Clinic
Public Health Management Corporation
Public Health Management Corporation was paid $484K by Medicaid between Jan 2018 and Sep 2019, across 11 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 infoPUBLIC HEALTH MANAGEMENT CORPORATION
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1699211854assigned 01/12/2017
33bProvider typeClinic/Center
28Total paid$484K
24GClaims3,489
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#87 of 176
Median peer was paid$441K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 816 | $76K | |
| 2019 | 2,673 | $408K |
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% | 2,323 | 2,031 | $484K |
| 36415 | Collection of venous blood by venipuncture | 0% | 95 | 90 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 226 | 214 | $0.00 |
| 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% | 480 | 433 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 38 | 38 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 12 | 12 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 12 | 12 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 13 | 12 | $0.00 |
| 99401 | 0% | 51 | 49 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 226 | 223 | $0.00 |
| 80061 | Lipid panel | 0% | 13 | 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 officialPRITCHARD, DOROTHY (ADMIN/CREDENTIALING COORDINATOR)