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.

Hamilton Health Center, Inc. (NPI 1053658864)

Field	Value
Entity Type	Organization
Organization	Hamilton Health Center, Inc.
Address	110 S 17th St
City	Harrisburg
State	PA
ZIP	17104
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 14, 2013

Payer Source	Total Paid
Medicaid	$37.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

113 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	202,980	$180	$35.5M
G9012	Other specified case management service not elsewhere classified	7,980	$230	$1.8M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,000	$1	$5K
3079F	No Summary found for this code	2,330	$1	$4.7K
3077F	No Summary found for this code	2,010	$1	$4K
3078F	No Summary found for this code	3,860	$1	$3.9K
3074F	No Summary found for this code	3,030	$1	$3K
3075F	No Summary found for this code	1,420	$1	$2.8K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	2,390	$1	$2.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,100	$1	$2.1K

Showing 1–10 of 113

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Hamilton Health Center, Inc. — 8 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

113 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	1,690	760	$170	$1.2M
G9012	Other specified case management service not elsewhere classified	22	320	770	$260	$758K
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.	412	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…	22	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…	67	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…	30	660	180	$70	$63.7K
99429	Use 99429 to report a preventive medicine service that does not have a specific code.	5	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…	19	8,870	240	$40	$56.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	313	710	230	$70	$49.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	870	160	$70	$48.2K

Showing 1–10 of 113

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hamilton Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lindsey Wegrzyniak	PA	Obstetrics & Gynecology Physician	$16K	$0

Nearby Providers

Other providers in the same ZIP code as Hamilton Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Lifeteam, Inc.	PA	Land Ambulance	$2.7M	$17.3M
Cmu	PA	Case Management Agency	$0	$15.8M
Pinnacle Health Medical Services	PA	Family Medicine Physician	$0	$14.1M
Cmu	PA	Case Management Agency	$0	$9.6M
Ophthalmology Surgical Center, Inc	PA	Ambulatory Surgical Clinic/Center	$404.4K	$0
Yujian Chen	PA	Foot & Ankle Surgery Podiatrist	$223.6K	$0
Jonathan Enterline	PA	Diagnostic Radiology Physician	$187.4K	$12.1K
David Loran	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$146.2K	$0
Nathaniel Melton	PA	Surgery Physician	$94.4K	$0
Ahmad Abrishamchian	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$94.1K	$0

Hamilton Health Center, Inc. — Billing Profile & Reimbursement Data

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Hamilton Health Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References