Clinic
Greater Philadelphia Health Action INC.
Greater Philadelphia Health Action INC. was paid $22.02M by Medicaid between Jan 2018 and Dec 2024, across 109 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 infoGREATER PHILADELPHIA HEALTH ACTION INC.
PHILADELPHIA, PA 19146
PHILADELPHIA, PA 19146
33aNPI1609321041assigned 08/15/2016
33bProvider typeClinic/Center
28Total paid$22.02M
24GClaims322,407
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#8 of 176
Median peer was paid$441K
This provider vs. median50×
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 | 7,239 | $534K | |
| 2019 | 60,379 | $3.68M | |
| 2020 | 45,600 | $3.26M | |
| 2021 | 76,691 | $4.98M | |
| 2022 | 25,556 | $2.59M | |
| 2023 | 41,202 | $3.26M | |
| 2024incomplete | 65,740 | $3.72M |
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% | 112,745 | 97,352 | $21.92M |
| 99499 | <1% | 2,167 | 1,966 | $17K | |
| 0012A | <1% | 272 | 272 | $10K | |
| 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% | 488 | 451 | $10K |
| 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% | 18,146 | 16,393 | $8K |
| 0011A | <1% | 231 | 231 | $7K | |
| 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% | 7,843 | 7,125 | $7K |
| 3725F | <1% | 1,265 | 1,226 | $5K | |
| 3079F | <1% | 960 | 895 | $4K | |
| 3077F | <1% | 818 | 763 | $4K | |
| 3074F | <1% | 1,267 | 1,149 | $3K | |
| 0002A | <1% | 69 | 69 | $3K |
97 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 721 | $2K |
| 3078F | <1% | 846 | $2K | |
| D5899 | <1% | 2,504 | $2K | |
| 0064A | <1% | 47 | $2K | |
| 3075F | <1% | 345 | $1K | |
| 0072A | <1% | 34 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,295 | $1K |
| 3080F | <1% | 405 | $954.44 | |
| 0001A | <1% | 25 | $920.00 | |
| 0071A | <1% | 20 | $680.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,012 | $564.36 |
| D0120 | Dental checkup, returning patient | <1% | 15,419 | $539.40 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,272 | $510.36 |
| D0274 | Bitewings - four radiographic images | <1% | 10,127 | $476.28 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,871 | $453.60 |
| 81025 | <1% | 1,963 | $349.94 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 628 | $317.42 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,426 | $284.71 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 16,576 | $264.60 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 4,222 | $259.90 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,830 | $255.18 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 379 | $238.84 |
| D9110 | <1% | 2,076 | $226.80 | |
| D2331 | <1% | 374 | $207.92 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13,783 | $173.88 |
| 92551 | <1% | 1,836 | $151.57 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,017 | $132.30 |
| 99173 | <1% | 2,239 | $117.72 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 593 | $77.89 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 130 | $72.00 |
| 80061 | Lipid panel | <1% | 1,367 | $70.00 |
| D1206 | Topical application of fluoride varnish | <1% | 6,483 | $68.04 |
| D1120 | Dental cleaning, child | <1% | 4,912 | $62.37 |
| D0272 | Bitewings - two radiographic images | <1% | 2,601 | $60.48 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 980 | $56.70 |
| 90686 | <1% | 901 | $54.70 | |
| 3044F | <1% | 13 | $50.00 | |
| D1110 | Prophylaxis - adult | <1% | 10,130 | $40.80 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 926 | $37.80 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,033 | $28.35 |
| D0601 | <1% | 3,420 | $25.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 230 | $20.00 |
| 0502F | <1% | 12 | $20.00 | |
| D1330 | <1% | 15,448 | $20.00 | |
| D0603 | <1% | 6,474 | $10.00 | |
| D0602 | <1% | 3,434 | $5.00 | |
| D1310 | <1% | 5,050 | $5.00 | |
| 82962 | <1% | 141 | $2.00 | |
| D4341 | 0% | 142 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 338 | $0.00 |
| 90715 | 0% | 54 | $0.00 | |
| 1159F | 0% | 425 | $0.00 | |
| 11721 | 0% | 141 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 284 | $0.00 |
| 1160F | 0% | 425 | $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% | 718 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 65 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 156 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 611 | $0.00 |
| 4004F | 0% | 51 | $0.00 | |
| 87210 | 0% | 12 | $0.00 | |
| 90734 | 0% | 72 | $0.00 | |
| D0270 | 0% | 100 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 29 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 226 | $0.00 |
| 80305 | 0% | 29 | $0.00 | |
| D2332 | 0% | 50 | $0.00 | |
| D0180 | 0% | 34 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 44 | $0.00 |
| 90461 | 0% | 28 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 90633 | 0% | 12 | $0.00 | |
| 99201 | 0% | 54 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 13 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 2,589 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 4,196 | $0.00 |
| 88142 | 0% | 165 | $0.00 | |
| D9995 | 0% | 66 | $0.00 | |
| 3008F | 0% | 840 | $0.00 | |
| 1036F | 0% | 89 | $0.00 | |
| D2330 | 0% | 414 | $0.00 | |
| 1125F | 0% | 247 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 151 | $0.00 |
| 90656 | 0% | 21 | $0.00 | |
| 1126F | 0% | 212 | $0.00 | |
| 91301 | 0% | 51 | $0.00 | |
| D2335 | 0% | 46 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| D1320 | 0% | 29 | $0.00 | |
| 81000 | 0% | 13 | $0.00 | |
| 86580 | 0% | 13 | $0.00 | |
| 90651 | 0% | 73 | $0.00 | |
| 1031F | 0% | 120 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 17 | $0.00 |
| 1111F | 0% | 33 | $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 | $20.98M |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $12.28M |
| 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.