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.

Geisinger Medical Center (NPI 1235215427)

Field	Value
Entity Type	Organization
Organization	Geisinger Medical Center
Address	100 N Academy Ave
City	Danville
State	PA
ZIP	17822
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

622 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	28,580	$80	$2.3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	10,340	$220	$2.3M
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.	14,680	$110	$1.7M
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,…	7,290	$140	$1M
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.	10,710	$90	$953.4K
G0378	Hospital observation service, per hour	1,190	$770	$912.3K
J3380	Injection, vedolizumab, intravenous, 1 mg	570	$1,450	$821.3K
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.	12,440	$70	$821K
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…	9,130	$80	$721.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	65,850	$10	$658.5K

Showing 1–10 of 622

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

Geisinger Medical Center — 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

622 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2357	Injection, omalizumab, 5 mg	7	10	320	$1,550	$1.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	11	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	49	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	238	1,690	760	$170	$1.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	644	690	2,240	$80	$1M
J9271	Injection, pembrolizumab, 1 mg	8	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…	21	130	310	$60	$769.3K
J3380	Injection, vedolizumab, intravenous, 1 mg	3	10	140	$2,680	$758.7K
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.	18	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…	27	200	990	$70	$517.5K

Showing 1–10 of 622

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geisinger Medical Center	PA	Air Ambulance	$0	$6.6M
David Perlmutter	NY	Ophthalmology Physician	$2.9M	$126.4K
Joseph Alario	PA	Neurology Physician	$51.7K	$0
Dana Vanino	PA	Neurology Physician	$33.4K	$0
Nancy Kelley	PA	Neurology Physician	$27.2K	$0
Anthony Noto	PA	Neurology Physician	$21.6K	$0
David Ferrone	PA	Neurological Surgery Physician	$17.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geisinger Clinic	PA	Surgery Physician	$0	$74.6M
Geisinger Clinic - Outpatient Psych	PA	Counselor	$0	$19.6M
Geisinger Clinic	PA	Diagnostic Radiology Physician	$0	$14.9M
George Lin	PA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$0
Christopher Cessna	PA	Ophthalmology Physician	$1.2M	$0
Rasoul Mokabberi	PA	Cardiovascular Disease Physician	$613.5K	$590
Bryan Martin	PA	Cardiovascular Disease Physician	$449.7K	$770
Frank Mercho	PA	Diagnostic Radiology Physician	$423.9K	$0
Brian Goldner	PA	Diagnostic Radiology Physician	$310.3K	$0
Jeffrey Crosby	PA	Diagnostic Radiology Physician	$299.3K	$0

Geisinger Medical Center — Billing Profile & Reimbursement Data

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Geisinger Medical Center — 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