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.

City Of Philadelphia (NPI 1518074566)

Field	Value
Entity Type	Organization
Organization	City Of Philadelphia
Address	1900 N 20th St
City	Philadelphia
State	PA
ZIP	19121
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,000	$220	$8.7M
0134A	N/A	80	$40	$3.1K
0002A	N/A	90	$30	$2.3K
0064A	N/A	90	$30	$2.2K
0001A	N/A	90	$20	$1.7K
0124A	N/A	30	$40	$930
0012A	N/A	10	$0	$0
3008F	No Summary found for this code	290	$0	$0
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	2,520	$0	$0
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	30	$0	$0

Showing 1–10 of 38

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

City Of Philadelphia — 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	78	1,690	760	$170	$1.2M
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…	630	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…	1,204	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…	232	8,870	240	$40	$56.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	493	870	160	$70	$48.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	493	730	90	$70	$31.5K
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,…	79	1,630	90	$30	$22K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	81	540	130	$10	$15.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	431	510	60	$50	$13.1K
0002A	N/A	110	220	90	$40	$10.9K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with City Of Philadelphia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$13.5M
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$12.5M
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$10.6M
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$7.1M
City Of Philadelphia	PA	Federally Qualified Health Center (FQHC)	$0	$5.8M
City Of Philadelphia	PA	Clinical Medical Laboratory	$40.4K	$4.3K

Nearby Providers

Other providers in the same ZIP code as City Of Philadelphia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Project Home	PA	Federally Qualified Health Center (FQHC)	$0	$14.3M
Our Heart Home Care	PA	Home Health Agency	$0	$7.5M
B & S Home Care LLC	PA	Home Health Agency	$0	$5.6M

City Of Philadelphia — Billing Profile & Reimbursement Data

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City Of Philadelphia — 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