Clinic
City of Philadelphia
City of Philadelphia was paid $7.11M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCITY OF PHILADELPHIA
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1144337189assigned 08/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.11M
24GClaims45,695
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#38 of 240
Median peer was paid$909K
This provider vs. median7.8×
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.
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 | 1,910 | $246K | |
| 2019 | 655 | $371K | |
| 2020 | 4,257 | $822K | |
| 2021 | 10,190 | $1.51M | |
| 2022 | 13,137 | $1.86M | |
| 2023 | 9,086 | $1.46M | |
| 2024incomplete | 6,460 | $846K |
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 | 100% | 29,326 | 26,775 | $7.11M |
| 0124A | <1% | 40 | 40 | $1K | |
| 0134A | <1% | 48 | 48 | $960.00 | |
| 0002A | <1% | 15 | 15 | $330.34 | |
| 0064A | <1% | 38 | 38 | $200.00 | |
| 90686 | <1% | 565 | 564 | $22.35 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 415 | 402 | $22.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,426 | 1,411 | $20.00 |
| 81025 | <1% | 1,291 | 1,204 | $8.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,275 | 2,192 | $0.00 |
| 99173 | 0% | 942 | 929 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 161 | 157 | $0.00 |
16 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 53 | $0.00 |
| 90461 | 0% | 164 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 25 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 38 | $0.00 |
| 91313 | 0% | 17 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 6,250 | $0.00 |
| 97802 | 0% | 485 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 763 | $0.00 |
| 90656 | 0% | 58 | $0.00 | |
| 92551 | 0% | 559 | $0.00 | |
| 3008F | 0% | 372 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 124 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 164 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 48 | $0.00 |
| 91306 | 0% | 13 | $0.00 | |
| 1111F | 0% | 20 | $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 officialGADDY, CHRISTINE (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| City of Philadelphia | Philadelphia, PA | $13.51M |
| City of Philadelphia | Philadelphia, PA | $12.49M |
| City of Philadelphia | Philadelphia, PA | $10.62M |
| City of Philadelphia | Philadelphia, PA | $8.72M |
| City of Philadelphia | Philadelphia, PA | $5.84M |
| City of Philadelphia | Philadelphia, PA | $5.37M |
| City of Philadelphia | Philadelphia, PA | $5.34M |
| City of Philadelphia | Phila, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.