Medicaid Provider Spending

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

GREATER PHILADELPHIA HEALTH ACTION, INC

NPI: 1144274077 · PHILADELPHIA, PA 19147 · Family Medicine Physician · NPI assigned 05/22/2006

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

Authorized official SMITH, D controls 13+ related entities in our dataset. Read more

$3.90M
Total Medicaid Paid
27,710
Total Claims
21,185
Beneficiaries
9
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, D (PROVIDER ENROLLMENT SPEC.)
NPI Enumeration Date05/22/2006

Related Entities

Other providers sharing the same authorized official: SMITH, D

ProviderCityStateTotal 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 $5.47M
GREATER PHILADELPHIA HEALTH ACTION INC. PHILADELPHIA PA $4.20M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 680 $122K
2019 2,671 $533K
2020 5,621 $646K
2021 7,094 $706K
2022 4,926 $716K
2023 4,655 $843K
2024 2,063 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,365 13,765 $3.61M
90837 Psychotherapy, 53 minutes with patient 5,744 4,101 $220K
90834 Psychotherapy, 45 minutes with patient 1,022 857 $33K
90832 Psychotherapy, 30 minutes with patient 2,939 1,989 $26K
96127 312 312 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40 39 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43 38 $0.00
99385 13 13 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 232 71 $0.00