Physician
Greater Philadelphia Health Action INC.
Greater Philadelphia Health Action INC. was paid $25.34M by Medicaid between Jan 2018 and Dec 2024, across 100 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 19124
PHILADELPHIA, PA 19124
33aNPI1659325652assigned 05/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$25.34M
24GClaims245,877
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#2 of 2,756
Median peer was paid$19K
This provider vs. median1,321×
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 | 3,729 | $511K | |
| 2019 | 9,738 | $1.31M | |
| 2020 | 24,984 | $3.08M | |
| 2021 | 64,283 | $5.82M | |
| 2022 | 48,945 | $4.67M | |
| 2023 | 43,963 | $5.39M | |
| 2024incomplete | 50,235 | $4.55M |
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% | 126,477 | 108,107 | $24.99M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,049 | 1,555 | $147K |
| 99499 | <1% | 2,841 | 2,607 | $31K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 740 | 639 | $25K |
| 0012A | <1% | 430 | 426 | $15K | |
| 0011A | <1% | 418 | 416 | $14K | |
| 0002A | <1% | 343 | 337 | $12K | |
| 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% | 23,557 | 21,089 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 116 | 102 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 857 | 591 | $9K |
| 0001A | <1% | 233 | 231 | $8K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 431 | 385 | $8K |
88 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13,529 | $5K |
| 0064A | <1% | 123 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17,536 | $5K |
| 3079F | <1% | 1,130 | $4K | |
| 87428 | <1% | 95 | $4K | |
| 3725F | <1% | 1,604 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 66 | $3K |
| 3077F | <1% | 1,010 | $3K | |
| 96127 | <1% | 71 | $3K | |
| 3074F | <1% | 837 | $3K | |
| G0467 | Community health center visit, returning patient | <1% | 247 | $3K |
| 3078F | <1% | 629 | $2K | |
| 0004A | <1% | 57 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 8,376 | $2K |
| 3075F | <1% | 540 | $2K | |
| 90480 | <1% | 110 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,289 | $1K |
| 0071A | <1% | 34 | $1K | |
| 90461 | <1% | 2,058 | $1K | |
| 3080F | <1% | 629 | $905.10 | |
| 0502F | <1% | 278 | $733.20 | |
| 0072A | <1% | 15 | $560.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,725 | $556.93 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 965 | $450.00 |
| 92551 | <1% | 4,477 | $309.34 | |
| 99173 | <1% | 4,280 | $238.05 | |
| 90686 | <1% | 1,502 | $221.95 | |
| 11721 | <1% | 385 | $150.00 | |
| 81000 | <1% | 647 | $86.40 | |
| 80061 | Lipid panel | <1% | 1,764 | $60.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 508 | $29.70 |
| 81025 | <1% | 2,658 | $24.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | $20.97 |
| 91321 | <1% | 12 | $20.00 | |
| 3051F | <1% | 15 | $20.00 | |
| 90723 | <1% | 257 | $10.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 1,719 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 798 | $0.00 |
| 90734 | 0% | 440 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,079 | $0.00 |
| 90670 | 0% | 102 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 49 | $0.00 |
| 90648 | 0% | 108 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 517 | $0.00 |
| D9110 | 0% | 47 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 408 | $0.00 |
| 90710 | 0% | 45 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 147 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 25 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 666 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 229 | $0.00 |
| 4004F | 0% | 63 | $0.00 | |
| 90633 | 0% | 191 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 395 | $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% | 237 | $0.00 |
| 90715 | 0% | 105 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 135 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 145 | $0.00 |
| 91322 | 0% | 113 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 71 | $0.00 |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 30 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 594 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 1,307 | $0.00 |
| 90620 | 0% | 162 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 362 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 145 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,036 | $0.00 |
| D1330 | 0% | 1,776 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 285 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 100 | $0.00 |
| D1310 | 0% | 1,296 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 467 | $0.00 |
| 90651 | 0% | 448 | $0.00 | |
| D0601 | 0% | 490 | $0.00 | |
| 1031F | 0% | 72 | $0.00 | |
| D0603 | 0% | 505 | $0.00 | |
| 90656 | 0% | 149 | $0.00 | |
| 88142 | 0% | 141 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 163 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 112 | $0.00 |
| 91301 | 0% | 77 | $0.00 | |
| 1036F | 0% | 34 | $0.00 | |
| D0602 | 0% | 98 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| D5899 | 0% | 12 | $0.00 | |
| 87807 | 0% | 13 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $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 | $22.02M |
| 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.