Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DELAWARE VALLEY COMMUNITY HEALTH, INC.

NPI: 1386864502 · PHILADELPHIA, PA 19130 · Federally Qualified Health Center (FQHC) · NPI assigned 04/27/2007

$204K
Total Medicaid Paid
1,285
Total Claims
974
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialROBLES COOKE, BRENDA (PRESIDENT & CEO)
NPI Enumeration Date04/27/2007

Related Entities

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

ProviderCityStateTotal Paid
DELAWARE VALLEY COMMUNITY HEALTH, INC. PHILADELPHIA PA $11.85M
DELAWARE VALLEY COMMUNITY HEALTH, INC. PHILADELPHIA PA $3.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 416 $70K
2019 518 $90K
2020 152 $17K
2021 199 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 960 667 $202K
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 27 26 $2K
90688 49 45 $814.66
90460 Immunization administration through 18 years of age via any route, first or only component 100 87 $0.00
99173 39 39 $0.00
S9470 Nutritional counseling, dietitian visit 12 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 18 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 52 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 28 $0.00