Physician
Greater Philadelphia Health Action INC.
Greater Philadelphia Health Action INC. was paid $20.06M by Medicaid between Jan 2018 and Dec 2024, across 82 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.
33Billing provider infoGREATER PHILADELPHIA HEALTH ACTION INC.
PHILADELPHIA, PA 19143
PHILADELPHIA, PA 19143
33aNPI1952356867assigned 05/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$20.06M
24GClaims199,884
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#3 of 2,756
Median peer was paid$19K
This provider vs. median1,045×
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 | 3,180 | $413K | |
| 2019 | 4,748 | $875K | |
| 2020 | 19,407 | $2.10M | |
| 2021 | 48,635 | $4.42M | |
| 2022 | 48,158 | $4.48M | |
| 2023 | 39,037 | $4.28M | |
| 2024incomplete | 36,719 | $3.49M |
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 | 99% | 97,663 | 86,686 | $19.90M |
| 99499 | <1% | 3,803 | 3,528 | $34K | |
| 0002A | <1% | 382 | 376 | $15K | |
| 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% | 28,113 | 25,984 | $15K |
| 0001A | <1% | 338 | 335 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,427 | 13,326 | $10K |
| 0012A | <1% | 263 | 263 | $10K | |
| 0011A | <1% | 187 | 186 | $6K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 439 | 330 | $6K |
| 3725F | <1% | 1,827 | 1,747 | $6K | |
| 0072A | <1% | 159 | 155 | $6K | |
| 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% | 6,477 | 6,018 | $4K |
70 more codes
| 0071A | <1% | 138 | $4K | |
| G0467 | Community health center visit, returning patient | <1% | 241 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,004 | $3K |
| 3077F | <1% | 611 | $3K | |
| 90480 | <1% | 334 | $2K | |
| 3074F | <1% | 466 | $2K | |
| 3079F | <1% | 489 | $2K | |
| 3078F | <1% | 386 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,368 | $1K |
| 0502F | <1% | 433 | $1K | |
| 0064A | <1% | 31 | $1K | |
| 0111A | <1% | 36 | $1K | |
| 90686 | <1% | 3,593 | $952.81 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,788 | $694.40 |
| 90461 | <1% | 1,379 | $623.03 | |
| 92551 | <1% | 4,977 | $570.69 | |
| 99173 | <1% | 6,506 | $567.67 | |
| 11721 | <1% | 1,024 | $546.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,819 | $528.56 |
| 0031A | <1% | 14 | $480.00 | |
| 3075F | <1% | 106 | $448.93 | |
| 0134A | <1% | 12 | $440.00 | |
| 0112A | <1% | 12 | $440.00 | |
| 3080F | <1% | 101 | $273.50 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,489 | $203.20 |
| 90620 | <1% | 255 | $190.00 | |
| 80061 | Lipid panel | <1% | 814 | $180.00 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 65 | $147.32 |
| 91321 | <1% | 90 | $100.00 | |
| 81025 | <1% | 3,081 | $85.80 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $70.25 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 781 | $20.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 135 | $20.00 |
| 88142 | <1% | 95 | $10.00 | |
| 81000 | <1% | 684 | $7.91 | |
| 90696 | 0% | 12 | $0.00 | |
| 90680 | 0% | 50 | $0.00 | |
| 90651 | 0% | 442 | $0.00 | |
| 90723 | 0% | 98 | $0.00 | |
| 90656 | 0% | 257 | $0.00 | |
| 1036F | 0% | 133 | $0.00 | |
| 91301 | 0% | 49 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 207 | $0.00 |
| 1031F | 0% | 170 | $0.00 | |
| D1330 | 0% | 184 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 38 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 26 | $0.00 |
| D1310 | 0% | 53 | $0.00 | |
| 90698 | 0% | 14 | $0.00 | |
| 86580 | 0% | 13 | $0.00 | |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 0% | 26 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 156 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 588 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 179 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 214 | $0.00 |
| 90648 | 0% | 439 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 717 | $0.00 |
| 90633 | 0% | 209 | $0.00 | |
| 90671 | 0% | 25 | $0.00 | |
| 90710 | 0% | 128 | $0.00 | |
| 90670 | 0% | 338 | $0.00 | |
| 90734 | 0% | 361 | $0.00 | |
| 91322 | 0% | 22 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 50 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 90715 | 0% | 32 | $0.00 | |
| 90700 | 0% | 74 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 91300 | 0% | 51 | $0.00 | |
| 90682 | 0% | 13 | $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 | $23K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $16K |
| Greater Philadelphia Health Action INC. | Philadelphia, PA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.