Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Upper Darby › NPI 1518241835
Clinic

Healthy Family Practice PLLC

Healthy Family Practice PLLC was paid $68K by Medicaid between Oct 2020 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoHEALTHY FAMILY PRACTICE PLLC
UPPER DARBY, PA 19082
33aNPI1518241835assigned 10/05/2011
28Total paid$68K
24GClaims2,528
24DCodes billed4
24AFirst – last monthOct 2020 – Sep 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Pennsylvania

Rank by total paid#20 of 43
Median peer was paid$55K
This provider vs. median1.2×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2020171$5K
2021850$22K
2022690$18K
2023600$16K
2024incomplete217$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82% 1,406 1,297 $55K
99401 17% 1,091 1,018 $11K
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% 15 15 $558.56
99499 <1% 16 14 $244.00

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 officialABRAHAM, OMANA (CRNP)