Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › DELAWARE VALLEY COMMUNITY HEALTH, INC.

DELAWARE VALLEY COMMUNITY HEALTH, INC.

NPI: 1285699686 · PHILADELPHIA, PA 19130 · Federally Qualified Health Center (FQHC) · NPI assigned 04/19/2006

$11.85M
Total Medicaid Paid
143,271
Total Claims
133,233
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBLES COOKE, BRENDA (PRESIDENT & CEO)
NPI Enumeration Date04/19/2006

Related Entities

Other providers sharing the same authorized official: ROBLES COOKE, BRENDA

ProviderCityStateTotal Paid
DELAWARE VALLEY COMMUNITY HEALTH, INC. PHILADELPHIA PA $3.39M
DELAWARE VALLEY COMMUNITY HEALTH, INC. PHILADELPHIA PA $204K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 35,757 $2.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,932 49,956 $11.74M
99499 1,014 974 $22K
G0467 Federally 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 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 588 493 $14K
0012A 398 379 $12K
0011A 446 433 $12K
0002A 169 166 $6K
0001A 185 185 $6K
0071A 148 141 $5K
0064A 173 171 $5K
0072A 96 96 $3K
0031A 65 65 $2K
90480 115 113 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 3,642 3,523 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,961 3,698 $1K
0124A 57 57 $920.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,309 1,270 $852.68
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,644 13,565 $815.79
0052A 14 14 $480.00
0054A 12 12 $280.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,670 4,451 $247.48
3078F 49 45 $230.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 944 927 $212.65
91320 51 51 $204.78
90656 143 143 $201.15
3074F 44 41 $200.00
3079F 35 34 $180.00
90461 1,557 1,537 $170.45
90686 1,733 1,662 $142.72
D9110 507 501 $138.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 431 369 $132.00
D1110 Prophylaxis - adult 1,632 1,609 $122.40
0134A 13 13 $120.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,472 1,435 $111.58
92551 2,892 2,803 $104.59
3075F 12 12 $90.00
D0210 Intraoral - complete series of radiographic images 552 547 $90.00
3077F 13 13 $80.00
3044F 12 12 $60.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 659 510 $54.00
D0120 Periodic oral evaluation - established patient 2,626 2,593 $44.00
D0274 Bitewings - four radiographic images 1,321 1,297 $33.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,322 1,295 $30.32
99173 3,123 3,027 $24.13
81025 2,279 2,170 $24.00
D0150 Comprehensive oral evaluation - new or established patient 942 929 $20.00
D1330 2,068 2,057 $15.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 533 519 $12.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 924 882 $10.00
D0230 Intraoral - periapical each additional radiographic image 700 571 $9.60
D0220 Intraoral - periapical first radiographic image 1,103 1,088 $9.60
81002 2,533 2,347 $3.57
36415 Collection of venous blood by venipuncture 6,741 6,534 $3.36
D0603 844 839 $0.00
96127 2,718 2,647 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 61 61 $0.00
D0602 1,002 1,001 $0.00
90647 225 220 $0.00
D1310 101 101 $0.00
90651 621 607 $0.00
83036 Hemoglobin; glycosylated (A1C) 341 327 $0.00
D1351 Sealant - per tooth 473 114 $0.00
D1206 Topical application of fluoride varnish 1,468 1,439 $0.00
90723 151 144 $0.00
S9451 Exercise classes, non-physician provider, per session 401 399 $0.00
D0272 Bitewings - two radiographic images 264 253 $0.00
90677 102 102 $0.00
82746 121 119 $0.00
90620 195 190 $0.00
82607 124 122 $0.00
90696 36 36 $0.00
99383 15 15 $0.00
D0601 25 25 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 530 506 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 605 581 $0.00
82948 764 735 $0.00
G9919 Screening performed and positive and provision of recommendations 719 678 $0.00
90734 479 465 $0.00
90710 215 215 $0.00
D1120 Prophylaxis - child 910 891 $0.00
90670 374 366 $0.00
S9470 Nutritional counseling, dietitian visit 779 774 $0.00
90715 240 235 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 686 631 $0.00
81260 12 12 $0.00
D0145 Oral evaluation for a patient under three years of age 73 73 $0.00
99215 Prolong outpt/office vis 14 14 $0.00
90633 180 179 $0.00
86703 334 326 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 103 100 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 40 39 $0.00
83970 12 12 $0.00
D0330 Panoramic radiographic image 69 69 $0.00
83655 40 40 $0.00