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 1417382888)

Field	Value
Entity Type	Organization
Organization	Public Health Management Corporation
Address	1900 N 9th St
City	Phila
State	PA
ZIP	19122
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 4, 2013

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	28,570	$320	$9.2M
0011A	N/A	120	$40	$4.3K
0012A	N/A	40	$40	$1.7K
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…	30	$10	$430
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	80	$1	$160
J1050	Injection, medroxyprogesterone acetate, 1 mg	40	$1	$110
3077F	No Summary found for this code	100	$1	$100
1159F	No Summary found for this code	3,680	$0	$0
1160F	No Summary found for this code	3,720	$0	$0
3008F	No Summary found for this code	3,940	$0	$0

Showing 1–10 of 56

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 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	109	1,690	760	$170	$1.2M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	108	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.	221	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.	111	220	430	$20	$84.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	138	170	560	$40	$84.2K
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…	575	820	230	$80	$71.7K
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…	1,394	8,160	210	$60	$68.4K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	173	260	690	$10	$57.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	238	8,870	240	$40	$56.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	44	150	300	$20	$51.9K

Showing 1–10 of 56

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 Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$11.3M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
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
The Behavioral Wellness Center At Girard	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$30.6M
The Behavioral Wellness Center At Girard	PA	Methadone Clinic	$131.1K	$16.5M
The Behavioral Wellness Center At Girard	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.9M
Ophelia Medical Group Fl, P.A.	PA	Addiction Medicine (Family Medicine) Physician	$0	$10.7M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$8.9M
The Behavioral Wellness Center At Girard	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Merakey Parkside Recovery	PA	Community/Behavioral Health Agency	$34.6K	$6.1M
Icare Home Health LLC	PA	Home Health Agency	$0	$5.5M
Megan Ritz	PA	Physical Therapist	$189.5K	$0
Lester Fogelsanger	PA	Psychiatry Physician	$70.9K	$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