Physician
Greater Philadelphia Health Action, INC.
Greater Philadelphia Health Action, INC. was paid $5.47M by Medicaid between Jan 2018 and Jun 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoGREATER PHILADELPHIA HEALTH ACTION, INC.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1063466068assigned 05/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.47M
24GClaims53,528
24DCodes billed54
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#11 of 2,756
Median peer was paid$19K
This provider vs. median285×
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 SMITH, D controls 13+ 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 | 1,148 | $151K | |
| 2019 | 2,903 | $370K | |
| 2020 | 8,261 | $999K | |
| 2021 | 21,067 | $2.05M | |
| 2022 | 17,344 | $1.57M | |
| 2023 | 2,036 | $190K | |
| 2024incomplete | 769 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 27,056 | 23,074 | $5.17M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.8% | 3,238 | 1,003 | $153K |
| H0032 | Mental health service plan development by non-physician | 2.2% | 794 | 263 | $119K |
| 0012A | <1% | 140 | 140 | $5K | |
| 0011A | <1% | 146 | 144 | $5K | |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 57 | 12 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 213 | 159 | $3K |
| 0002A | <1% | 62 | 61 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 8,165 | 7,179 | $2K |
| 0064A | <1% | 49 | 49 | $2K | |
| 0001A | <1% | 45 | 45 | $2K | |
| 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 | <1% | 2,985 | 2,732 | $2K |
42 more codes
| 3077F | <1% | 443 | $1K | |
| 3074F | <1% | 341 | $1K | |
| 3079F | <1% | 310 | $884.78 | |
| G0467 | Community health center visit, returning patient | <1% | 13 | $725.30 |
| 3078F | <1% | 228 | $650.20 | |
| 3080F | <1% | 294 | $371.01 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,625 | $263.74 |
| 3075F | <1% | 96 | $215.38 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 444 | $95.00 |
| 99173 | <1% | 1,093 | $30.00 | |
| 92551 | <1% | 701 | $16.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 227 | $9.83 |
| 81000 | <1% | 14 | $8.64 | |
| 81025 | <1% | 517 | $4.00 | |
| D0603 | 0% | 79 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 745 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 33 | $0.00 |
| D1330 | 0% | 101 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 57 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 147 | $0.00 |
| 91301 | 0% | 33 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 202 | $0.00 |
| 90686 | 0% | 188 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 274 | $0.00 |
| 11721 | 0% | 180 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 101 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 134 | $0.00 |
| D9110 | 0% | 26 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 424 | $0.00 |
| 91300 | 0% | 18 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 145 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 17 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 0502F | 0% | 17 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 35 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 51 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 25 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| 80061 | Lipid panel | 0% | 52 | $0.00 |
| 90715 | 0% | 29 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 74 | $0.00 |
| 90461 | 0% | 19 | $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 officialSMITH, D (PROVIDER ENROLLMENT SPEC.)
| Provider | Location | Paid |
|---|---|---|
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $25.34M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $22.02M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $20.98M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $12.28M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $4.20M |
| Greater Philadelphia Health Action, INC | Philadelphia, PA | $3.90M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $932K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $497K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $477K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $347K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $210K |
| Greater Philadelphia Health Action, INC | Philadelphia, PA | $58K |
| Greater Phila Health Action, INC. | Philadelphia, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.