Clinic
Philadelphia Fight
Philadelphia Fight was paid $18.07M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPHILADELPHIA FIGHT
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1487082608assigned 10/25/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$18.07M
24GClaims149,867
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#14 of 240
Median peer was paid$909K
This provider vs. median20×
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 | 2,536 | $224K | |
| 2019 | 1,556 | $146K | |
| 2020 | 9,185 | $879K | |
| 2021 | 37,465 | $3.73M | |
| 2022 | 34,371 | $3.44M | |
| 2023 | 34,574 | $4.99M | |
| 2024incomplete | 30,180 | $4.67M |
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 | 100% | 66,015 | 53,651 | $18.04M |
| 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% | 12,618 | 11,572 | $9K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 1,041 | 916 | $8K |
| 99406 | <1% | 1,859 | 1,764 | $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% | 16,467 | 15,347 | $7K |
| 99499 | <1% | 91 | 83 | $2K | |
| 90686 | <1% | 1,921 | 1,883 | $1K | |
| 0012A | <1% | 20 | 20 | $646.23 | |
| 0011A | <1% | 32 | 32 | $540.39 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 881 | 719 | $536.53 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 23 | 17 | $417.69 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,566 | 2,503 | $271.64 |
66 more codes
| D0330 | Panoramic radiographic image | <1% | 231 | $252.61 |
| D1206 | Topical application of fluoride varnish | <1% | 1,747 | $144.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 321 | $130.00 |
| 90480 | <1% | 13 | $120.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,349 | $116.12 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 182 | $113.94 |
| D1110 | Prophylaxis - adult | <1% | 761 | $108.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 229 | $106.72 |
| 80305 | <1% | 446 | $62.85 | |
| 92558 | <1% | 588 | $60.34 | |
| D0120 | Dental checkup, returning patient | <1% | 846 | $60.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 430 | $60.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 854 | $55.22 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,032 | $32.00 |
| 81025 | <1% | 523 | $25.85 | |
| 99401 | <1% | 544 | $21.00 | |
| 99173 | <1% | 757 | $18.95 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 382 | $16.00 |
| D1330 | <1% | 1,285 | $15.00 | |
| 90656 | <1% | 13 | $10.00 | |
| 96127 | <1% | 321 | $2.57 | |
| 99000 | <1% | 11,189 | $1.98 | |
| 90750 | 0% | 25 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 17 | $0.00 |
| D0270 | 0% | 111 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 417 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 67 | $0.00 |
| D1354 | 0% | 690 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 248 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 46 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 637 | $0.00 |
| 86703 | 0% | 194 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 76 | $0.00 |
| 90461 | 0% | 204 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 102 | $0.00 |
| 90670 | 0% | 12 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 139 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 187 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 13 | $0.00 |
| 90648 | 0% | 13 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 136 | $0.00 |
| 4004F | 0% | 44 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 38 | $0.00 |
| 83655 | 0% | 12 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| D0191 | 0% | 27 | $0.00 | |
| 3008F | 0% | 6,851 | $0.00 | |
| D5899 | 0% | 574 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,180 | $0.00 |
| D1310 | 0% | 695 | $0.00 | |
| 96161 | 0% | 534 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 346 | $0.00 |
| 91200 | 0% | 12 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 207 | $0.00 |
| D1320 | 0% | 93 | $0.00 | |
| 36416 | 0% | 41 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 85018 | 0% | 13 | $0.00 | |
| D9995 | 0% | 139 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 16 | $0.00 |
| 99385 | 0% | 14 | $0.00 | |
| 96156 | 0% | 12 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| D0603 | 0% | 13 | $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 officialVIRELLA, JOSE (CFO)
| Provider | Location | Paid |
|---|---|---|
| William F Ryan Community Health Center INC | New York, NY | $21.53M |
| William F Ryan Community Health Center INC | New York, NY | $18.42M |
| William F. Ryan Community Health Center INC | New York, NY | $12.13M |
| William F Ryan Community Health Center INC | New York, NY | $2.94M |
| William F Ryan Community Health Center INC | New York, NY | $1.04M |
| William F Ryan Community Health Center INC | New York, NY | $401K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.