Medicaid Provider Spending

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

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

NPI: 1952825655 · DARBY, PA 19023 · Internal Medicine Physician · NPI assigned 08/03/2017

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

Authorized official POWAR, AMIT controls 14+ related entities in our dataset. Read more

$2.19M
Total Medicaid Paid
33,769
Total Claims
17,329
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
NPI Enumeration Date08/03/2017

Related Entities

Other providers sharing the same authorized official: POWAR, AMIT

ProviderCityStateTotal Paid
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $2.91M
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $1.79M
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $1.49M
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $778K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $499K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $434K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $396K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $354K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $171K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $154K
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY PA $139K
NAZARETH PHYSICIAN SERVICES, INC. PHILA PA $100K
NAZARETH PHYSICIAN SERVICES, INC PHILADELPHIA PA $61K
NAZARETH PHYSICIAN SERVICES, INC. PHILADELPHIA PA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,832 $13K
2020 2,499 $72K
2021 9,199 $449K
2022 8,324 $672K
2023 10,391 $938K
2024 524 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 25,938 10,189 $1.23M
99223 Prolong inpt eval add15 m 5,300 5,048 $770K
99220 827 798 $89K
99233 Prolong inpt eval add15 m 627 315 $62K
99222 Initial hospital care, per day, moderate complexity 187 169 $11K
99239 Hospital discharge day management, more than 30 minutes 116 104 $9K
99238 Hospital discharge day management, 30 minutes or less 461 433 $8K
99219 148 145 $7K
99225 96 72 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 27 14 $840.36
99217 42 42 $726.12