Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Delaware Valley Community Health, Inc. (NPI 1114940582)

Field	Value
Entity Type	Organization
Organization	Delaware Valley Community Health, Inc.
Address	401-55 W Allegheny Ave
City	Philadelphia
State	PA
ZIP	19133
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicaid	$28.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

115 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	130,470	$220	$28.4M
0012A	N/A	1,410	$30	$46.6K
0011A	N/A	1,630	$30	$45.6K
0001A	N/A	1,050	$40	$37.8K
0002A	N/A	990	$40	$37.5K
0071A	N/A	810	$40	$28.4K
0072A	N/A	480	$40	$18.1K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	550	$20	$13.1K
0064A	N/A	340	$40	$12.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,250	$10	$12.5K

Showing 1–10 of 115

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Delaware Valley Community Health, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	1,690	760	$170	$1.2M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	236	980	310	$50	$136.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	44	820	230	$80	$71.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	94	8,160	210	$60	$68.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	46	660	180	$70	$63.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	45	8,870	240	$40	$56.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	26	870	160	$70	$48.2K
D1351	Sealant - per tooth	378	600	480	$30	$46.6K
D2392	Post 2 surface resin‑based composite	495	960	190	$70	$35.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	15	730	90	$70	$31.5K

Showing 1–10 of 115

Related Providers

Other providers that share a Tax Identification Number (TIN) with Delaware Valley Community Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$11.9M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$10.7M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$8.9M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$6.6M
Nancy Cocchiarella	RI	Women's Health Nurse Practitioner	$0	$534.9K
Cameron Moore	PA	Family Medicine Physician	$411.7K	$92.2K
Rafael Collazo	PA	Optometrist	$41.3K	$357.2K
Saifuddin Mama	NJ	Obstetrics & Gynecology Physician	$24.1K	$0

Nearby Providers

Other providers in the same ZIP code as Delaware Valley Community Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahpaffs,llc	PA	Urgent Care Clinic/Center	$0	$14.2M
Asociacion De Puertorriquenos En Marcha, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.1M
Open Arms Home Care Inc	PA	In Home Supportive Care Agency	$0	$9.1M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Christian Santana	PA	General Practice Dentistry	$384.6K	$0

Delaware Valley Community Health, Inc. — Billing Profile & Reimbursement Data

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Delaware Valley Community Health, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References