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.

The Milton S. Hershey Medical Center Physicians Group (NPI 1255482089)

Field	Value
Entity Type	Organization
Organization	The Milton S. Hershey Medical Center Physicians Group
Address	500 University Dive
City	Hershey
State	PA
ZIP	17033
Taxonomy	Sports Medicine (Neuromusculoskeletal Medicine) Physician
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$26.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	94,580	$60	$5.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	61,030	$80	$4.9M
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.	34,670	$100	$3.4M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	16,790	$120	$2M
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.	6,930	$140	$934.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10,970	$70	$779K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	15,280	$40	$626.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	5,150	$120	$608.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22,810	$20	$501.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	14,770	$30	$487.5K

Showing 1–10 of 227

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

The Milton S. Hershey Medical Center Physicians Group — 17 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

227 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	33	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.	132	1,060	150	$130	$405.4K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	8	30	60	$1,390	$305.3K
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.	94	1,230	250	$130	$284K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	4	20	400	$550	$208K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	8	50	70	$620	$190.6K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	26	40	410	$210	$189.9K
93304	The provider performs a limited or follow–up transthoracic echocardiography to obtain images of the heart through the chest wall in patients born with heart defects. It is a limited examination of a…	3	20	540	$120	$145.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	25	100	300	$130	$129.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	10	20	40	$1,340	$124.9K

Showing 1–10 of 227

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Milton S. Hershey Medical Center Physicians Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geisinger Clinic	PA	Surgery Physician	$0	$74.6M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
Geisinger Pharmacy LLC	PA	Pharmacy	$0	$26.7M
Geisinger Clinic - Outpatient Psych	PA	Counselor	$0	$19.6M
Geisinger Clinic	PA	Diagnostic Radiology Physician	$0	$14.9M
Geisinger Clinic	PA	Family Medicine Physician	$0	$13.4M
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
Penn State Health Medical Group, LLC	PA	Pediatrics Physician	$0	$7.7M
Geisinger Bloomsburg Hospital	PA	General Acute Care Hospital	$0	$7.2M
Geisinger Wyoming Valley Medical Center	PA	General Acute Care Hospital	$0	$7M

Nearby Providers

Other providers in the same ZIP code as The Milton S. Hershey Medical Center Physicians Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Milton S Hershey Medical Center	PA	General Acute Care Hospital	$0	$78.9M
The Vista Foundation	PA	Public Health or Welfare Agency	$0	$19.4M
Prelude Corporation	PA	Clinical Medical Laboratory	$4.9M	$0
Hershey Outpatient Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$802.7K	$186.3K
Ghulam Mustafa	PA	Nuclear Medicine Physician	$628.8K	$140
Rebecca Roller	PA	Internal Medicine Physician	$608.8K	$0
Ivan Zucker	PA	Nuclear Medicine Physician	$359.6K	$0
Kristen Foering	PA	Dermatology Physician	$298.5K	$0
Shane Lince	PA	Surgery Physician	$266.4K	$1.1K
Hersheycare Inc	PA	Long Term Care Pharmacy	$202.5K	$0

The Milton S. Hershey Medical Center Physicians Group — Billing Profile & Reimbursement Data

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The Milton S. Hershey Medical Center Physicians Group — 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