Physician
Greater Philadelphia Health Action INC.
Greater Philadelphia Health Action INC. was paid $12.28M by Medicaid between Jan 2018 and Dec 2024, across 77 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 infoGREATER PHILADELPHIA HEALTH ACTION INC.
PHILADELPHIA, PA 19147
PHILADELPHIA, PA 19147
33aNPI1417902362assigned 05/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$12.28M
24GClaims119,715
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#5 of 2,756
Median peer was paid$19K
This provider vs. median640×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, D controls 13+ related entities in our dataset. Read more
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 | 1,569 | $203K | |
| 2019 | 2,464 | $468K | |
| 2020 | 12,849 | $1.44M | |
| 2021 | 32,235 | $3.11M | |
| 2022 | 23,650 | $2.44M | |
| 2023 | 22,105 | $2.40M | |
| 2024incomplete | 24,843 | $2.22M |
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% | 59,307 | 51,818 | $12.16M |
| 0012A | <1% | 559 | 559 | $22K | |
| 0011A | <1% | 539 | 539 | $18K | |
| 99499 | <1% | 1,753 | 1,544 | $10K | |
| 0064A | <1% | 217 | 215 | $8K | |
| 0002A | <1% | 205 | 205 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 16,083 | 14,547 | $8K |
| 0072A | <1% | 202 | 200 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 384 | 315 | $8K |
| 0071A | <1% | 173 | 173 | $6K | |
| 0001A | <1% | 126 | 125 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,819 | 8,812 | $4K |
65 more codes
| 3725F | <1% | 1,115 | $4K | |
| G0467 | Community health center visit, returning patient | <1% | 42 | $2K |
| 0054A | <1% | 51 | $2K | |
| 90480 | <1% | 143 | $1K | |
| 0004A | <1% | 43 | $1K | |
| 3078F | <1% | 222 | $1K | |
| 3074F | <1% | 184 | $990.00 | |
| 0134A | <1% | 41 | $920.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,690 | $875.84 |
| 0124A | <1% | 17 | $560.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,232 | $523.61 |
| 3079F | <1% | 88 | $490.00 | |
| 90686 | <1% | 2,462 | $426.63 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,447 | $257.40 |
| 3075F | <1% | 35 | $210.00 | |
| 3077F | <1% | 26 | $110.00 | |
| 92551 | <1% | 2,249 | $39.76 | |
| 99173 | <1% | 2,763 | $35.96 | |
| 81025 | <1% | 1,691 | $26.00 | |
| D0120 | Dental checkup, returning patient | <1% | 225 | $24.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 286 | $9.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 381 | $9.60 |
| D0602 | 0% | 113 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 319 | $0.00 |
| 90656 | 0% | 241 | $0.00 | |
| D0603 | 0% | 369 | $0.00 | |
| D1310 | 0% | 641 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 127 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 188 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 386 | $0.00 |
| D1330 | 0% | 1,084 | $0.00 | |
| 90651 | 0% | 58 | $0.00 | |
| 1031F | 0% | 100 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 526 | $0.00 |
| 91306 | 0% | 27 | $0.00 | |
| 1036F | 0% | 53 | $0.00 | |
| 91301 | 0% | 176 | $0.00 | |
| D0601 | 0% | 27 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 423 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 692 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 420 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 919 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 530 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 562 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 54 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 691 | $0.00 |
| 91322 | 0% | 46 | $0.00 | |
| 90461 | 0% | 407 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 25 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 47 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 180 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 97 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 149 | $0.00 |
| 97803 | 0% | 41 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 52 | $0.00 |
| 91300 | 0% | 29 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 91321 | 0% | 13 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90750 | 0% | 12 | $0.00 | |
| 99201 | 0% | 12 | $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 officialSMITH, D (PROVIDER ENROLLMENT SPEC)
| Provider | Location | Paid |
|---|---|---|
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $25.34M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $22.02M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $20.98M |
| Greater Philadelphia Health Action, INC. | Philadelphia, PA | $5.47M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $4.20M |
| Greater Philadelphia Health Action, INC | Philadelphia, PA | $3.90M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $932K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $497K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $477K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $347K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $210K |
| Greater Philadelphia Health Action, INC | Philadelphia, PA | $58K |
| Greater Phila Health Action, INC. | Philadelphia, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.