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.

Jefferson Health - Northeast (NPI 1114095791)

Field	Value
Entity Type	Organization
Organization	Jefferson Health - Northeast
Address	4900 Frankford Ave
City	Philadelphia
State	PA
ZIP	19124
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

178 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	24,930	$190	$4.7M
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.	22,160	$190	$4.1M
G0378	Hospital observation service, per hour	3,460	$840	$2.9M
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.	8,890	$160	$1.4M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,410	$120	$170.2K
99281	The provider sees a patient for the lowest level emergency department visit.	1,350	$120	$167.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,630	$90	$141.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,550	$90	$135.1K
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.	1,190	$60	$71.2K
36000	The provider introduces a needle or intracatheter into a vein to administer or withdraw fluids or other substances.	1,460	$40	$61.1K

Showing 1–10 of 178

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

Jefferson Health - Northeast — 3 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

178 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	21	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	1,413	1,690	760	$170	$1.2M
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…	56	130	310	$60	$769.3K
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.	69	210	730	$40	$689.7K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	30	70	620	$60	$464.8K
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.	59	1,600	270	$120	$409.7K
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.	31	1,060	150	$130	$405.4K
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.	79	1,230	250	$130	$284K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	19	70	320	$90	$139.3K
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.	82	480	260	$90	$115.3K

Showing 1–10 of 178

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jefferson Health - Northeast, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Health - Northeast	PA	General Acute Care Hospital	$0	$5.5M

Nearby Providers

Other providers in the same ZIP code as Jefferson Health - Northeast, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$25.4M
Access Home Care, Inc.	PA	Home Health Agency	$0	$19.4M
Golden Health Services Inc	PA	Home Health Agency	$0	$14.1M
Friends Behavioral Health System, LP	PA	Psychiatric Hospital	$0	$9.6M
Best Behavioral Healthcare, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$6.6M
Star Medical Transport Services LLC	PA	Land Ambulance	$595K	$2.1M
David Rho	PA	Ophthalmology Physician	$1.7M	$6.7K
Michael Levin	PA	Nephrology Physician	$290.2K	$0
Leslie Baeza	PA	Podiatrist	$36.8K	$207.5K

Jefferson Health - Northeast — 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