Medicaid Provider Spending

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

PHOENIXVILLE CLINIC COMPANY LLC

NPI: 1891866182 · PHOENIXVILLE, PA 19460 · Neonatal-Perinatal Medicine Physician · NPI assigned 11/10/2006

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

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

$1.68M
Total Medicaid Paid
50,462
Total Claims
46,231
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (CFO)
NPI Enumeration Date11/10/2006

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
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
STC PEDIATRICS LLC PHILADELPHIA PA $449K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 408 $3K
2019 12 $492.25
2020 2,481 $98K
2021 10,261 $345K
2022 12,938 $397K
2023 13,984 $467K
2024 10,378 $365K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,842 9,612 $636K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,722 3,529 $180K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,216 4,001 $165K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19,695 17,040 $133K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,791 1,752 $120K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,141 1,073 $90K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,001 990 $84K
99283 Emergency department visit for the evaluation and management, moderate severity 1,152 1,124 $54K
88305 Level IV - Surgical pathology, gross and microscopic examination 786 764 $32K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 810 796 $28K
99220 326 317 $24K
99233 Prolong inpt eval add15 m 350 119 $19K
99232 Subsequent hospital care, per day, moderate complexity 564 232 $19K
99223 Prolong inpt eval add15 m 185 179 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 756 720 $15K
99462 470 438 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 276 273 $8K
90686 786 785 $6K
99239 Hospital discharge day management, more than 30 minutes 66 66 $4K
93000 220 217 $4K
99238 Hospital discharge day management, 30 minutes or less 139 138 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 40 $3K
90698 383 382 $3K
90670 279 278 $3K
99460 71 70 $2K
90677 186 186 $2K
90680 237 236 $2K
88307 43 43 $1K
88342 55 53 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
90656 152 152 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
96161 456 363 $910.64
99221 12 12 $903.56
90744 62 62 $504.25
90461 67 65 $493.38
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 24 24 $477.59
93296 24 24 $359.94
90633 26 26 $182.70
90734 12 12 $90.30
90715 14 14 $0.00