Clinic
Public Health Management Corporation
Public Health Management Corporation was paid $11.76M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoPUBLIC HEALTH MANAGEMENT CORPORATION
PHILADELPHIA, PA 19123
PHILADELPHIA, PA 19123
33aNPI1467776989assigned 03/26/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.76M
24GClaims96,776
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#26 of 240
Median peer was paid$909K
This provider vs. median13×
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.
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 | 2,359 | $163K | |
| 2019 | 13,966 | $1.23M | |
| 2020 | 21,194 | $3.12M | |
| 2021 | 12,646 | $2.04M | |
| 2022 | 16,180 | $1.80M | |
| 2023 | 15,062 | $1.58M | |
| 2024incomplete | 15,369 | $1.83M |
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 | 93% | 34,676 | 28,712 | $10.96M |
| G9012 | Other specified case management service not elsewhere classified | 6.6% | 3,379 | 3,227 | $779K |
| 0012A | <1% | 257 | 250 | $7K | |
| 0011A | <1% | 307 | 296 | $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% | 12,533 | 11,084 | $3K |
| 3074F | <1% | 5,264 | 4,708 | $1K | |
| 0002A | <1% | 52 | 46 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,632 | 1,442 | $1K |
| 0001A | <1% | 62 | 53 | $1K | |
| 3079F | <1% | 3,132 | 2,860 | $1K | |
| 3078F | <1% | 2,917 | 2,636 | $760.32 | |
| 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% | 2,160 | 1,969 | $669.38 |
58 more codes
| 99499 | <1% | 628 | $566.00 | |
| 3077F | <1% | 620 | $460.31 | |
| 0013A | <1% | 30 | $440.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,875 | $351.20 |
| 99401 | <1% | 490 | $289.00 | |
| 3075F | <1% | 632 | $270.21 | |
| 87536 | <1% | 242 | $208.96 | |
| 3080F | <1% | 281 | $130.18 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,173 | $112.00 |
| T1016 | Case management, each 15 minutes | <1% | 12 | $98.16 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 715 | $43.75 |
| 98960 | <1% | 176 | $38.25 | |
| 82962 | <1% | 598 | $16.20 | |
| 80305 | <1% | 263 | $11.80 | |
| 81001 | <1% | 78 | $2.70 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,621 | $0.35 |
| 80061 | Lipid panel | <1% | 1,470 | $0.27 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,080 | $0.20 |
| 91301 | <1% | 229 | $0.19 | |
| 86592 | <1% | 623 | $0.11 | |
| 3008F | <1% | 3,315 | $0.11 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 552 | $0.10 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 665 | $0.09 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 657 | $0.09 |
| 1159F | 0% | 2,785 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 109 | $0.00 |
| 1160F | 0% | 2,795 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 424 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 161 | $0.00 |
| 82948 | 0% | 91 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 134 | $0.00 |
| G9920 | Screening performed and negative | 0% | 266 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 410 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 46 | $0.00 |
| 91300 | 0% | 56 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 65 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 41 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 31 | $0.00 |
| D0270 | 0% | 27 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 17 | $0.00 |
| 36416 | 0% | 607 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 382 | $0.00 |
| 90686 | 0% | 261 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 557 | $0.00 |
| D9995 | 0% | 145 | $0.00 | |
| D1330 | 0% | 508 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 215 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 545 | $0.00 |
| T2022 | Case management, per month | 0% | 190 | $0.00 |
| D1310 | 0% | 388 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 108 | $0.00 |
| D0603 | 0% | 180 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 260 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 257 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 136 | $0.00 |
| 99172 | 0% | 14 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 123 | $0.00 |
| 4010F | 0% | 46 | $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 officialKILLIAN, FRANK (DIRECTOR OF FINANCE AND REGULATORY)
| Provider | Location | Paid |
|---|---|---|
| Public Health Management Corporation | Phila, PA | $11.32M |
| Public Health Mangement Corporation | Philadelphia, PA | $9.26M |
| Public Health Management Corporation | Phila, PA | $9.19M |
| Public Health Management Corporation | Philadelphia, PA | $7.32M |
| Public Health Mangement Corporation | Philadelphia, PA | $1.92M |
| Mercer-Ocean Podiatry | Toms River, NJ | $64K |
| Public Health Management Corporation | Philadelphia, PA | $34K |
| Public Health Management Corp | Philadelphia, PA | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.