Providers
TRI-STATE VISITING HOME PHYSICIANS
NPI 1245671015, organization, Bristol, PA, Family Medicine, Geriatric Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 25, 2019.
- Medicaid still paid claims in 14 later months, $377,042 in total.
score 96 of 100, rank 91, $377K at stake
Public list actions
Medicare revocation effective September 25, 2019, barred from re-enrolling until September 25, 2029
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, NJ
Medicare revocation effective September 25, 2019, barred from re-enrolling until September 25, 2029
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, PA
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Sep 25, 2019 | Sep 25, 2029 | 14 | Oct 2019 | Jan 2021 | $377K | $9K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TRI-STATE VISITING HOME PHYSICIANS |
| Type | Organization |
| Status | Active |
| NPI issued | July 9, 2013, last updated December 15, 2013 |
| Practice location | 1200 VETERANS HWY, STE 836, Bristol, PA 19007-2525, 215-458-7114 |
| Mailing address | 54 ANTHONY DR, Burlington, NJ 08016-5155 |
| Authorized official | BERNARD OGON (Physician/ Medical DIrector) |
| Specialties | Family Medicine, Geriatric Medicine (207QG0300X, primary, license MD436175 PA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99340 | Medicaid service code | $170K | 39% | $170 | $142 (top 5% from $170) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $87K | 20% | $56 | $44 (top 5% from $110) | too few months to rank | |
| H0006 | Medicaid service code | $82K | 19% | $111 | $100 (top 5% from $371) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $36K | 8% | $71 | $60 (top 5% from $133) | too few months to rank | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $31K | 7% | $422 | $112 (top 5% from $313) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $9K | 2% | $98 | $95 (top 5% from $171) | too few months to rank | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $7K | 2% | $85 | $78 (top 5% from $222) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $7K | 2% | $11 | $9.23 (top 5% from $22) | too few months to rank |
In this area
7 providers in Bucks County, PA carry an indicator in the public record, with $172K at stake between them. The most common is more hours than a day holds, on 3 of them, followed by named in an enforcement record on 2. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SEGAL ARTS LLC Warminster, PA, ranked 539 | $0 |
|
| 1 | BHASKAR SAVANI Chalfont, PA, ranked 682 | $0 |
|
| 2 | YAPA APARTMENT LIVING PROGRAM, INC., DBA PROJECT TRANSITION Chalfont, PA, ranked 710 | $140K |
|
| 3 | AFFINITY CARE OF PENNSYLVANIA LLC Trevose, PA, ranked 2340 | $0 |
|
| 3 | 262 TOLL GATE ROAD OPERATIONS LLC Langhorne, PA, ranked 4626 | $0 |
|
| 5 | STACEY MINIO Upper Holland, PA, ranked 10610 | $4K |
|
| 5 | SANDRA MOYER Langhorne, PA, ranked 11845 | $27K |
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.