Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1972694883 · WEST READING, PA 19611 · Neurology Physician · NPI assigned 09/27/2006

Deactivated NPI · This NPI was deactivated on 01/09/2008. Reactivated 09/15/2011.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$218K
Total Medicaid Paid
1,959
Total Claims
1,926
Beneficiaries
11
Codes Billed
2018-10
First Month
2022-06
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
2018 13 $97.35
2020 153 $34K
2021 1,083 $149K
2022 710 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 273 268 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,044 1,024 $51K
99215 Prolong outpt/office vis 233 228 $15K
95810 Polysomnography; sleep staging with 4 or more additional parameters 124 124 $11K
95811 41 41 $6K
99205 Prolong outpt/office vis 47 47 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 147 145 $4K
99245 12 12 $2K
64615 13 13 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $952.36
95819 13 12 $53.55