Physician
Prevention Point Philadelphia
Prevention Point Philadelphia was paid $244K by Medicaid between Aug 2020 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPREVENTION POINT PHILADELPHIA
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1679043152assigned 11/28/2018
33bProvider typeFamily Medicine Physician
28Total paid$244K
24GClaims4,961
24DCodes billed9
24AFirst – last monthAug 2020 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#298 of 2,756
Median peer was paid$19K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 224 | $8K | |
| 2021 | 486 | $21K | |
| 2022 | 1,382 | $72K | |
| 2023 | 1,444 | $64K | |
| 2024incomplete | 1,425 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 1,980 | 1,703 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,993 | 1,717 | $64K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 489 | 417 | $38K |
| 99340 | 6.6% | 104 | 104 | $16K | |
| 97597 | 4.7% | 60 | 44 | $12K | |
| H0001 | Alcohol and/or drug assessment | 2.3% | 71 | 71 | $6K |
| 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 | 1.4% | 45 | 42 | $4K |
| 99491 | Ccm add 20min | <1% | 15 | 15 | $1K |
| 80305 | <1% | 204 | 188 | $1K |
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 officialMAZZELLA, SILVANA (INTERIM LEAD EXECUTIVE OFFICIER)