West Philadelphia Community MH Consortium INC.
West Philadelphia Community MH Consortium INC. was paid $5.14M by Medicaid between Mar 2018 and Dec 2024, across 14 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.
PHILADELPHIA, PA 19104
Next to other Community/Behavioral Health Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,631 | $18K | |
| 2019 | 85 | $226.05 | |
| 2020 | 9,551 | $3K | |
| 2021 | 65,734 | $30K | |
| 2022 | 56,675 | $1.61M | |
| 2023 | 49,040 | $1.93M | |
| 2024incomplete | 37,766 | $1.54M |
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% | 5,692 | 5,553 | $5.08M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 188,686 | 7,364 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 52 | 13 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 9,776 | 2,954 | $175.50 |
| 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% | 361 | 287 | $101.24 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 657 | 562 | $71.20 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 12,203 | 6,669 | $51.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,553 | 1,273 | $24.05 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 851 | 519 | $23.45 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 153 | 118 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 360 | 335 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 199 | 124 | $0.00 |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| West Philadelphia Community MH Consortium, INC. | Philadelphia, PA | $21.98M |
| Shriners Hospitals for Children | Honolulu, HI | $2.82M |
| West Philadelphia Community MH Consortium, INC. | Philadelphia, PA | $2.53M |
| West Philadelphia Community MH Consortium, INC. | Philadelphia, PA | $2.10M |
| County of Maricopa Saddle Mountain Unified School | Tonopah, AZ | $1.11M |
| West Philadelphia Community MH Consortium, INC. | Philadelphia, PA | $885K |
| West Philadelphia Community MH Consortium INC. | Philadelphia, PA | $728K |
| West Phila Community Mental Health Consortium, INC. | Philadelphia, PA | $17K |
| Service Rexall Drugs INC | Mendenhall, MS | $107.56 |
| West Philadelphia Community MH Consortium INC. | Philadelphia, PA | $0.00 |
| Answered Prayer Home Care Services | Montgomery, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.