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.

Lancaster General Hospital (NPI 1104875103)

Field	Value
Entity Type	Organization
Organization	Lancaster General Hospital
Address	555 N Duke St
City	Lancaster
State	PA
ZIP	17602
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$33.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

502 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44,200	$110	$4.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	42,330	$100	$4.3M
G0378	Hospital observation service, per hour	4,310	$780	$3.4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	41,670	$80	$3.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26,030	$110	$2.8M
T1015	Clinic visit/encounter, all-inclusive	31,290	$40	$1.2M
J9271	Injection, pembrolizumab, 1 mg	440	$2,470	$1.1M
0241U	N/A	10,110	$70	$707.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	79,570	$10	$636.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,170	$120	$508.9K

Showing 1–10 of 502

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

Lancaster General Hospital — 15 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. Pennsylvania median

502 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93243	After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm, a processing center technician performs a scanning…	2	10	32,170	$160	$5.3M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	17	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	16	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	95	1,690	760	$170	$1.2M
J9271	Injection, pembrolizumab, 1 mg	12	20	420	$1,230	$827.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	18	130	310	$60	$769.3K
G9012	Other specified case management service not elsewhere classified	289	320	770	$260	$758K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	24	210	730	$40	$689.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	9	200	990	$70	$517.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	27	1,600	270	$120	$409.7K

Showing 1–10 of 502

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Shepherd	PA	Rheumatology Physician	$1.3M	$0
Sandhya Adusumilli	PA	Rheumatology Physician	$817.3K	$0
Paul Sieber	PA	Urology Physician	$518K	$0
Sriram Venigalla	CO	Radiation Oncology Physician	$344.2K	$0
Matthew Bernabei	PA	Clinical Cardiac Electrophysiology Physician	$248.7K	$2.8K
Paul Russinko	PA	Urology Physician	$250.9K	$0
R Pulliam	PA	Clinical Cardiac Electrophysiology Physician	$243.1K	$2.4K
David Smith	PA	Gastroenterology Physician	$230.3K	$0
Kenneth Blank	NJ	Radiation Oncology Physician	$213.4K	$0
Lorenzo Galindo	PA	Anatomic Pathology & Clinical Pathology Physician	$210.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lancaster General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
H.e.a.r., Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$12.7M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$11.6M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$8.8M
Commonwealth Clinical Group, Inc.	PA	Community/Behavioral Health Agency	$0	$7.3M
Lancaster Emergency Associates Ltd	PA	Emergency Medicine Physician	$0	$7.1M
Hyatt Degreen	PA	Hematology & Oncology Physician	$1.4M	$0
Lena Dumasia	PA	Hematology & Oncology Physician	$1M	$0
Farhan Huq	PA	Dermatology Physician	$235.6K	$0
Marena Fares	PA	Physician Assistant	$208K	$0
Edgar Fearnow	PA	Vascular & Interventional Radiology Physician	$197.3K	$0

Lancaster General Hospital — Billing Profile & Reimbursement Data

Sign up for Lancaster General Hospital — Billing Profile & Reimbursement Data policy alerts

Lancaster General Hospital — Billing Profile & Reimbursement Data

Sign up for Lancaster General Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References