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.

Lehigh Valley Hospital Hazleton (NPI 1548322720)

Field	Value
Entity Type	Organization
Organization	Lehigh Valley Hospital Hazleton
Address	700 E Broad St
City	Hazleton
State	PA
ZIP	18201
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	22,430	$150	$3.4M
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.	16,950	$120	$2M
T1015	Clinic visit/encounter, all-inclusive	31,530	$40	$1.3M
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.	3,360	$150	$496.8K
G0378	Hospital observation service, per hour	430	$800	$345.1K
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…	4,980	$70	$343.4K
X0621	N/A	1,280	$230	$292.4K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	2,350	$100	$228.3K
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.	19,590	$10	$195.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	470	$380	$177.6K

Showing 1–10 of 227

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

Lehigh Valley Hospital Hazleton — 1 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

227 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	82	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	94	1,690	760	$170	$1.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	37	130	310	$60	$769.3K
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.	50	210	730	$40	$689.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	104	200	990	$70	$517.5K
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.	56	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.	55	1,060	150	$130	$405.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	188	1,410	820	$160	$353.5K
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.	136	1,230	250	$130	$284K
X0621	N/A	7	30	300	$230	$175.5K

Showing 1–10 of 227

Nearby Providers

Other providers in the same ZIP code as Lehigh Valley Hospital Hazleton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ross M Wezmar, Dds, PC	PA	Pediatric Dentistry	$0	$10.4M
Md Enterprises LLC	PA	In Home Supportive Care Agency	$0	$9.3M
Hazleton Professional Services	PA	Internal Medicine Physician	$0	$8.3M
James Martino	PA	Pulmonary Disease Physician	$263.2K	$13.4K
Jude Sidari	PA	Internal Medicine Physician	$261.1K	$0
Arvind Srinivasan	PA	Urology Physician	$196.8K	$0
Christopher Hartwell	PA	Emergency Medicine Physician	$158.7K	$10.1K
Jeffrey Platek	PA	Physical Therapist	$123.7K	$0
Dilipkumar Patel	PA	Pulmonary Disease Physician	$115.8K	$990
Sarah Seratch	PA	Physical Therapist	$106.6K	$0

Lehigh Valley Hospital Hazleton — Billing Profile & Reimbursement Data

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Lehigh Valley Hospital Hazleton — 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