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GREATER PHILADELPHIA HEALTH ACTION INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PHILADELPHIA, PA·NPI: 1952356867Share

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 $20.1M 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

$20.1M

$20,057,432

Total Claims

200K

Beneficiaries

181K

1.1 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$413K
+112%
2019
$875K
+140%
2020
$2.1M
+110%
2021
$4.4M
+1%
2022
$4.5M
-5%
2023
$4.3M
-18%
2024
$3.5M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$19.9M

98K claims · 99.2%

Your Cost: $203.75/claim|Median: $121.16
1.7× median
99499Normal range

Unlisted evaluation and management service

$34K

3,803 claims · 0.2%

Your Cost: $8.87/claim|Median: $30.88
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

382 claims · 0.1%

Your Cost: $38.74/claim|Median: $36.70
1.1× median
99213Normal range

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

$15K

28K claims · 0.1%

Your Cost: $0.52/claim|Median: $37.81
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$12K

338 claims · 0.1%

Your Cost: $35.24/claim|Median: $33.72
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$10K

14K claims · 0.1%

Your Cost: $0.73/claim|Median: $25.06
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$10K

263 claims · 0.0%

Your Cost: $36.65/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$6K

187 claims · 0.0%

Your Cost: $34.48/claim|Median: $25.93
1.3× median
G2025Normal range

$6K

439 claims · 0.0%

Your Cost: $14.09/claim|Median: $15.63
0.9× median
3725FTop 25%

$6K

1,827 claims · 0.0%

Your Cost: $3.25/claim|Median: $0.03
108.3× median
0072ANormal range

$6K

159 claims · 0.0%

Your Cost: $37.21/claim|Median: $39.57
0.9× median
99214Normal range

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

$4K

6,477 claims · 0.0%

Your Cost: $0.65/claim|Median: $53.41
0.0× median
0071ANormal range

$4K

138 claims · 0.0%

Your Cost: $30.64/claim|Median: $38.71
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

241 claims · 0.0%

Your Cost: $14.85/claim|Median: $21.91
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$3K

6,004 claims · 0.0%

Your Cost: $0.47/claim|Median: $17.85
0.0× median
3077FTop 5%

$3K

611 claims · 0.0%

Your Cost: $4.33/claim|Median: $0.12
36.1× median
90480Normal range

$2K

334 claims · 0.0%

Your Cost: $6.84/claim|Median: $25.29
0.3× median
3074FTop 5%

$2K

466 claims · 0.0%

Your Cost: $4.84/claim|Median: $0.11
44.0× median
3079FTop 10%

$2K

489 claims · 0.0%

Your Cost: $4.22/claim|Median: $0.12
35.2× median
3078FTop 5%

$2K

386 claims · 0.0%

Your Cost: $5.02/claim|Median: $0.08
62.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

1,368 claims · 0.0%

Your Cost: $0.96/claim|Median: $80.15
0.0× median
0502FNormal range

$1K

433 claims · 0.0%

Your Cost: $2.98/claim|Median: $44.10
0.1× median
0064ATop 25%

$1K

31 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0111ANormal range

$1K

36 claims · 0.0%

Your Cost: $32.22/claim|Median: $38.84
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$953

3,593 claims · 0.0%

Your Cost: $0.27/claim|Median: $7.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$694

1,788 claims · 0.0%

Your Cost: $0.39/claim|Median: $74.82
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$623

1,379 claims · 0.0%

Your Cost: $0.45/claim|Median: $6.93
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$571

4,977 claims · 0.0%

Your Cost: $0.11/claim|Median: $6.61
0.0× median
99173Normal range

$568

6,506 claims · 0.0%

Your Cost: $0.09/claim|Median: $2.16
0.0× median
11721Normal range

$546

1,024 claims · 0.0%

Your Cost: $0.53/claim|Median: $8.56
0.1× median
90471Normal range

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

$529

2,819 claims · 0.0%

Your Cost: $0.19/claim|Median: $9.80
0.0× median
0031ANormal range

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

$480

14 claims · 0.0%

Your Cost: $34.29/claim|Median: $32.49
1.1× median
3075FTop 10%

$449

106 claims · 0.0%

Your Cost: $4.24/claim|Median: $0.15
28.2× median
0134ANormal range

$440

12 claims · 0.0%

Your Cost: $36.67/claim|Median: $33.54
1.1× median
0112ANormal range

$440

12 claims · 0.0%

Your Cost: $36.67/claim|Median: $40.00
0.9× median
3080FTop 10%

$274

101 claims · 0.0%

Your Cost: $2.71/claim|Median: $0.16
16.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$203

1,489 claims · 0.0%

Your Cost: $0.14/claim|Median: $75.18
0.0× median
90620Normal range

$190

255 claims · 0.0%

Your Cost: $0.75/claim|Median: $6.49
0.1× median
80061Normal range

Lipid panel

$180

814 claims · 0.0%

Your Cost: $0.22/claim|Median: $8.41
0.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$147

65 claims · 0.0%

Your Cost: $2.27/claim|Median: $36.13
0.1× median
91321Normal range

$100

90 claims · 0.0%

Your Cost: $1.11/claim|Median: $16.72
0.1× median
81025Normal range

Urine pregnancy test

$86

3,081 claims · 0.0%

Your Cost: $0.03/claim|Median: $4.81
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$70

54 claims · 0.0%

Your Cost: $1.30/claim|Median: $74.09
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$20

781 claims · 0.0%

Your Cost: $0.03/claim|Median: $72.71
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$20

135 claims · 0.0%

Your Cost: $0.15/claim|Median: $12.93
0.0× median
88142Normal range

$10

95 claims · 0.0%

Your Cost: $0.11/claim|Median: $14.75
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$8

684 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.51
0.0× median
90651Normal range

HPV vaccine, 9-valent

$0

442 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
G8510Normal range

$0

207 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
90472Normal range

Immunization administration, each additional vaccine

$0

717 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79

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