Greater Philadelphia Health Action Inc. — Billing Profile & Reimbursement Data
NPI 1689620171 · Philadelphia, PA · Federally Qualified Health Center (FQHC)
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Greater Philadelphia Health Action Inc. is a federally qualified health center (fqhc) provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 91 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Greater Philadelphia Health Action Inc. |
| Address | 432 N. 6th Street |
| City | Philadelphia |
| State | PA |
| ZIP | 19123 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | May 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21M |
| 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.
91 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 100,020 | $210 | $20.5M |
| 99499 | Use 99499 to report evaluation and management services for which there is no specific code available. | 6,980 | $10 | $90.7K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 2,090 | $40 | $81.3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1,850 | $30 | $62.7K |
| 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… | 43,530 | $1 | $43.5K |
| 0001A | N/A | 650 | $40 | $25.3K |
| 0002A | N/A | 590 | $40 | $22.9K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 3,790 | $1 | $15.2K |
| 3725F | The provider screens a patient with dementia for the presence of depression, which is a mental disorder characterized by sadness, guilt feelings, hopelessness, or irritability. | 3,030 | $10 | $15.2K |
| 0012A | N/A | 390 | $40 | $15.1K |
Showing 1–10 of 91
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
91 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21 | 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. | 492 | 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… | 57 | 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… | 2,966 | 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… | 159 | 660 | 180 | $70 | $63.7K |
| 99429 | Use 99429 to report a preventive medicine service that does not have a specific code. | 26 | 30 | 90 | $260 | $57.3K |
| 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… | 29 | 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. | 22 | 870 | 160 | $70 | $48.2K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 155 | 410 | 320 | $10 | $37.4K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 14 | 730 | 90 | $70 | $31.5K |
Showing 1–10 of 91
Nearby Providers
Other providers in the same ZIP code as Greater Philadelphia Health Action Inc., ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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