Clinic
Delaware Valley Community Health, INC.
Delaware Valley Community Health, INC. was paid $11.85M by Medicaid between Jan 2018 and Dec 2024, across 94 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 infoDELAWARE VALLEY COMMUNITY HEALTH, INC.
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
33aNPI1285699686assigned 04/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.85M
24GClaims143,271
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#25 of 240
Median peer was paid$909K
This provider vs. median13×
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 | 1,540 | $163K | |
| 2019 | 746 | $85K | |
| 2020 | 9,778 | $801K | |
| 2021 | 43,568 | $3.27M | |
| 2022 | 29,670 | $2.37M | |
| 2023 | 22,212 | $2.33M | |
| 2024incomplete | 35,757 | $2.84M |
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% | 55,932 | 49,956 | $11.74M |
| 99499 | <1% | 1,014 | 974 | $22K | |
| 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% | 201 | 196 | $17K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 588 | 493 | $14K |
| 0012A | <1% | 398 | 379 | $12K | |
| 0011A | <1% | 446 | 433 | $12K | |
| 0002A | <1% | 169 | 166 | $6K | |
| 0001A | <1% | 185 | 185 | $6K | |
| 0071A | <1% | 148 | 141 | $5K | |
| 0064A | <1% | 173 | 171 | $5K | |
| 0072A | <1% | 96 | 96 | $3K | |
| 0031A | <1% | 65 | 65 | $2K |
82 more codes
| 90480 | <1% | 115 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,642 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,961 | $1K |
| 0124A | <1% | 57 | $920.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,309 | $852.68 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14,644 | $815.79 |
| 0052A | <1% | 14 | $480.00 | |
| 0054A | <1% | 12 | $280.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,670 | $247.48 |
| 3078F | <1% | 49 | $230.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 944 | $212.65 |
| 91320 | <1% | 51 | $204.78 | |
| 90656 | <1% | 143 | $201.15 | |
| 3074F | <1% | 44 | $200.00 | |
| 3079F | <1% | 35 | $180.00 | |
| 90461 | <1% | 1,557 | $170.45 | |
| 90686 | <1% | 1,733 | $142.72 | |
| D9110 | <1% | 507 | $138.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 431 | $132.00 |
| D1110 | Prophylaxis - adult | <1% | 1,632 | $122.40 |
| 0134A | <1% | 13 | $120.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,472 | $111.58 |
| 92551 | <1% | 2,892 | $104.59 | |
| 3075F | <1% | 12 | $90.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 552 | $90.00 |
| 3077F | <1% | 13 | $80.00 | |
| 3044F | <1% | 12 | $60.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 659 | $54.00 |
| D0120 | Dental checkup, returning patient | <1% | 2,626 | $44.00 |
| D0274 | Bitewings - four radiographic images | <1% | 1,321 | $33.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,322 | $30.32 |
| 99173 | <1% | 3,123 | $24.13 | |
| 81025 | <1% | 2,279 | $24.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 942 | $20.00 |
| D1330 | <1% | 2,068 | $15.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 533 | $12.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 924 | $10.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 700 | $9.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,103 | $9.60 |
| 81002 | <1% | 2,533 | $3.57 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,741 | $3.36 |
| D0603 | 0% | 844 | $0.00 | |
| 96127 | 0% | 2,718 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 61 | $0.00 |
| D0602 | 0% | 1,002 | $0.00 | |
| 90647 | 0% | 225 | $0.00 | |
| D1310 | 0% | 101 | $0.00 | |
| 90651 | 0% | 621 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 341 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 473 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,468 | $0.00 |
| 90723 | 0% | 151 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 401 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 264 | $0.00 |
| 90677 | 0% | 102 | $0.00 | |
| 82746 | 0% | 121 | $0.00 | |
| 90620 | 0% | 195 | $0.00 | |
| 82607 | 0% | 124 | $0.00 | |
| 90696 | 0% | 36 | $0.00 | |
| 99383 | 0% | 15 | $0.00 | |
| D0601 | 0% | 25 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 530 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 605 | $0.00 |
| 82948 | 0% | 764 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 719 | $0.00 |
| 90734 | 0% | 479 | $0.00 | |
| 90710 | 0% | 215 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 910 | $0.00 |
| 90670 | 0% | 374 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 779 | $0.00 |
| 90715 | 0% | 240 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 686 | $0.00 |
| 81260 | 0% | 12 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 73 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 90633 | 0% | 180 | $0.00 | |
| 86703 | 0% | 334 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 103 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 40 | $0.00 |
| 83970 | 0% | 12 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 69 | $0.00 |
| 83655 | 0% | 40 | $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 officialROBLES COOKE, BRENDA (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Delaware Valley Community Health, INC. | Philadelphia, PA | $3.39M |
| Delaware Valley Community Health, INC. | Philadelphia, PA | $204K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.