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

    NPI 1538619333 · Philadelphia, PA · Federally Qualified Health Center (FQHC)

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    Delaware Valley Community Health, Inc. is a federally qualified health center (fqhc) provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDelaware Valley Community Health, Inc.
    Address820 W. Thompson Street
    CityPhiladelphia
    StatePA
    ZIP19122
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 5, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive34,940$230$8M
    G9012Other specified case management service not elsewhere classified3,310$260$868.3K
    99499Use 99499 to report evaluation and management services for which there is no specific code available.1,540$10$17K
    0012AN/A320$40$11.4K
    0011AN/A360$30$11.2K
    0031AN/A100$40$3.4K
    0064AN/A70$30$2K
    0002AN/A30$40$1.1K
    0124AN/A50$20$800
    0001AN/A20$40$600

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive841,690760$170$1.2M
    G9012Other specified case management service not elsewhere classified66320770$260$758K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.67210730$40$689.7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.775980310$50$136.6K
    99214The 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…1638,160210$60$68.4K
    99213The 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…2918,870240$40$56.1K
    99204The provider sees a new 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 provider…7081,41060$90$30.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1691,63090$30$22K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.168210280$10$16.9K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…316380330$10$15.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$28.7M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$11.9M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$10.7M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$6.8M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$6.6M
    Nancy CocchiarellaRIWomen's Health Nurse Practitioner$0$534.9K
    Cameron MoorePAFamily Medicine Physician$411.7K$92.2K
    Rafael CollazoPAOptometrist$41.3K$357.2K
    Saifuddin MamaNJObstetrics & 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Behavioral Wellness Center At GirardPASubstance Use Disorder Rehabilitation Clinic/Center$0$30.6M
    The Behavioral Wellness Center At GirardPAMethadone Clinic$131.1K$16.5M
    The Behavioral Wellness Center At GirardPASubstance Use Disorder Rehabilitation Clinic/Center$0$14.9M
    Ophelia Medical Group Fl, P.A.PAAddiction Medicine (Family Medicine) Physician$0$10.7M
    Public Health Management CorporationPAFederally Qualified Health Center (FQHC)$0$9.2M
    The Behavioral Wellness Center At GirardPASubstance Use Disorder Rehabilitation Clinic/Center$0$8.8M
    Merakey Parkside RecoveryPACommunity/Behavioral Health Agency$34.6K$6.1M
    Icare Home Health LLCPAHome Health Agency$0$5.5M
    Megan RitzPAPhysical Therapist$189.5K$0
    Lester FogelsangerPAPsychiatry Physician$70.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Delaware Valley Community Health, Inc. — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania