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.

Children's Hospital Of Philadelphia (NPI 1235209081)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Of Philadelphia
Address	3000 Horizon Dr
City	King Of Prussia
State	PA
ZIP	19406
Taxonomy	Home Infusion Agency
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$23.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	20,750	$370	$7.7M
B9998	Noc for enteral supplies	10,990	$550	$6.1M
S9340	Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded…	35,840	$120	$4.1M
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	2,890	$620	$1.8M
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	7,100	$140	$986.3K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	2,120	$320	$672.6K
S9364	Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn…	490	$940	$460.7K
S9341	Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	950	$380	$360.6K
99602	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.	1,770	$140	$251.3K
J3490	Unclassified drugs	250	$590	$143.9K

Showing 1–10 of 32

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

Children's Hospital Of Philadelphia — 4 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	2	10	5,860	$270	$2.5M
S9340	Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded…	1	10	14,270	$130	$2.1M
E1399	Durable medical equipment, miscellaneous	26	40	350	$540	$1.4M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	22	30	490	$190	$874.5K
B9998	Noc for enteral supplies	2	20	640	$220	$845K
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	12	20	180	$470	$766.9K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	8	20	4,620	$80	$561.5K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	114	130	1,190	$100	$528.9K
S9364	Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn…	2	10	680	$740	$500.3K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	6	10	2,330	$130	$397.5K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Of Philadelphia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Philadelphia	PA	Children's Hospital	$0	$286.9M
Children's Hospital Of Philadelphia	PA	Durable Medical Equipment & Medical Supplies	$0	$27.6M
The Children's Hospital Of Philadelphia	PA	Pediatrics Physician	$0	$11.9M
Children's Hospital Of Philadelphia	PA	Pediatrics Physician	$0	$5.7M
Children's Hospital Of Philadelphia	PA	Pediatrics Physician	$0	$5.5M
Saifuddin Mama	NJ	Obstetrics & Gynecology Physician	$24.1K	$0
Meghna Patel	PA	Neuromusculoskeletal Medicine & OMM Physician	$13.1K	$0

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Of Philadelphia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Promptcare Companies, Inc.	PA	Oxygen Equipment & Supplies (DME)	$0	$78.5M
Behavior Interventions, Inc	PA	Behavior Analyst	$0	$73.7M
Cnnh Therapy LLC	PA	Behavior Analyst	$0	$26.2M
Helping Hands Family Pennsylvania LLC	PA	Community/Behavioral Health Agency	$0	$15.8M
Trustees Of The University Of Pennsylvania	PA	Home Infusion Agency	$159.1K	$7.2M
Ambulnz PA, LLC	PA	Ambulance	$3.3M	$3.8M
Quality Life Healthcare LLC	PA	Nursing Care Agency	$0	$6.3M
Wal-mart Stores, Inc.	PA	Optician	$0	$5.7M
Main Line Spine Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$3.8M	$0
Michael Nagar	PA	Anatomic Pathology & Clinical Pathology Physician	$3.8M	$0

Children's Hospital Of Philadelphia — Billing Profile & Reimbursement Data

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Children's Hospital Of Philadelphia — 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