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.

Millcreek Community Hospital (NPI 1548263973)

Millcreek Community Hospital is a general acute care hospital provider located in Erie, Pennsylvania. This profile covers 0 Medicare and 110 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Millcreek Community Hospital
Address	5515 Peach St
City	Erie
State	PA
ZIP	16509
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

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

110 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	14,070	$60	$858.1K
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…	6,260	$140	$851.4K
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.	4,820	$130	$640.8K
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…	1,660	$350	$584.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	5,620	$90	$505.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,820	$130	$352.4K
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	310	$920	$283.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,240	$150	$191.4K
G0378	Hospital observation service, per hour	650	$290	$188.1K
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…	1,960	$90	$184.1K

Showing 1–10 of 110

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

Millcreek Community Hospital — 2 of 25 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	54	60	2,400	$450	$2.6M
G0378	Hospital observation service, per hour	68	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	459	1,690	760	$170	$1.2M
90834	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…	522	690	2,240	$80	$1M
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.	111	210	730	$40	$689.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	290	560	1,400	$90	$485.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	172	1,600	270	$120	$409.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	71	1,060	150	$130	$405.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	152	1,230	250	$130	$284K
H0034	Medication training and support, per 15 minutes	248	260	1,710	$80	$279.8K

Showing 1–10 of 110

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Khanzada	TX	Pain Medicine (Anesthesiology) Physician	$614.9K	$0
Eric Milie	PA	Internal Medicine Physician	$99.9K	$188K
Louis Leskosky	IL	Diagnostic Radiology Physician	$99.8K	$8.5K
Matthew Becker	PA	Interventional Cardiology Physician	$99.8K	$3.4K
James Lin	PA	Geriatric Medicine (Internal Medicine) Physician	$67.3K	$3.7K
Adam Susmarski	IA	Physical Medicine & Rehabilitation Physician	$46.8K	$0
Jay Kiessling	PA	Vascular Surgery Physician	$19.3K	$0
Christopher Rial	PA	Sports Medicine (Family Medicine) Physician	$13.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Services Of Nw PA	PA	Child & Adolescent Psychiatry Physician	$0	$9.2M
Epeople Health Care, Inc.	PA	Home Health Agency	$0	$9.1M
Danielle Sanders	PA	Family Medicine Physician	$728.3K	$0
David Carl	PA	Orthopaedic Surgery Physician	$88.7K	$94.2K
Joseph Thomas	PA	Pain Medicine (Anesthesiology) Physician	$171.5K	$980
Richard Spector	PA	Psychiatry Physician	$131.7K	$0
Frederick Tomassi	PA	Podiatrist	$59K	$0
Nirali Shah	PA	Foot & Ankle Surgery Podiatrist	$47.7K	$0
Richard Dibacco	PA	Foot Surgery Podiatrist	$45.5K	$0

Millcreek Community Hospital — Billing Profile & Reimbursement Data

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Millcreek Community Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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