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.

Public Health Management Corporation (NPI 1306285176)

Field	Value
Entity Type	Organization
Organization	Public Health Management Corporation
Address	5675 N Front St
City	Phila
State	PA
ZIP	19120
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 14, 2013

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	33,980	$330	$11.2M
G9012	Other specified case management service not elsewhere classified	350	$260	$89.9K
0012A	N/A	510	$30	$17.4K
0011A	N/A	450	$30	$11.6K
0002A	N/A	220	$30	$5.8K
0001A	N/A	220	$30	$5.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	60	$20	$1.1K
0003A	N/A	40	$20	$770
3077F	No Summary found for this code	620	$1	$620
0013A	N/A	30	$20	$570

Showing 1–10 of 73

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

Public Health Management Corporation — 0 of 12 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

73 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	89	1,690	760	$170	$1.2M
T1016	Case management, each 15 minutes	146	160	2,180	$80	$965.8K
G9012	Other specified case management service not elsewhere classified	203	320	770	$260	$758K
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.	189	210	730	$40	$689.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	819	980	310	$50	$136.6K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	56	60	490	$90	$122.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	105	220	420	$20	$91.1K
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.	211	340	2,320	$10	$88.6K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	106	220	430	$20	$84.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	464	820	230	$80	$71.7K

Showing 1–10 of 73

Related Providers

Other providers that share a Tax Identification Number (TIN) with Public Health Management Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$11.8M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Philadelphia Health Management Corporation	PA	Community/Behavioral Health Agency	$0	$6.8M
Joseph Kenney	PA	Cardiovascular Disease Physician	$59.7K	$350

Nearby Providers

Other providers in the same ZIP code as Public Health Management Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Einstein Community Health Associates, Inc	PA	Family Medicine Physician	$0	$17.6M
Einstein Practice Plan, Inc	PA	Obstetrics & Gynecology Physician	$0	$11.4M
Truong Nguyen	PA	Internal Medicine Physician	$312.5K	$145.3K
Armen Voskeridjian	PA	Anesthesiology Physician	$28.1K	$0

Public Health Management Corporation — Billing Profile & Reimbursement Data

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Public Health Management Corporation — 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