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.

Patient First Pennsylvania Medical Group PLLC (NPI 1457613374)

Field	Value
Entity Type	Organization
Organization	Patient First Pennsylvania Medical Group PLLC
Address	2600 Paper Mill Road
City	Wyomissing
State	PA
ZIP	19610
Taxonomy	Family Medicine Physician
NPI Enumerated	June 15, 2012

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	43,850	$130	$5.6M
99203	The provider sees a new 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 provider…	280	$1	$1.1K
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…	820	$1	$820
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…	700	$1	$700
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	10	$20	$200
99204	The provider sees a new 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 provider…	150	$1	$150
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	200	$0	$0
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	170	$0	$0
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	90	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	40	$0	$0

Showing 1–10 of 19

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

Patient First Pennsylvania Medical Group PLLC — 1 of 6 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	11	400	360	$110	$571.8K
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…	2,308	8,160	210	$60	$68.4K
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…	2,393	8,870	240	$40	$56.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	347	450	1,220	$1	$48K
99204	The provider sees a new 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 provider…	467	1,410	60	$90	$30.5K
99203	The provider sees a new 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 provider…	413	1,620	80	$60	$28.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,068	1,630	90	$30	$22K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	462	850	220	$10	$17.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	585	610	110	$30	$16K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	325	410	100	$20	$14.8K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Patient First Pennsylvania Medical Group PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Pennsylvania Medical Group PLLC	VA	Urgent Care Clinic/Center	$0	$14.6M
Allen Samuels	PA	Rheumatology Physician	$594.5K	$820
Keith Williams	PA	Family Medicine Physician	$144.7K	$1.8K
Paul Kolecki	PA	Emergency Medicine Physician	$130.7K	$0
Nicholas Wunder	MD	Medical Physician Assistant	$122.4K	$0
Simon Boulattouf	PA	Family Medicine Physician	$111.8K	$0
Melissa Denham Gage	PA	Family Medicine Physician	$111.7K	$0
John Junod	PA	Family Medicine Physician	$103.2K	$6.7K
George Geisler	PA	Emergency Medicine Physician	$109.4K	$0
James Lacey	MD	Family Medicine Physician	$108.6K	$0

Nearby Providers

Other providers in the same ZIP code as Patient First Pennsylvania Medical Group PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$18.5M
Holcomb Associates, Inc.	PA	Community/Behavioral Health Agency	$0	$11.1M
Paragon Behavioral Health Services, LLC	PA	Community/Behavioral Health Agency	$0	$10.8M
Barry Malloy	PA	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.8K
Anastasia Traband	PA	Retina Specialist (Ophthalmology) Physician	$3.1M	$14K
The Reading Hospital Surgicenter At Spring Ridge LLC	PA	Ambulatory Surgical Clinic/Center	$330.9K	$2.3M
Saurin Mehta	PA	Specialist	$2.6M	$0
Pennsylvania Eye & Ear Surgery	PA	Ambulatory Surgical Clinic/Center	$2.1M	$252.9K
Jeremy Aikey	PA	Ophthalmology Physician	$2.3M	$0
Berks Center For Digestive Health, LP	PA	Ambulatory Surgical Clinic/Center	$1.6M	$653.1K

Patient First Pennsylvania Medical Group PLLC — Billing Profile & Reimbursement Data

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Patient First Pennsylvania Medical Group PLLC — 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