BRETT WILLS, DO
NPI 1568592715, individual, Phila, PA, General Practice
- Listed on the IN Medicaid exclusion list since June 22, 2017.
- Medicaid still paid claims in 4 later months, $148 in total.
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 |
|---|---|---|---|---|---|---|---|---|
| IN Medicaid exclusion list state list extracted from https://www.in.gov/fssa/ompp/files/ompp terminations.xlsx (pandas claude colmap) | Exact NPI, name verified | Jun 22, 2017 | still open | 4 | Jul 2023 | Oct 2023 | $148 | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRETT WILLS, DO |
| Type | Individual |
| Status | Active |
| NPI issued | March 6, 2007, last updated January 9, 2020 |
| Practice location | 13044 BUSTLETON AVE, SECOND FLOOR, Phila, PA 19116-1602, 215-262-5044 |
| Mailing address | 207 HOUSE AVE, STE 102, Camp Hill, PA 17011-2308 |
| Specialties | General Practice (208D00000X, primary, license OS015770 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $148 | 100% | $2.11 | $30 (top 5% from $115) | too few months to rank |
In this area
18 providers in Philadelphia County, PA carry an indicator in the public record, with $12.2M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 1307 | $155K |
|
| 3 | JEFFHOME PA, LLC. Philadelphia, PA, ranked 1458 | $32K |
|
| 3 | GHODRAT SHOLEVAR Philadelphia, PA, ranked 1736 | $26 |
|
| 3 | PAUL'S RUN Philadelphia, PA, ranked 2909 | $0 |
|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 2948 | $0 |
|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 4893 | $0 |
|
| 3 | SIMPSON HOUSE INC. Philadelphia, PA, ranked 5188 | $0 |
|
| 3 | JOSEPH NORRIS Philadelphia, PA, ranked 6858 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.