Physician
Tower Health Medical Group
Tower Health Medical Group was paid $1.28M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoTOWER HEALTH MEDICAL GROUP
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1982029633assigned 03/04/2014
33bProvider typeInternal Medicine Physician
28Total paid$1.28M
24GClaims30,139
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#20 of 1,726
Median peer was paid$6K
This provider vs. median197×
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.
Entity ProliferationAuthorized official RAYME, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 331 | $15K | |
| 2019 | 443 | $20K | |
| 2020 | 1,419 | $59K | |
| 2021 | 10,112 | $429K | |
| 2022 | 8,987 | $346K | |
| 2023 | 5,982 | $270K | |
| 2024incomplete | 2,865 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 16,158 | 15,574 | $842K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 9,146 | 8,640 | $347K |
| 90732 | 1.7% | 320 | 318 | $22K | |
| 90686 | 1.1% | 2,086 | 2,049 | $15K | |
| 90715 | 1.1% | 802 | 801 | $14K | |
| 90651 | <1% | 232 | 230 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 86 | 84 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 37 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 205 | 120 | $3K |
| 90621 | <1% | 37 | 37 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 17 | 17 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 62 | 62 | $1K |
12 more codes
| 2022F | <1% | 143 | $960.00 | |
| 86580 | <1% | 227 | $940.09 | |
| 90734 | <1% | 54 | $573.71 | |
| 90682 | <1% | 22 | $398.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $367.42 |
| 99421 | <1% | 13 | $33.75 | |
| 90750 | 0% | 125 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 64 | $0.00 |
| 90677 | 0% | 55 | $0.00 | |
| 90656 | 0% | 113 | $0.00 | |
| 1123F | 0% | 15 | $0.00 | |
| 90619 | 0% | 67 | $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.
From NPPES
Who's on the registration
Authorized officialRAYME, BRIAN (EVP & CFO)
| 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 |
| Phoenixville Clinic Company LLC | Phoenixville, PA | $1.68M |
| STC Pediatrics LLC | Philadelphia, PA | $1.48M |
| STC Pediatrics LLC | Philadelphia, PA | $1.31M |
| 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.