Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREATER PHILADELPHIA HEALTH ACTION INC.

NPI: 1952356867 · PHILADELPHIA, PA 19143 · 207Q00000X

$20.06M
Total Medicaid Paid
199,884
Total Claims
181,097
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,719 $3.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 97,663 86,686 $19.90M
99499 3,803 3,528 $34K
0002A 382 376 $15K
99213 28,113 25,984 $15K
0001A 338 335 $12K
99212 14,427 13,326 $10K
0012A 263 263 $10K
0011A 187 186 $6K
G2025 Dis site tele svcs rhc/fqhc 439 330 $6K
3725F 1,827 1,747 $6K
0072A 159 155 $6K
99214 6,477 6,018 $4K
0071A 138 137 $4K
G0467 Fqhc visit, estab pt 241 218 $4K
90460 6,004 4,499 $3K
3077F 611 584 $3K
90480 334 321 $2K
3074F 466 444 $2K
3079F 489 463 $2K
3078F 386 375 $2K
99394 1,368 1,328 $1K
0502F 433 300 $1K
0064A 31 31 $1K
0111A 36 36 $1K
90686 3,593 3,538 $952.81
99393 1,788 1,743 $694.40
90461 1,379 1,248 $623.03
92551 4,977 4,820 $570.69
99173 6,506 6,295 $567.67
11721 1,024 985 $546.20
90471 2,819 2,613 $528.56
0031A 14 14 $480.00
3075F 106 105 $448.93
0134A 12 12 $440.00
0112A 12 12 $440.00
3080F 101 97 $273.50
99392 1,489 1,420 $203.20
90620 255 250 $190.00
80061 814 715 $180.00
11042 65 60 $147.32
91321 90 90 $100.00
81025 3,081 2,923 $85.80
99215 Prolong outpt/office vis 54 45 $70.25
99395 781 751 $20.00
99211 135 131 $20.00
88142 95 91 $10.00
81000 684 589 $7.91
90696 12 12 $0.00
90680 50 50 $0.00
90651 442 431 $0.00
90723 98 96 $0.00
90656 257 255 $0.00
1036F 133 125 $0.00
91301 49 49 $0.00
G8510 Scr dep neg, no plan reqd 207 196 $0.00
1031F 170 162 $0.00
D1330 184 66 $0.00
99202 38 33 $0.00
96110 26 26 $0.00
D1310 53 13 $0.00
90698 14 14 $0.00
86580 13 13 $0.00
G0124 Screen c/v thin layer by md 26 26 $0.00
J1050 Medroxyprogesterone acetate 156 156 $0.00
99391 588 555 $0.00
S9470 Nutritional counseling, diet 179 177 $0.00
99396 214 205 $0.00
90648 439 429 $0.00
90472 717 489 $0.00
90633 209 206 $0.00
90671 25 24 $0.00
90710 128 127 $0.00
90670 338 331 $0.00
90734 361 351 $0.00
91322 22 22 $0.00
G0511 Ccm/bhi by rhc/fqhc 20min mo 50 50 $0.00
99203 14 14 $0.00
90715 32 31 $0.00
90700 74 72 $0.00
90707 13 13 $0.00
91300 51 48 $0.00
90682 13 13 $0.00