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.

Main Line Hospitals, Inc. (NPI 1245335629)

Field	Value
Entity Type	Organization
Organization	Main Line Hospitals, Inc.
Address	100 E Lancaster Ave
City	Wynnewood
State	PA
ZIP	19096
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$17.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

187 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.	30,100	$220	$6.7M
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.	30,420	$210	$6.4M
G0378	Hospital observation service, per hour	620	$1,290	$805.5K
99281	The provider sees a patient for the lowest level emergency department visit.	1,490	$230	$335.9K
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…	3,170	$90	$291.8K
T1015	Clinic visit/encounter, all-inclusive	9,040	$30	$262.1K
X0621	N/A	310	$560	$174.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,740	$90	$154.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	120	$1,290	$149.2K
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.	870	$130	$114.1K

Showing 1–10 of 187

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

Main Line Hospitals, Inc. — 3 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

187 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	69	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	236	1,690	760	$170	$1.2M
J9271	Injection, pembrolizumab, 1 mg	20	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…	55	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.	190	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…	52	200	990	$70	$517.5K
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.	39	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.	21	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.	330	1,230	250	$130	$284K
X0621	N/A	17	30	300	$230	$175.5K

Showing 1–10 of 187

Nearby Providers

Other providers in the same ZIP code as Main Line Hospitals, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Red Lion Home Care	PA	Home Health Agency	$0	$17.2M
Amber Sobuto	PA	Internal Medicine Physician	$1.2M	$0
Matthew Halpern	PA	Dermatology Physician	$1.2M	$0
Gary Gordon	PA	Rheumatology Physician	$873.9K	$0
Tanya Harari	PA	Rheumatology Physician	$659.8K	$0
Thomas Harder	PA	Rheumatology Physician	$603.7K	$0
Amanulla Khaji	PA	Hospitalist Physician	$528.3K	$4.6K
Stephen Gollomp	PA	Neurology Physician	$465.4K	$0
George Martin	PA	Allergy & Immunology Physician	$456.5K	$0
Jason Bradley	PA	Cardiovascular Disease Physician	$366.9K	$0

Main Line Hospitals, Inc. — Billing Profile & Reimbursement Data

Sign up for Main Line Hospitals, Inc. — Billing Profile & Reimbursement Data policy alerts

Main Line Hospitals, Inc. — Billing Profile & Reimbursement Data

Sign up for Main Line Hospitals, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References