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GREATER PHILADELPHIA HEALTH ACTION INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PHILADELPHIA, PA·NPI: 1689620171Share

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 $21.0M 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

$21.0M

$20,976,255

Total Claims

257K

Beneficiaries

232K

1.1 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$388K
+162%
2019
$1.0M
+105%
2020
$2.1M
+93%
2021
$4.0M
+21%
2022
$4.9M
-4%
2023
$4.7M
-20%
2024
$3.8M

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 98% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$20.5M

100K claims · 97.6%

Your Cost: $204.70/claim|Median: $121.16
1.7× median
99499Normal range

Unlisted evaluation and management service

$93K

6,979 claims · 0.4%

Your Cost: $13.27/claim|Median: $30.88
0.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$80K

2,085 claims · 0.4%

Your Cost: $38.59/claim|Median: $21.91
1.8× median
G2025Top 25%

$62K

1,845 claims · 0.3%

Your Cost: $33.70/claim|Median: $15.63
2.2× median
99213Normal range

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

$46K

44K claims · 0.2%

Your Cost: $1.05/claim|Median: $37.81
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$26K

648 claims · 0.1%

Your Cost: $39.41/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$23K

587 claims · 0.1%

Your Cost: $38.84/claim|Median: $36.70
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$15K

386 claims · 0.1%

Your Cost: $39.21/claim|Median: $33.85
1.2× median
3725FTop 10%

$15K

3,032 claims · 0.1%

Your Cost: $4.94/claim|Median: $0.03
164.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

3,791 claims · 0.1%

Your Cost: $3.76/claim|Median: $80.15
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$13K

364 claims · 0.1%

Your Cost: $35.21/claim|Median: $25.93
1.4× median
0072ANormal range

$12K

319 claims · 0.1%

Your Cost: $39.00/claim|Median: $39.57
1.0× median
0071ANormal range

$12K

326 claims · 0.1%

Your Cost: $37.91/claim|Median: $38.71
1.0× median
90471Normal range

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

$10K

9,831 claims · 0.0%

Your Cost: $0.99/claim|Median: $9.80
0.1× median
0502FNormal range

$8K

1,483 claims · 0.0%

Your Cost: $5.72/claim|Median: $44.10
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$7K

4,613 claims · 0.0%

Your Cost: $1.56/claim|Median: $74.82
0.0× median
G0468Normal range

$7K

206 claims · 0.0%

Your Cost: $34.72/claim|Median: $43.74
0.8× median
3078FTop 10%

$6K

2,177 claims · 0.0%

Your Cost: $2.87/claim|Median: $0.08
35.9× median
0064ANormal range

$6K

151 claims · 0.0%

Your Cost: $39.74/claim|Median: $34.17
1.2× median
3074FTop 10%

$5K

1,680 claims · 0.0%

Your Cost: $3.09/claim|Median: $0.11
28.1× median
3079FTop 10%

$5K

1,524 claims · 0.0%

Your Cost: $3.22/claim|Median: $0.12
26.8× median
3077FTop 10%

$4K

1,400 claims · 0.0%

Your Cost: $3.09/claim|Median: $0.12
25.7× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$4K

101 claims · 0.0%

Your Cost: $40.00/claim|Median: $32.49
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$4K

6,012 claims · 0.0%

Your Cost: $0.64/claim|Median: $25.06
0.0× median
3075FTop 10%

$3K

1,001 claims · 0.0%

Your Cost: $3.12/claim|Median: $0.15
20.8× median
90734Normal range

$3K

888 claims · 0.0%

Your Cost: $3.08/claim|Median: $6.40
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

5,658 claims · 0.0%

Your Cost: $0.48/claim|Median: $7.18
0.1× median
0004ANormal range

$2K

68 claims · 0.0%

Your Cost: $36.47/claim|Median: $35.62
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

11K claims · 0.0%

Your Cost: $0.20/claim|Median: $6.61
0.0× median
99173Normal range

$2K

11K claims · 0.0%

Your Cost: $0.19/claim|Median: $2.16
0.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$2K

137 claims · 0.0%

Your Cost: $11.39/claim|Median: $39.63
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

2,843 claims · 0.0%

Your Cost: $0.52/claim|Median: $75.18
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$1K

2,453 claims · 0.0%

Your Cost: $0.55/claim|Median: $11.79
0.0× median
0054ANormal range

$1K

41 claims · 0.0%

Your Cost: $31.22/claim|Median: $35.83
0.9× median
3080FTop 25%

$669

415 claims · 0.0%

Your Cost: $1.61/claim|Median: $0.16
10.1× median
3044FTop 10%

$530

91 claims · 0.0%

Your Cost: $5.82/claim|Median: $0.16
36.4× median
0124ATop 25%

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$230

3,720 claims · 0.0%

Your Cost: $0.06/claim|Median: $72.71
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$230

2,977 claims · 0.0%

Your Cost: $0.08/claim|Median: $17.85
0.0× median
3051FTop 10%

$210

25 claims · 0.0%

Your Cost: $8.40/claim|Median: $0.33
25.5× median
99214Normal range

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

$152

443 claims · 0.0%

Your Cost: $0.34/claim|Median: $53.41
0.0× median
90656Normal range

$150

691 claims · 0.0%

Your Cost: $0.22/claim|Median: $8.67
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$137

837 claims · 0.0%

Your Cost: $0.16/claim|Median: $69.35
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$59

6,344 claims · 0.0%

Your Cost: $0.01/claim|Median: $76.06
0.0× median
81025Normal range

Urine pregnancy test

$20

3,080 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$20

311 claims · 0.0%

Your Cost: $0.06/claim|Median: $12.93
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$18

540 claims · 0.0%

Your Cost: $0.03/claim|Median: $6.93
0.0× median
80061Normal range

Lipid panel

$10

776 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.41
0.0× median
D0274Normal range

Bitewings, four radiographic images

$0

58 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.54
S9470Normal range

Nutritional counseling

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.62

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