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.

St. Joseph's Center (NPI 1316075419)

Field	Value
Entity Type	Organization
Organization	St. Joseph's Center
Address	2010 Adams Ave
City	Scranton
State	PA
ZIP	18509
Taxonomy	Intellectual Disabilities Intermediate Care Facility
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	23,410	$330	$7.8M
T1002	Rn services, up to 15 minutes	11,900	$330	$3.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,230	$110	$249.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,680	$80	$225K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,990	$70	$139.4K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	1,610	$30	$45K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	190	$60	$11.5K

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

St. Joseph's Center — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5	70	4,620	$530	$4M
T1002	Rn services, up to 15 minutes	8	90	1,850	$400	$1.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	148	410	1,130	$60	$455.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	117	710	320	$40	$241.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	201	1,280	390	$40	$104.8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	239	490	180	$20	$45.9K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	4	20	160	$20	$13.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Joseph's Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Brozena	PA	Physical Therapist	$122.3K	$0

Nearby Providers

Other providers in the same ZIP code as St. Joseph's Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Pennsylvania Center For Independent Living	PA	Supports Brokerage Agency	$0	$227.5M
Aaron Center, Inc.	PA	Psychiatry Physician	$0	$8M
Scranton Primary Health Care Center, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$6.9M
Lackawanna Mobile X-ray Inc	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$316.5K
The Scranton PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$771.8K	$0
Mark Cruciani	PA	Rheumatology Physician	$413.9K	$0
Lackawanna Mobile X-ray, Inc.	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$216.7K	$260
David Rutta	PA	Gastroenterology Physician	$134.3K	$0
Elmo Baldassari	PA	Foot & Ankle Surgery Podiatrist	$107.4K	$1.7K
James Sheerer	PA	Internal Medicine Physician	$108.3K	$0

St. Joseph's Center — Billing Profile & Reimbursement Data

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St. Joseph's Center — 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