Clinic
Esperanza Health Center, INC.
Esperanza Health Center, INC. was paid $40.83M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoESPERANZA HEALTH CENTER, INC.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1255726659assigned 04/02/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$40.83M
24GClaims454,964
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#3 of 240
Median peer was paid$909K
This provider vs. median45×
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 | 5,577 | $380K | |
| 2019 | 1,368 | $211K | |
| 2020 | 28,377 | $2.43M | |
| 2021 | 109,976 | $9.63M | |
| 2022 | 108,927 | $8.73M | |
| 2023 | 96,923 | $9.68M | |
| 2024incomplete | 103,816 | $9.77M |
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 | 99% | 191,081 | 162,572 | $40.53M |
| 0012A | <1% | 2,424 | 2,305 | $92K | |
| 0011A | <1% | 2,528 | 2,470 | $85K | |
| 0064A | <1% | 682 | 645 | $26K | |
| 0071A | <1% | 298 | 298 | $12K | |
| 0002A | <1% | 289 | 238 | $11K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 547 | 511 | $11K |
| 0001A | <1% | 288 | 274 | $11K | |
| 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% | 59,028 | 52,821 | $10K |
| 0072A | <1% | 250 | 244 | $10K | |
| 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% | 43,542 | 40,224 | $6K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 74 | 74 | $6K |
98 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 197 | $3K |
| 90686 | <1% | 5,116 | $3K | |
| 0004A | <1% | 45 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,099 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,318 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,103 | $1K |
| 0134A | <1% | 40 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,201 | $911.22 |
| 91322 | <1% | 15 | $583.68 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,010 | $317.17 |
| 90677 | <1% | 269 | $283.72 | |
| 90688 | <1% | 14 | $248.06 | |
| 92551 | <1% | 3,381 | $206.46 | |
| 85018 | <1% | 2,045 | $182.70 | |
| 90480 | <1% | 32 | $160.00 | |
| 90746 | <1% | 12 | $119.58 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 85 | $78.19 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 125 | $64.86 |
| 99173 | <1% | 3,857 | $53.67 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 604 | $44.21 |
| 81002 | <1% | 603 | $29.06 | |
| 81025 | <1% | 1,099 | $8.00 | |
| 96127 | <1% | 514 | $7.76 | |
| 90633 | 0% | 369 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,081 | $0.00 |
| 3078F | 0% | 24,448 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 1,378 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 986 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,296 | $0.00 |
| G9920 | Screening performed and negative | 0% | 4,638 | $0.00 |
| 90671 | 0% | 32 | $0.00 | |
| 1159F | 0% | 141 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,604 | $0.00 |
| 91313 | 0% | 14 | $0.00 | |
| 3077F | 0% | 2,886 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 2,016 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 159 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 970 | $0.00 |
| 90670 | 0% | 713 | $0.00 | |
| 82948 | 0% | 167 | $0.00 | |
| 90734 | 0% | 105 | $0.00 | |
| 90707 | 0% | 241 | $0.00 | |
| 99177 | 0% | 471 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 432 | $0.00 |
| D4910 | 0% | 126 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 49 | $0.00 |
| 90750 | 0% | 87 | $0.00 | |
| 91300 | 0% | 77 | $0.00 | |
| D4341 | 0% | 81 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 15 | $0.00 |
| 1160F | 0% | 77 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 61 | $0.00 |
| 90710 | 0% | 32 | $0.00 | |
| 87210 | 0% | 25 | $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% | 24 | $0.00 |
| 90649 | 0% | 12 | $0.00 | |
| D9110 | 0% | 14 | $0.00 | |
| 96381 | 0% | 15 | $0.00 | |
| D0190 | 0% | 19 | $0.00 | |
| D0270 | 0% | 13 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 592 | $0.00 |
| 3075F | 0% | 3,182 | $0.00 | |
| 3079F | 0% | 13,841 | $0.00 | |
| 3074F | 0% | 30,025 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 536 | $0.00 |
| 4010F | 0% | 2,174 | $0.00 | |
| 36416 | 0% | 3,888 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,259 | $0.00 |
| 90744 | 0% | 174 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 297 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 2,958 | $0.00 |
| 90716 | 0% | 271 | $0.00 | |
| 87428 | 0% | 181 | $0.00 | |
| 91306 | 0% | 255 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 605 | $0.00 |
| 90651 | 0% | 572 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 222 | $0.00 |
| 90698 | 0% | 792 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 1,885 | $0.00 |
| 90656 | 0% | 261 | $0.00 | |
| 90680 | 0% | 581 | $0.00 | |
| D9995 | 0% | 655 | $0.00 | |
| 90697 | 0% | 109 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 3080F | 0% | 257 | $0.00 | |
| D2331 | 0% | 40 | $0.00 | |
| 90474 | 0% | 116 | $0.00 | |
| 91307 | 0% | 206 | $0.00 | |
| 91301 | 0% | 25 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 19 | $0.00 |
| D0603 | 0% | 129 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 28 | $0.00 |
| 90619 | 0% | 37 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 29 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 93000 | 0% | 14 | $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 officialPOST, SUSAN (EXECUTIVE DIRECTOR)