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.

Stc Pediatrics LLC (NPI 1144864547)

Field	Value
Entity Type	Organization
Organization	Stc Pediatrics LLC
Address	160 E Erie Ave
City	Philadelphia
State	PA
ZIP	19134
Taxonomy	Pediatric Emergency Medicine (Pediatrics) Physician
NPI Enumerated	October 30, 2019

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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.	72,300	$100	$7.3M
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.	39,260	$80	$3.1M
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.	8,980	$140	$1.3M
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.	13,800	$40	$566K

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

Stc Pediatrics LLC — 3 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	13	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.	14	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.	77	1,230	250	$130	$284K
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.	4	340	250	$80	$89K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stc Pediatrics LLC	PA	Pediatrics Physician	$0	$8.7M
Pratap Reddy	PA	Sleep Medicine (Internal Medicine) Physician	$171.4K	$3.4K
Nabila Chowdhury	PA	Medical Oncology Physician	$117.5K	$0
Steven Smith	PA	Allergy & Immunology Physician	$112.5K	$0
Teresa Carlin	NJ	Emergency Medicine Physician	$55.9K	$0
Ruth Adams	NV	MOHS-Micrographic Surgery Physician	$33.1K	$0
Manjula Balasubramanian	PA	Anatomic Pathology & Clinical Pathology Physician	$10.4K	$0
Boban Abraham	PA	Pediatric Cardiology Physician	$2.9K	$6.8K
Lisa Muraika	PA	Anesthesiology Physician	$8.7K	$0
Harvey Stern	CT	Pediatric Anesthesiology Physician	$7.4K	$0

Nearby Providers

Other providers in the same ZIP code as Stc Pediatrics LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$72.1M
Stc Opco LLC	PA	Children's Hospital	$0	$69.2M
Beacon Point Recovery Center, LLC.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.7M
Citywide Community Counseling Service Inc	PA	Community/Behavioral Health Agency	$0	$22.4M
Davetta Care LLC	PA	In Home Supportive Care Agency	$0	$20.2M
Hispanic Community Counseling Services	PA	Community/Behavioral Health Agency	$0	$15.9M
Comhar Inc	PA	Community/Behavioral Health Agency	$0	$15.3M
Comhar, Inc	PA	Community/Behavioral Health Agency	$0	$5.7M
Vikram Patel	PA	Geriatric Medicine (Family Medicine) Physician	$396.6K	$74.3K
Jonathan Levyn	PA	Family Medicine Physician	$67.5K	$230.4K

Stc Pediatrics LLC — Billing Profile & Reimbursement Data

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Stc Pediatrics LLC — 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