Medicaid Provider Spending

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

FORNANCE PHYSICIAN SERVICES, INC

NPI: 1972875474 · NORTH WALES, PA 19454 · Family Medicine Physician · NPI assigned 01/31/2012

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

Authorized official BURNETT-ROBINS, VERA controls 13+ related entities in our dataset. Read more

$74K
Total Medicaid Paid
2,996
Total Claims
2,815
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURNETT-ROBINS, VERA (DIRECTOR PHYSICIAN BILLING)
NPI Enumeration Date01/31/2012

Related Entities

Other providers sharing the same authorized official: BURNETT-ROBINS, VERA

ProviderCityStateTotal Paid
FORNANCE PHYSICIAN SERVICES, INC NORRISTOWN PA $805K
FORNANCE PHYSICIAN SERVICES, INC. NORRISTOWN PA $563K
FORNANCE PHYSICIAN SERVICES, INC. COLLEGEVILLE PA $185K
FORNANCE PHYSICIAN SERVICES, INC LANSDALE PA $184K
FORNANCE PHYSICIAN SERVICES, INC NORRISTOWN PA $100K
FORNANCE PHYSICIAN SERVICES, INC. EAST NORRITON PA $91K
FORNANCE PHYSICIAN SERVICES, INC EAST NORRITON PA $58K
FORNANCE PHYSICIAN SERVICES, INC. EAST NORRITON PA $41K
FORNANCE PHYSICIAN SERVICES, INC. PLYMOUTH MEETING PA $38K
FORNANCE PHYSICIAN SERVICES, INC BLUE BELL PA $32K
FORNANCE PHYSICIAN SERVICES, INC. EAST NORRITON PA $25K
FORNANCE PHYSICIAN SERVICES EAST NORRITON PA $524.29
FORNANCE PHYSICIAN SERVICES, INC EAST NORRITON PA $113.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 108 $2K
2021 426 $5K
2022 702 $16K
2023 800 $25K
2024 960 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,786 1,694 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 930 866 $16K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 231 210 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 27 $366.78
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21 18 $94.71