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.

Medscope America LLC (NPI 1508982232)

Field	Value
Entity Type	Organization
Organization	Medscope America LLC
Address	1818 Market St Ste 1200
City	Philadelphia
State	PA
ZIP	19103
Taxonomy	Emergency Response System Companies
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$65.2M
Medicare	$0

Key Findings

MEDSCOPE AMERICA LLC has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting Total Medicaid revenue of $65.2M; its NPI was enumerated on 2007-03-22 (~19 years ago), indicating a long-tenured presence in the market. This payer concentration means analyses of commercial or Medicare exposure will not be informative for this entity because Medicaid accounts for the entirety of the reported public-payer revenue.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue, led by S5161 with $59M in revenue (90.4% of total Medicaid revenue), followed by W1895 with $5.4M (8.3%) and Z0059 with $730.3K (1.1%). This concentration indicates that the provider’s financial performance in the dataset is overwhelmingly driven by a single service line.

The code mix points to a core business of emergency response system services: S5161 (Emergency response system; service fee, per month) is the dominant revenue driver, while S5160 (installation and testing) and S5162 (purchase only) appear only as minor sources of revenue. The dominance of S5161 suggests the company operates primarily on a recurring-service or monitoring model rather than one-time device sales.

MEDSCOPE ranks as a statewide leader for its highest-volume codes: S5161 ranks #1 of 9 providers in-state at the 100th percentile and is described as notably above typical state volume, and W1895 ranks #1 of 14 providers in-state at the 100th percentile and is also described as notably above typical state volume. These rankings characterize MEDSCOPE as a dominant in-state provider for emergency response service fees and related billed items.

Several codes show either no or negligible Medicaid payment for purchase claims: S5162 reports 12 claims with $0 avg paid/claim and $0 revenue, indicating that purchase-only claims did not generate Medicaid revenue in this dataset. By contrast, installation/testing (S5160) produced only $33.7K in revenue across 1.9K claims, reinforcing that the company’s economic model in Medicaid appears focused on monthly service fees rather than device sales or installations.

Smaller codes contribute only a de minimis share of revenue but illustrate limited product diversification: 1223Z produced $51.2K (0.1% of Medicaid revenue) and ranks #1 of 3 providers in-state (100th percentile, described as typical/unremarkable), while S5160 and other ancillary codes likewise represent <0.2% each of total Medicaid revenue. This profile suggests that beyond its flagship monthly service, MEDSCOPE has limited Medicaid revenue streams from ancillary services.

The statistical labels in the dataset highlight MEDSCOPE’s outlier status for core services: S5161 and W1895 are both flagged as notably above typical state volume, signaling significant outperformance versus in-state peers for those codes, while Z0059 is the sole state reporter (rank #1 of 1) so no peer volume comparison is available. These annotations support treating the provider as an extreme state-level volume outlier for its primary billed services.

From a risk and strategic-analysis perspective, the provider’s heavy reliance on S5161 (90.4% of Medicaid revenue) creates concentration risk if reimbursement rates or utilization patterns change; however, nearly two decades of enumeration (2007-03-22, ~19 years) suggests operational persistence and market entrenchment in Pennsylvania’s Medicaid emergency response system space. Analysts should prioritize monitoring policy or rate changes affecting S5161 and track any shifts in W1895 and Z0059 volumes given their material contribution to reported Medicaid revenue.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,456,790	$20	$59M
W1895	N/A	187,040	$30	$5.4M
Z0059	N/A	36,510	$20	$730.3K
1223Z	N/A	1,830	$30	$51.2K
S5160	Emergency response system; installation and testing	1,870	$20	$33.7K
S5162	Emergency response system; purchase only	10	$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

Medscope America LLC — 3 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1	10	5,390	$30	$9M
W1895	N/A	1	10	10,480	$30	$1.1M
Z0059	N/A	1	10	36,510	$20	$741.5K
S5160	Emergency response system; installation and testing	3	10	1,870	$30	$66.8K
1223Z	N/A	1	10	1,070	$30	$42.7K
S5162	Emergency response system; purchase only	1	10	10	$0	$0

Nearby Providers

Other providers in the same ZIP code as Medscope America LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daily Dove Care, LLC	PA	Home Health Agency	$0	$42M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$22.4M
Allborogh Personal Care Inc.	PA	In Home Supportive Care Agency	$0	$11M
Robert Singh	PA	Vascular Surgery Physician	$5.7M	$0
Alexander Ehrlich	PA	Dermatology Physician	$275K	$0
David Kalkstein	PA	Psychiatry Physician	$235K	$0
Neuro Dynamics Penn	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$199.4K	$0
Pennsylvania Cvs Pharmacy, L.L.C.	PA	Pharmacy	$183.8K	$0
Dana Amiraian	PA	Diagnostic Radiology Physician	$168.9K	$0
David Rose	PA	Podiatrist	$99.8K	$48.1K

Medscope America LLC — Billing Profile & Reimbursement Data

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Medscope America LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References