Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › DEDICATED PENNSYLVANIA HOLDING, LLC

DEDICATED PENNSYLVANIA HOLDING, LLC

NPI: 1366950776 · PHILADELPHIA, PA 19120 · Primary Care Clinic/Center · NPI assigned 01/19/2018

$6K
Total Medicaid Paid
10,494
Total Claims
8,515
Beneficiaries
13
Codes Billed
2021-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialCHEN, MARY (AUTHORIZED OFFICIAL)
NPI Enumeration Date01/19/2018

Related Entities

Other providers sharing the same authorized official: CHEN, MARY

ProviderCityStateTotal Paid
PMR VIRGINIA HOLDING, LLC MIAMI GARDENS FL $79K
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC MIAMI FL $6K
MARY CHEN MD INC WALNUT CA $971.60
JENCARE NEIGHBORHOOD MEDICAL NEW MARKET, LLC NEWPORT NEWS VA $450.12
PMR VIRGINIA HOLDING, LLC HAMPTON VA $187.35
DEDICATED PHYSICIANS GROUP OF TEXAS PLLC MIAMI GARDENS FL $106.43
JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC RICHMOND VA $18.38
JENCARE NEIGHBORHOOD MEDICAL CENTER VIRGINIA BEACH LLC VIRGINIA BEACH VA $0.00
DEDICATED PHYSICIANS GROUP OF MICHIGAN, PLLC MIAMI GARDENS FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 986 $0.00
2022 4,462 $1K
2023 4,984 $4K
2024 62 $140.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,772 6,192 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 787 644 $364.00
G0008 Administration of influenza virus vaccine 176 176 $32.05
3078F 89 87 $0.70
3074F 30 30 $0.25
1111F 1,117 895 $0.00
1170F 94 84 $0.00
90674 176 176 $0.00
1126F 35 32 $0.00
82270 18 12 $0.00
1159F 12 12 $0.00
99499 176 163 $0.00
1160F 12 12 $0.00