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.

Main Line Emergency Med Associates LLC (NPI 1316919368)

Field	Value
Entity Type	Organization
Organization	Main Line Emergency Med Associates LLC
Address	255 W Lancaster Ave
City	Paoli
State	PA
ZIP	19301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	53,570	$60	$3.4M
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.	33,810	$60	$2M
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.	11,790	$40	$424.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	980	$110	$107.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14,630	$10	$87.8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2,690	$1	$5.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	$30	$380
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	32,140	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	100	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	30	$0	$0

Showing 1–10 of 11

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

Main Line Emergency Med Associates LLC — 4 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

11 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.	34	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.	85	1,060	150	$130	$405.4K
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.	10	1,230	250	$130	$284K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	309	340	250	$80	$89K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	23	250	80	$140	$74.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	41	1,290	230	$10	$17.8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	210	$1	$1.7K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	12	10	160	$1	$670
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	1	130	100	$1	$530
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	183	350	110	$1	$50

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Main Line Emergency Med Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Moonblatt	PA	Emergency Medical Services (Emergency Medicine) Physician	$205.8K	$0
Hoi Lee	PA	Emergency Medicine Physician	$186.4K	$0
Dorothy Wang	PA	Emergency Medicine Physician	$186.1K	$0
Sally Speck	PA	Emergency Medicine Physician	$180.8K	$0
Blair Hontz	PA	Emergency Medicine Physician	$179.9K	$0
Randy Grinspan	PA	Emergency Medicine Physician	$172.7K	$0
Mahesh Shrestha	PA	Emergency Medicine Physician	$171.8K	$0
Jason Kitchen	PA	Emergency Medicine Physician	$171K	$0
Niels Snyder	NJ	Student in an Organized Health Care Education/Training Program	$167.9K	$0
Erin Kelly	PA	Emergency Medicine Physician	$145.7K	$0

Nearby Providers

Other providers in the same ZIP code as Main Line Emergency Med Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steltz Pharmacy Inc	PA	Durable Medical Equipment & Medical Supplies	$0	$16.6M
Andrew Bowman	PA	Cardiovascular Disease Physician	$997.4K	$0
Mitchell Paulin	PA	Physical Medicine & Rehabilitation Physician	$996.1K	$0
David Singer	PA	Plastic Surgery Physician	$902.3K	$0
Leo Podolsky	PA	Cardiovascular Disease Physician	$827.9K	$0
Nirav Mehta	PA	Cardiovascular Disease Physician	$783.3K	$0
Kevin Shinal	PA	Cardiovascular Disease Physician	$782.5K	$0
Colin Movsowitz	PA	Clinical Cardiac Electrophysiology Physician	$727.1K	$0
Marchello Barbarisi	PA	Diagnostic Radiology Physician	$718.7K	$0
Matthew Goldstein	PA	Clinical Cardiac Electrophysiology Physician	$696.7K	$0

Main Line Emergency Med Associates LLC — Billing Profile & Reimbursement Data

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Main Line Emergency Med Associates 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

Related Providers

Nearby Providers

Frequently Asked Questions

References