GREATER PHILADELPHIA HEALTH ACTION INC.
NPI: 1326493321
· PHILADELPHIA, PA 19140
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/27/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SMITH, D controls 13+ related entities in our dataset. Read more
$932K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, D (PROVIDER ENROLLMENT SPEC.) |
| NPI Enumeration Date | 04/27/2016 |
Related Entities
Other providers sharing the same authorized official: SMITH, D
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
76 |
$15K |
| 2019 |
199 |
$40K |
| 2020 |
559 |
$74K |
| 2021 |
1,888 |
$235K |
| 2022 |
1,760 |
$202K |
| 2023 |
1,481 |
$216K |
| 2024 |
1,209 |
$148K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,573 |
3,983 |
$931K |
| 3077F |
|
122 |
116 |
$450.00 |
| 3079F |
|
76 |
72 |
$273.89 |
| 3725F |
|
90 |
86 |
$180.25 |
| 3080F |
|
29 |
25 |
$65.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,499 |
$54.42 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
631 |
585 |
$0.00 |
| 80061 |
Lipid panel |
17 |
13 |
$0.00 |