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 1467776989)

Field	Value
Entity Type	Organization
Organization	Public Health Management Corporation
Address	1200 Callowhill St
City	Philadelphia
State	PA
ZIP	19123
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 26, 2010

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	34,680	$320	$11M
G9012	Other specified case management service not elsewhere classified	3,380	$230	$780.5K
0012A	N/A	260	$30	$6.7K
0011A	N/A	310	$20	$5.5K
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,…	1,630	$1	$1.6K
0002A	N/A	50	$20	$1.2K
0001A	N/A	60	$20	$1.2K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	630	$1	$630
3077F	No Summary found for this code	620	$1	$620
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	490	$1	$490

Showing 1–10 of 70

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 13 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

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	86	1,690	760	$170	$1.2M
T1016	Case management, each 15 minutes	155	160	2,180	$80	$965.8K
G9012	Other specified case management service not elsewhere classified	65	320	770	$260	$758K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	53	210	730	$40	$689.7K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	19	30	420	$80	$110.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	91	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.	187	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.	89	220	430	$20	$84.7K
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…	940	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…	205	260	690	$10	$57.9K

Showing 1–10 of 70

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	$11.3M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.2M
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
City Of Philadelphia	PA	Land Ambulance	$8.3M	$108.1M
Visiting Nurse Group, Inc	PA	Home Health Agency	$0	$66.4M
Ameribest Home Care, LLC	PA	Home Health Agency	$0	$55.3M
Northeast Treatment Centers, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.8M
Pmhcc Ctt Inc	PA	Case Management Agency	$0	$27.5M
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$21M
St. John's Community Services	PA	Developmentally Disabled Services Day Training Agency	$0	$18.2M
Northeast Treatment Centers. Inc.	PA	Community/Behavioral Health Agency	$0	$15.3M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$13.3M
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$13.2M

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