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.

Thomas Jefferson University Hospitals Inc (NPI 1215916002)

Field	Value
Entity Type	Organization
Organization	Thomas Jefferson University Hospitals Inc
Address	111 S 11th St
City	Philadelphia
State	PA
ZIP	19107
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 11, 2006

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

452 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.	49,040	$210	$10.2M
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.	28,710	$210	$6M
G0378	Hospital observation service, per hour	4,950	$760	$3.8M
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.	9,790	$190	$1.9M
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…	9,810	$150	$1.5M
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…	10,450	$130	$1.4M
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.	8,090	$170	$1.4M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	2,630	$490	$1.3M
J9271	Injection, pembrolizumab, 1 mg	1,400	$800	$1.1M
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…	4,700	$150	$695K

Showing 1–10 of 452

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

Thomas Jefferson University Hospitals Inc — 10 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

452 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	2	10	170	$6,410	$1.9M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	12	150	510	$870	$1.4M
J2323	Injection, natalizumab, 1 mg	3	10	240	$2,130	$1.2M
T1015	Clinic visit/encounter, all-inclusive	257	1,690	760	$170	$1.2M
J9271	Injection, pembrolizumab, 1 mg	3	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…	80	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.	46	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…	11	70	620	$60	$464.8K
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…	225	410	1,130	$60	$455.4K

Showing 1–10 of 452

Related Providers

Other providers that share a Tax Identification Number (TIN) with Thomas Jefferson University Hospitals Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chinatown True Care Medical PLLC	NY	Internal Medicine Physician	$0	$94.9M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
Abington Memorial Hospital	PA	General Acute Care Hospital	$0	$16.6M
Methodist Hospital	PA	General Acute Care Hospital	$0	$10.7M
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Joshua Cantor	PA	Anatomic Pathology & Clinical Pathology Physician	$2.2M	$140.6K
Jisun Cha	NY	Dermatopathology Physician	$1.3M	$5.7K
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Asif Hussain	PA	Cardiovascular Disease Physician	$980.9K	$0
Kehua Li	NJ	MOHS-Micrographic Surgery Physician	$877.2K	$0

Nearby Providers

Other providers in the same ZIP code as Thomas Jefferson University Hospitals Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Progressions	PA	Case Management Agency	$0	$50.8M
Bright Beginnings Therapeutic Services, LLC	PA	Community/Behavioral Health Agency	$0	$46.8M
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys	PA	General Acute Care Hospital	$0	$25.7M
Philadelphia Mental Health Clinic	PA	Clinic/Center	$0	$18.3M
Philadelphia Fight	PA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Addiction Medicine And Health Advocates, Incorporated	PA	Methadone Clinic	$56.9K	$9.2M
Assessment & Treatment Alternatives	PA	Community/Behavioral Health Agency	$0	$9.1M
Nadia Darbouze	PA	Social Worker	$0	$9.1M
Adwa Home Care Inc.	PA	Home Health Agency	$0	$7.9M

Thomas Jefferson University Hospitals Inc — Billing Profile & Reimbursement Data

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Thomas Jefferson University Hospitals Inc — 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