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.

Dubois Regional Medical Center (NPI 1144249657)

Field	Value
Entity Type	Organization
Organization	Dubois Regional Medical Center
Address	100 Hospital Ave
City	Du Bois
State	PA
ZIP	15801
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

359 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	188,880	$50	$10M
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.	8,770	$110	$999.6K
G0378	Hospital observation service, per hour	540	$1,550	$834.8K
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.	8,300	$80	$664.1K
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.	4,030	$150	$592.7K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	3,060	$150	$449.1K
X0621	N/A	1,380	$210	$284.3K
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…	1,740	$130	$216.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1,700	$100	$163.1K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	2,850	$60	$156.6K

Showing 1–10 of 359

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

Dubois Regional Medical Center — 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

359 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	72	150	510	$870	$1.4M
J2323	Injection, natalizumab, 1 mg	7	10	240	$2,130	$1.2M
T1015	Clinic visit/encounter, all-inclusive	6	1,690	760	$170	$1.2M
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.	99	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…	76	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.	138	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.	115	1,060	150	$130	$405.4K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	20	30	60	$1,390	$305.3K
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.	122	1,230	250	$130	$284K
J9312	Injection, rituximab, 10 mg	4	10	30	$1,730	$255.9K

Showing 1–10 of 359

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dubois Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Assen Todorov	MD	Diagnostic Radiology Physician	$607.9K	$0
Allen Samuels	PA	Rheumatology Physician	$594.5K	$820
Richard Blackburn	MO	Radiation Oncology Physician	$591.1K	$0
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Jayaseelan Ambrose	PA	Interventional Cardiology Physician	$342.7K	$171.9K
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K

Nearby Providers

Other providers in the same ZIP code as Dubois Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peritech Home Health Associates LLC	PA	Home Health Agency	$0	$31.5M
Interim Healthcare Of Western Pennsylvania Inc	PA	Home Health Agency	$0	$21.2M
Brookville Behavioral Health Inc.	PA	Community/Behavioral Health Agency	$0	$16.7M
County Homemakers Inc	PA	In Home Supportive Care Agency	$0	$8.6M
Behavioral Advancements Of Dubois	PA	Psychologist	$0	$6.8M
Brandon Roscoe	PA	Family Medicine Physician	$690.1K	$546.1K
Gregory Roscoe	PA	Otolaryngology Physician	$188.7K	$700.7K
Lisa Pfingstler	PA	Dermatology Physician	$581.7K	$257.3K
Tuesdae Stainbrook	PA	Infectious Disease Physician	$373.4K	$229.2K
Jeffrey Rice	PA	Oral and Maxillofacial Surgery (Dentist)	$7.3K	$533.2K

Dubois Regional Medical Center — Billing Profile & Reimbursement Data

Sign up for Dubois Regional Medical Center — Billing Profile & Reimbursement Data policy alerts

Dubois Regional Medical Center — Billing Profile & Reimbursement Data

Sign up for Dubois Regional Medical Center — 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