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GREATER PHILADELPHIA HEALTH ACTION INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PHILADELPHIA, PA·NPI: 1609321041Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$22,021,951

Total Claims

322K

Beneficiaries

295K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$534K
+589%
2019
$3.7M
-11%
2020
$3.3M
+53%
2021
$5.0M
-48%
2022
$2.6M
+26%
2023
$3.3M
+14%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 100% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$21.9M

113K claims · 99.5%

Your Cost: $194.44/claim|Median: $121.16
1.6× median
99499Normal range

Unlisted evaluation and management service

$17K

2,167 claims · 0.1%

Your Cost: $7.98/claim|Median: $30.88
0.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$10K

272 claims · 0.0%

Your Cost: $37.67/claim|Median: $33.85
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$10K

488 claims · 0.0%

Your Cost: $20.80/claim|Median: $21.91
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$8K

18K claims · 0.0%

Your Cost: $0.44/claim|Median: $37.81
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$7K

231 claims · 0.0%

Your Cost: $31.92/claim|Median: $25.93
1.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7K

7,843 claims · 0.0%

Your Cost: $0.92/claim|Median: $53.41
0.0× median
3725FTop 10%

$5K

1,265 claims · 0.0%

Your Cost: $3.64/claim|Median: $0.03
121.5× median
3079FTop 10%

$4K

960 claims · 0.0%

Your Cost: $4.32/claim|Median: $0.12
36.0× median
3077FTop 5%

$4K

818 claims · 0.0%

Your Cost: $4.53/claim|Median: $0.12
37.8× median
3074FTop 10%

$3K

1,267 claims · 0.0%

Your Cost: $2.73/claim|Median: $0.11
24.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$3K

69 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
G2025Normal range

$2K

721 claims · 0.0%

Your Cost: $2.98/claim|Median: $15.63
0.2× median
3078FTop 10%

$2K

846 claims · 0.0%

Your Cost: $2.31/claim|Median: $0.08
28.9× median
D5899Normal range

$2K

2,504 claims · 0.0%

Your Cost: $0.69/claim|Median: $30.31
0.0× median
0064ANormal range

$2K

47 claims · 0.0%

Your Cost: $36.60/claim|Median: $34.17
1.1× median
3075FTop 10%

$1K

345 claims · 0.0%

Your Cost: $4.27/claim|Median: $0.15
28.5× median
0072ANormal range

$1K

34 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

3,295 claims · 0.0%

Your Cost: $0.40/claim|Median: $25.06
0.0× median
3080FTop 25%

$954

405 claims · 0.0%

Your Cost: $2.36/claim|Median: $0.16
14.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$920

25 claims · 0.0%

Your Cost: $36.80/claim|Median: $33.72
1.1× median
0071ANormal range

$680

20 claims · 0.0%

Your Cost: $34.00/claim|Median: $38.71
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$564

4,012 claims · 0.0%

Your Cost: $0.14/claim|Median: $46.33
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$539

15K claims · 0.0%

Your Cost: $0.03/claim|Median: $24.34
0.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$510

2,272 claims · 0.0%

Your Cost: $0.22/claim|Median: $57.39
0.0× median
D0274Normal range

Bitewings, four radiographic images

$476

10K claims · 0.0%

Your Cost: $0.05/claim|Median: $22.54
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$454

5,871 claims · 0.0%

Your Cost: $0.08/claim|Median: $32.07
0.0× median
81025Normal range

Urine pregnancy test

$350

1,963 claims · 0.0%

Your Cost: $0.18/claim|Median: $4.81
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$317

628 claims · 0.0%

Your Cost: $0.51/claim|Median: $17.85
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$285

1,426 claims · 0.0%

Your Cost: $0.20/claim|Median: $9.80
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$265

17K claims · 0.0%

Your Cost: $0.02/claim|Median: $10.51
0.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$260

4,222 claims · 0.0%

Your Cost: $0.06/claim|Median: $71.00
0.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$255

3,830 claims · 0.0%

Your Cost: $0.07/claim|Median: $54.60
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$239

379 claims · 0.0%

Your Cost: $0.63/claim|Median: $74.82
0.0× median
D9110Normal range

$227

2,076 claims · 0.0%

Your Cost: $0.11/claim|Median: $38.08
0.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$208

374 claims · 0.0%

Your Cost: $0.56/claim|Median: $73.58
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$174

14K claims · 0.0%

Your Cost: $0.01/claim|Median: $7.33
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$152

1,836 claims · 0.0%

Your Cost: $0.08/claim|Median: $6.61
0.0× median
D0140Normal range

Limited oral evaluation, problem focused

$132

3,017 claims · 0.0%

Your Cost: $0.04/claim|Median: $27.07
0.0× median
99173Normal range

$118

2,239 claims · 0.0%

Your Cost: $0.05/claim|Median: $2.16
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$78

593 claims · 0.0%

Your Cost: $0.13/claim|Median: $11.79
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$72

130 claims · 0.0%

Your Cost: $0.55/claim|Median: $75.18
0.0× median
80061Normal range

Lipid panel

$70

1,367 claims · 0.0%

Your Cost: $0.05/claim|Median: $8.41
0.0× median
D1206Normal range

Topical application of fluoride varnish

$68

6,483 claims · 0.0%

Your Cost: $0.01/claim|Median: $18.12
0.0× median
D1120Normal range

Prophylaxis, adult

$62

4,912 claims · 0.0%

Your Cost: $0.01/claim|Median: $33.86
0.0× median
D0272Normal range

Bitewings, two radiographic images

$60

2,601 claims · 0.0%

Your Cost: $0.02/claim|Median: $15.81
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$57

980 claims · 0.0%

Your Cost: $0.06/claim|Median: $84.26
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$55

901 claims · 0.0%

Your Cost: $0.06/claim|Median: $7.18
0.0× median
3044FTop 25%

$50

13 claims · 0.0%

Your Cost: $3.85/claim|Median: $0.16
24.0× median
D1110Normal range

Prophylaxis, adult cleaning

$41

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38
0.0× median

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$326.0M

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$308.4M

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$286.9M

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$227.3M

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