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 Surgery Center Of Lehigh Valley, LLC (NPI 1265966444)

Field	Value
Entity Type	Organization
Organization	Children's Surgery Center Of Lehigh Valley, LLC
Address	89 S Commerce Way
City	Bethlehem
State	PA
ZIP	18017
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 14, 2017

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9420	N/A	2,830	$1,730	$4.9M
X2061	N/A	880	$1,920	$1.7M
D2930	N/A	380	$1,620	$607.6K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	10	$1,850	$24.1K
D1120	Prophylaxis–child	10	$600	$7.8K

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 Surgery Center Of Lehigh Valley, LLC — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X2061	N/A	2	10	880	$1,950	$1.9M
D9420	N/A	2	10	130	$1,640	$1.5M
D2930	N/A	87	200	290	$200	$223.1K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	16	20	130	$570	$177.8K
D1120	Prophylaxis–child	1,150	1,240	220	$30	$30.1K

Nearby Providers

Other providers in the same ZIP code as Children's Surgery Center Of Lehigh Valley, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$27.9M
Lifepath, Inc.	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.3M
Progressive Physician Assoc Inc	PA	Diagnostic Radiology Physician	$0	$8M
St. Luke's Physician Group, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
City Of Bethlehem	PA	Land Ambulance	$876.2K	$3.4M
Sltlbk Associates, LLC	PA	Ophthalmologic Surgery Clinic/Center	$3.6M	$15K
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0
David Vasily	PA	Dermatology Physician	$1.1M	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0

Children's Surgery Center Of Lehigh Valley, LLC — Billing Profile & Reimbursement Data

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Children's Surgery Center Of Lehigh Valley, LLC — 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