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 Opco LLC (NPI 1194368167)

Field	Value
Entity Type	Organization
Organization	Stc Opco LLC
Address	160 E Erie Ave
City	Philadelphia
State	PA
ZIP	19134
Taxonomy	Children's Hospital
NPI Enumerated	October 23, 2019

Payer Source	Total Paid
Medicaid	$69.2M
Medicare	$0

Key Findings

STC OPCO LLC reports no Medicare billing on file and $69.2M in lifetime Medicaid revenue, making its Medicaid business effectively the sole public-payer footprint recorded here. This concentration means analysts should treat the provider as a Medicaid-centric operation for network, utilization, and reimbursement comparisons rather than a mixed Medicare/Medicaid competitor.

Revenue is heavily concentrated in a narrow set of emergency and observation services: the precomputed top three Medicaid codes account for 71.8% of total Medicaid revenue. Those three codes are 99283 (74.7K claims, $237 avg paid/claim, $17.7M revenue, 27.4% of Medicaid revenue), 99284 (60.7K claims, $248 avg paid/claim, $15M revenue, 23.3% of Medicaid revenue), and G0378 (7.1K claims, $1929 avg paid/claim, $13.6M revenue, 21.1% of Medicaid revenue).

The top-code mix (99283, 99284, G0378) indicates an operational model focused on high-volume emergency department care with substantial observation-unit billing rather than primary-care office visits or chronic outpatient management. Coupled with the listed taxonomy of Children's Hospital and high pediatric procedure codes elsewhere in the profile, the pattern is most consistent with a pediatric ED and observation center that also supports short inpatient/observation stays.

On competitive standing within Pennsylvania emergency services, the provider is a clear high-volume outlier: 99283 ranks #4 of 1063 providers in-state (100th percentile; extreme outlier) and 99284 ranks #18 of 1604 providers in-state (99th percentile; extreme outlier). These rank/percentile placements identify STC OPCO LLC as a dominant state-level provider for low- and moderate-complexity ED E/M encounters.

G0378 observation billing also places the provider well above typical state volumes, ranking #7 of 149 providers in-state (96th percentile; notably above typical state volume). That position suggests a substantive observation-unit capacity and revenue stream that, together with ED visits, drives most Medicaid revenue.

Beyond ED/observation services, the provider shows notable high-volume pediatric procedural activity: 42820 (tonsil/adenoid removal in patients <12) appears as 1.1K claims, $2903 avg paid/claim, $3.2M revenue (4.9% of Medicaid revenue) and ranks #1 of 28 providers in-state (100th percentile; notably above typical state volume). This supports an interpretation that the organization pairs acute pediatric emergency care with surgical ENT procedural volume.

The profile also highlights sizeable diagnostic and testing throughput: U0003 (15.1K claims, $92 avg paid/claim, $1.4M revenue), 87635 (10.8K claims, $24 avg paid/claim, $259.8K revenue; ranks #3 of 375, 99th percentile; notably above typical), 87633 (4.4K claims, $49 avg paid/claim, $215.9K revenue; ranks #2 of 59, 98th percentile; extreme outlier), and 94010 spirometry (6.2K claims, $90 avg paid/claim, $554.3K revenue; ranks #4 of 107 providers, 97th percentile; extreme outlier). These figures indicate strong in-house lab and respiratory/diagnostic capacity alongside ED services.

STC OPCO LLC’s NPI enumeration date is 2019-10-23 (~7 years ago), which means the organization reached $69.2M in Medicaid revenue within a relatively recent operational window. That pace of Medicaid revenue accumulation combined with the concentrated code mix suggests rapid scale-up of emergency, observation, and pediatric procedural services since enumeration.

Medicaid: Complete Services Breakdown

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

267 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.	74,650	$240	$17.7M
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.	60,680	$250	$15M
G0378	Hospital observation service, per hour	7,060	$1,930	$13.6M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1,100	$2,900	$3.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,040	$1,870	$1.9M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	830	$2,310	$1.9M
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…	15,080	$90	$1.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,900	$420	$1.2M
T1015	Clinic visit/encounter, all-inclusive	15,650	$60	$938.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,830	$110	$852.9K

Showing 1–10 of 267

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 Opco LLC — 8 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

267 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	10	770	$1,290	$1.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	7	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	174	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…	129	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.	197	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…	17	200	990	$70	$517.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	67	410	1,130	$60	$455.4K
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.	18	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.	4	1,060	150	$130	$405.4K

Showing 1–10 of 267

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dustin Root	DE	Pediatric Dentistry	$0	$150K

Nearby Providers

Other providers in the same ZIP code as Stc Opco 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
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
Stc Pediatrics LLC	PA	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$12.2M
Stc Pediatrics LLC	PA	Pediatrics Physician	$0	$8.7M
Comhar, Inc	PA	Community/Behavioral Health Agency	$0	$5.7M
Vikram Patel	PA	Geriatric Medicine (Family Medicine) Physician	$396.6K	$74.3K

Stc Opco LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References