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.

Thomas Jefferson University (NPI 1467547968)

Field	Value
Entity Type	Organization
Organization	Thomas Jefferson University
Address	1021 South 21st Street
City	Philadelphia
State	PA
ZIP	19146
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,080	$850	$6.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	321,320	$1	$321.3K
G9012	Other specified case management service not elsewhere classified	950	$280	$261.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12,820	$1	$38.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	600	$10	$8.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	750	$1	$3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,210	$0	$0
H0034	Medication training and support, per 15 minutes	1,050	$0	$0

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

Thomas Jefferson University — 0 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	251	1,690	760	$170	$1.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	12	80	74,580	$10	$1.2M
G9012	Other specified case management service not elsewhere classified	142	320	770	$260	$758K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	63	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	154	260	1,710	$80	$279.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	219	420	650	$180	$270.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	205	340	2,010	$50	$269.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	357	980	310	$50	$136.6K

Nearby Providers

Other providers in the same ZIP code as Thomas Jefferson University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$22M
Citizen's Acting Together Can Help, Inc.	PA	Adult Mental Health Clinic/Center	$0	$20.4M
Gaudenzia, Inc.	PA	Community/Behavioral Health Agency	$0	$12.1M
Bethanna	PA	Community/Behavioral Health Agency	$0	$8.1M
Aloknath Pandya	PA	Internal Medicine Physician	$250.8K	$2K
Vincent Lam	PA	Ophthalmology Physician	$170.3K	$23.8K
Christopher Masiello	PA	Physical Therapist	$127.1K	$0
Shelby Rapp	PA	Occupational Therapist	$86K	$0
City Of Philadelphia	PA	Clinical Medical Laboratory	$40.4K	$4.3K
Morgan Ettlinger	PA	Speech-Language Pathologist	$38.4K	$0

Thomas Jefferson University — Billing Profile & Reimbursement Data

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Thomas Jefferson University — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References