Eastern Pennsylvania Physician Alliance LLC
Eastern Pennsylvania Physician Alliance LLC was paid $636K by Medicaid between Dec 2020 and Dec 2024, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 72% of everything it billed.
CLARION, PA 16214
Next to other Child & Adolescent Psychiatry 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 | |
|---|---|---|---|
| 2020 | 56 | $0.00 | |
| 2021 | 9,615 | $69K | |
| 2022 | 9,663 | $143K | |
| 2023 | 12,211 | $190K | |
| 2024incomplete | 10,712 | $234K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 72% | 32,796 | 4,882 | $455K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 5,196 | 1,498 | $67K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.0% | 955 | 905 | $44K |
| 99221 | 5.9% | 829 | 798 | $38K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.9% | 2,146 | 2,047 | $31K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 75 | 12 | $909.22 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 260 | 243 | $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 |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.