICS LLC PHILADELPHIA PA $497K
STC PEDIATRICS LLC PHILADELPHIA PA $462K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 150 $13K
2021 538 $59K
2022 300 $37K
2023 152 $32K
2024 110 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 286 164 $78K
99479 Subsequent intensive care, per day, very low birth weight infant 870 373 $76K
99480 Subsequent intensive care, per day, low birth weight infant 94 51 $8K