Medicaid Provider Spending

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

TOWER HEALTH MEDICAL GROUP

NPI: 1982029633 · WYOMISSING, PA 19610 · Internal Medicine Physician · NPI assigned 03/04/2014

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

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

$1.28M
Total Medicaid Paid
30,139
Total Claims
28,866
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAYME, BRIAN (EVP & CFO)
NPI Enumeration Date03/04/2014

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $15K
2019 443 $20K
2020 1,419 $59K
2021 10,112 $429K
2022 8,987 $346K
2023 5,982 $270K
2024 2,865 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,158 15,574 $842K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,146 8,640 $347K
90732 320 318 $22K
90686 2,086 2,049 $15K
90715 802 801 $14K
90651 232 230 $13K
99215 Prolong outpt/office vis 86 84 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 37 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 205 120 $3K
90621 37 37 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 17 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 62 62 $1K
2022F 143 141 $960.00
86580 227 197 $940.09
90734 54 54 $573.71
90682 22 22 $398.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 51 $367.42
99421 13 13 $33.75
90750 125 125 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 64 55 $0.00
90677 55 52 $0.00
90656 113 113 $0.00
1123F 15 14 $0.00
90619 67 60 $0.00