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.

Temple University Hospital, Inc (NPI 1356981443)

Temple University Hospital, Inc is a general acute care hospital provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 195 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Temple University Hospital, Inc
Address	7600 Central Ave
City	Philadelphia
State	PA
ZIP	19111
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 7, 2020

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

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

195 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	14,390	$280	$4.1M
G0378	Hospital observation service, per hour	1,950	$1,860	$3.6M
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.	13,170	$270	$3.5M
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.	2,010	$150	$291.9K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	430	$570	$243.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,360	$70	$242K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,120	$110	$224.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,080	$150	$165.9K
99281	The provider sees a patient for the lowest level emergency department visit.	580	$190	$110.8K
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.	410	$180	$74.8K

Showing 1–10 of 195

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

Temple University Hospital, Inc — 0 of 25 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

195 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	39	150	510	$870	$1.4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	59	200	990	$70	$517.5K
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.	98	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.	68	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.	175	1,230	250	$130	$284K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37	100	330	$40	$166K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	144	480	260	$90	$115.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	74	90	150	$270	$105.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	72	150	130	$180	$95K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	149	220	420	$20	$91.1K

Showing 1–10 of 195

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fox Chase Home Care, Inc.	PA	Home Health Agency	$0	$16.7M
Anant Pranam LLC	PA	In Home Supportive Care Agency	$0	$6.7M
Path (people Acting To Help), Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Clifford Perlis	PA	Procedural Dermatology Physician	$622K	$0
Manju Ambelil	PA	Anatomic Pathology & Clinical Pathology Physician	$374.9K	$20.8K
Linna Li	PA	Radiation Oncology Physician	$356.2K	$0
Walter Dearolf	PA	Orthopaedic Surgery Physician	$317.3K	$840
John Beight	PA	Orthopaedic Surgery Physician	$279.5K	$1.2K
Alex Mepari	PA	Internal Medicine Physician	$242.1K	$22K
Eric Horwitz	PA	Radiation Oncology Physician	$196.5K	$0

Temple University Hospital, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Temple University Hospital, Inc	PA	General Acute Care Hospital	$0	$116.6M
Temple University Hospital, Inc - Psych Unit	PA	Psychiatric Hospital Unit	$0	$22.3M