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.

Penn Foundation Inc (NPI 1265500185)

Field	Value
Entity Type	Organization
Organization	Penn Foundation Inc
Address	Sunnybrook Village
City	Suite 507
State	PA
ZIP	19464
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	54,070	$100	$5.6M

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

Penn Foundation Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	11	40	27,890	$150	$6.2M

Nearby Providers

Other providers in the same ZIP code as Penn Foundation Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Health Services Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.4M
Pottstown Hospital, LLC	PA	General Acute Care Hospital	$0	$7.5M
Goodwill Steam Fire Engine Co - 1	PA	Ambulance	$700.4K	$2.2M
An Pham	PA	Pulmonary Disease Physician	$1.3M	$26K
Michael Lambo	PA	Radiation Oncology Physician	$1.1M	$0
Scot Paris	PA	Surgery Physician	$1M	$0
Nikos Pavlides	PA	Orthopaedic Surgery Physician	$448.3K	$0
Pottstown Ambulatory Center, LLC	PA	Ambulatory Surgical Clinic/Center	$435.2K	$0
Navneet Sharma	PA	Internal Medicine Physician	$384.5K	$0
John Louis	PA	Plastic and Reconstructive Surgery Physician	$351.7K	$0

Penn Foundation Inc — Billing Profile & Reimbursement Data

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Penn Foundation 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

Nearby Providers

Frequently Asked Questions

References