Phoenixville Clinic Company LLC
Phoenixville Clinic Company LLC was paid $1.68M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
PHOENIXVILLE, PA 19460
Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 408 | $3K | |
| 2019 | 12 | $492.25 | |
| 2020 | 2,481 | $98K | |
| 2021 | 10,261 | $345K | |
| 2022 | 12,938 | $397K | |
| 2023 | 13,984 | $467K | |
| 2024incomplete | 10,378 | $365K |
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 | 38% | 9,842 | 9,612 | $636K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 3,722 | 3,529 | $180K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 4,216 | 4,001 | $165K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.9% | 19,695 | 17,040 | $133K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.2% | 1,791 | 1,752 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 1,141 | 1,073 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 1,001 | 990 | $84K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.2% | 1,152 | 1,124 | $54K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.9% | 786 | 764 | $32K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.7% | 810 | 796 | $28K |
| 99220 | 1.4% | 326 | 317 | $24K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 350 | 119 | $19K |
29 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 564 | $19K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 185 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 756 | $15K |
| 99462 | <1% | 470 | $10K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 276 | $8K |
| 90686 | <1% | 786 | $6K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 66 | $4K |
| 93000 | <1% | 220 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 139 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $3K |
| 90698 | <1% | 383 | $3K | |
| 90670 | <1% | 279 | $3K | |
| 99460 | <1% | 71 | $2K | |
| 90677 | <1% | 186 | $2K | |
| 90680 | <1% | 237 | $2K | |
| 88307 | <1% | 43 | $1K | |
| 88342 | <1% | 55 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 90656 | <1% | 152 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| 96161 | <1% | 456 | $910.64 | |
| 99221 | <1% | 12 | $903.56 | |
| 90744 | <1% | 62 | $504.25 | |
| 90461 | <1% | 67 | $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 | <1% | 24 | $477.59 |
| 93296 | <1% | 24 | $359.94 | |
| 90633 | <1% | 26 | $182.70 | |
| 90734 | <1% | 12 | $90.30 | |
| 90715 | 0% | 14 | $0.00 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.