Greater Philadelphia Health Action INC.
Greater Philadelphia Health Action INC. was paid $20.98M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoGREATER PHILADELPHIA HEALTH ACTION INC.
PHILADELPHIA, PA 19123
PHILADELPHIA, PA 19123
33aNPI1689620171assigned 05/26/2006
33bProvider typeMidwife
28Total paid$20.98M
24GClaims256,666
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Midwife providers in Pennsylvania
Rank by total paid#1 of 21
Median peer was paid$2K
This provider vs. median13,029×
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 | 3,834 | $388K | |
| 2019 | 6,379 | $1.02M | |
| 2020 | 25,754 | $2.09M | |
| 2021 | 53,747 | $4.04M | |
| 2022 | 61,134 | $4.90M | |
| 2023 | 57,100 | $4.73M | |
| 2024incomplete | 48,718 | $3.80M |
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 | 98% | 100,019 | 85,018 | $20.47M |
| 99499 | <1% | 6,979 | 6,079 | $93K | |
| 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% | 2,085 | 1,889 | $80K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,845 | 1,558 | $62K |
| 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% | 43,534 | 38,678 | $46K |
| 0001A | <1% | 648 | 647 | $26K | |
| 0002A | <1% | 587 | 587 | $23K | |
| 0012A | <1% | 386 | 386 | $15K | |
| 3725F | <1% | 3,032 | 3,003 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,791 | 3,692 | $14K |
| 0011A | <1% | 364 | 364 | $13K | |
| 0072A | <1% | 319 | 319 | $12K |
79 more codes
| 0071A | <1% | 326 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,831 | $10K |
| 0502F | <1% | 1,483 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,613 | $7K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 206 | $7K |
| 3078F | <1% | 2,177 | $6K | |
| 0064A | <1% | 151 | $6K | |
| 3074F | <1% | 1,680 | $5K | |
| 3079F | <1% | 1,524 | $5K | |
| 3077F | <1% | 1,400 | $4K | |
| 0031A | <1% | 101 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,012 | $4K |
| 3075F | <1% | 1,001 | $3K | |
| 90734 | <1% | 888 | $3K | |
| 90686 | <1% | 5,658 | $3K | |
| 0004A | <1% | 68 | $2K | |
| 92551 | <1% | 10,847 | $2K | |
| 99173 | <1% | 10,882 | $2K | |
| 87428 | <1% | 137 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,843 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,453 | $1K |
| 0054A | <1% | 41 | $1K | |
| 3080F | <1% | 415 | $669.38 | |
| 3044F | <1% | 91 | $530.00 | |
| 0124A | <1% | 12 | $480.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,720 | $230.37 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,977 | $229.77 |
| 3051F | <1% | 25 | $210.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 443 | $152.38 |
| 90656 | <1% | 691 | $149.70 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 837 | $137.34 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,344 | $59.00 |
| 81025 | <1% | 3,080 | $20.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 311 | $20.00 |
| 90461 | <1% | 540 | $17.80 | |
| 80061 | Lipid panel | <1% | 776 | $10.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 219 | $0.00 |
| 90750 | 0% | 519 | $0.00 | |
| 90715 | 0% | 598 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 80 | $0.00 |
| 90633 | 0% | 105 | $0.00 | |
| 90682 | 0% | 464 | $0.00 | |
| 99397 | 0% | 168 | $0.00 | |
| 90648 | 0% | 323 | $0.00 | |
| 4004F | 0% | 13 | $0.00 | |
| 90670 | 0% | 300 | $0.00 | |
| 91300 | 0% | 194 | $0.00 | |
| 90662 | 0% | 155 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 58 | $0.00 |
| 90671 | 0% | 14 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 90700 | 0% | 14 | $0.00 | |
| 1160F | 0% | 12 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 26 | $0.00 |
| 90620 | 0% | 649 | $0.00 | |
| 81000 | 0% | 1,058 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 192 | $0.00 |
| 90723 | 0% | 100 | $0.00 | |
| 90651 | 0% | 738 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 366 | $0.00 |
| D1310 | 0% | 174 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 332 | $0.00 |
| D1330 | 0% | 317 | $0.00 | |
| 90680 | 0% | 88 | $0.00 | |
| 91301 | 0% | 53 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 88142 | 0% | 138 | $0.00 | |
| 1036F | 0% | 247 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 225 | $0.00 |
| 99429 | 0% | 12 | $0.00 | |
| 1031F | 0% | 279 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 40 | $0.00 |
| 93000 | 0% | 12 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| D0603 | 0% | 80 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 46 | $0.00 |
| 91307 | 0% | 23 | $0.00 | |
| 90677 | 0% | 12 | $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 | $22.02M |
| 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.