Clinic
Quality Community Health Care, INC.
Quality Community Health Care, INC. was paid $3.59M by Medicaid between Jan 2018 and Dec 2024, across 44 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 infoQUALITY COMMUNITY HEALTH CARE, INC.
PHILADELPHIA, PA 19132
PHILADELPHIA, PA 19132
33aNPI1861490583assigned 07/07/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.59M
24GClaims44,640
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#62 of 240
Median peer was paid$909K
This provider vs. median3.9×
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 | 978 | $127K | |
| 2019 | 257 | $31K | |
| 2020 | 11,164 | $544K | |
| 2021 | 4,477 | $363K | |
| 2022 | 7,330 | $750K | |
| 2023 | 8,089 | $742K | |
| 2024incomplete | 12,345 | $1.03M |
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% | 27,357 | 21,730 | $3.59M |
| 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% | 3,616 | 3,198 | $898.80 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,066 | 2,712 | $358.08 |
| 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% | 612 | 549 | $153.04 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 21 | 21 | $119.35 |
| 81025 | <1% | 144 | 133 | $4.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 634 | 618 | $0.00 |
| D1310 | 0% | 81 | 81 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,703 | 2,438 | $0.00 |
| 99443 | 0% | 80 | 70 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 396 | 394 | $0.00 |
| 85018 | 0% | 30 | 29 | $0.00 |
32 more codes
| D0120 | Dental checkup, returning patient | 0% | 566 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 40 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 14 | $0.00 |
| D1330 | 0% | 191 | $0.00 | |
| 98967 | 0% | 310 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 33 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 77 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 618 | $0.00 |
| 81000 | 0% | 171 | $0.00 | |
| 99441 | 0% | 94 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 99385 | 0% | 18 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 299 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 476 | $0.00 |
| 99173 | 0% | 132 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 452 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,075 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 39 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 43 | $0.00 |
| D9110 | 0% | 419 | $0.00 | |
| 92552 | 0% | 83 | $0.00 | |
| 98966 | 0% | 111 | $0.00 | |
| 99442 | 0% | 382 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 63 | $0.00 |
| 80061 | Lipid panel | 0% | 42 | $0.00 |
| 3078F | 0% | 13 | $0.00 | |
| 99080 | 0% | 25 | $0.00 | |
| 90658 | 0% | 37 | $0.00 | |
| 98968 | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 25 | $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 officialLINGHAM, MARCELLA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Quality Community Health Care, INC. | Philadelphia, PA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.