Clinic
Philly Pregnancy Center PC
Philly Pregnancy Center PC was paid $748K by Medicaid between Oct 2020 and Nov 2024, across 16 billing codes. Its largest line is 76820, — 21% of everything it billed.
33Billing provider infoPHILLY PREGNANCY CENTER PC
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1184954505assigned 01/07/2010
33bProvider typeClinic/Center
28Total paid$748K
24GClaims9,187
24DCodes billed16
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#76 of 176
Median peer was paid$441K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2020 | 660 | $62K | |
| 2021 | 2,041 | $186K | |
| 2022 | 2,667 | $213K | |
| 2023 | 2,377 | $164K | |
| 2024incomplete | 1,442 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76820 | 21% | 1,909 | 1,024 | $159K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 18% | 1,279 | 659 | $134K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 16% | 1,094 | 959 | $118K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 1,163 | 1,005 | $107K |
| 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 | 12% | 1,782 | 1,339 | $88K |
| 76818 | 5.4% | 287 | 112 | $40K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.9% | 112 | 109 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 649 | 471 | $23K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.7% | 258 | 135 | $20K |
| 76801 | 1.9% | 140 | 136 | $14K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 112 | 109 | $6K |
| 99429 | <1% | 27 | 27 | $3K |
4 more codes
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 officialHOLTZMAN, OSSIE (DIRECTOR)