Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Charles Pritchard (NPI 1023095114)

Field	Value
Entity Type	Individual
Organization	Charles Pritchard
Address	2360 Maryland Rd
City	Willow Grove
State	PA
ZIP	19090
Taxonomy	Rheumatology Physician
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3262	Injection, tocilizumab, 1 mg	69,000	$10	$345K
J0897	Injection, denosumab, 1 mg	16,680	$20	$300.2K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	8,380	$30	$284.8K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7,160	$30	$186.2K
J3111	Injection, romosozumab-aqqg, 1 mg	22,470	$10	$179.8K
J1602	Injection, golimumab, 1 mg, for intravenous use	15,500	$10	$155K
J9312	Injection, rituximab, 10 mg	1,910	$60	$122.2K
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…	1,170	$100	$116.1K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	28,800	$1	$115.2K
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	3,070	$40	$113.4K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Charles Pritchard — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	27	60	7,900	$30	$353.8K
J3262	10	30	45,000	$1	$268K
J0717	44	70	38,610	$1	$223.7K
J9312	10	10	2,330	$60	$192K
J1602	24	60	11,780	$10	$181.6K
J3111	17	60	16,590	$10	$176.8K
J1745	13	80	3,630	$30	$115.4K
J1459	5	10	3,070	$40	$114.2K
J0897	25	530	2,460	$20	$89.6K
96413	24	300	140	$100	$19.8K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Charles Pritchard, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Jerdan	PA	Rheumatology Physician	$2.5M	$0
Sarah Coleman	PA	Rheumatology Physician	$2.4M	$0
Elana Eisner	PA	Rheumatology Physician	$2.1M	$0
David Chesner	PA	Rheumatology Physician	$1.6M	$0
Marguerite Mcgarvey	PA	Rheumatology Physician	$1.5M	$0
Dana Jacobs-kosmin	PA	Rheumatology Physician	$1.4M	$0
Monica Mohile	PA	Rheumatology Physician	$1.4M	$0
Thomas Quinn	PA	Rheumatology Physician	$883.9K	$0
Stephanie Morris	PA	Rheumatology Physician	$742.6K	$0
Anjali Bal	PA	Internal Medicine Physician	$731.1K	$0

Nearby Providers

Other providers in the same ZIP code as Charles Pritchard, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$16M
Central Behavioral Health	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Second Alarmer's Assn & Rescue Squad Of Montgomery County Inc	PA	Paramedic	$1.2M	$1.8M
Montgomery County Advanced Medical Imaging, LLC	PA	Clinic/Center	$1M	$0
Sally Pullman-mooar	PA	Rheumatology Physician	$752.4K	$0
Abington Surgical Center	PA	Ambulatory Surgical Clinic/Center	$653.8K	$0
Kevin Lu	PA	Internal Medicine Physician	$626K	$0
Chad Krueger	PA	Orthopaedic Surgery Physician	$358.1K	$0
Joshua Goldberg	PA	Otolaryngology Physician	$232.1K	$2.3K
Victor Ghantous	PA	Nephrology Physician	$205.9K	$0

Charles Pritchard — Billing Profile & Reimbursement Data

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Charles Pritchard — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References