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.

Prospect Dcmh, LLC (NPI 1548624851)

Field	Value
Entity Type	Organization
Organization	Prospect Dcmh, LLC
Address	501 N Lansdowne Ave
City	Drexel Hill
State	PA
ZIP	19026
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 12, 2016

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	1,350	$2,280	$3.1M
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.	6,330	$300	$1.9M
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.	4,780	$290	$1.4M
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.	4,840	$260	$1.3M
99281	The provider sees a patient for the lowest level emergency department visit.	1,250	$290	$357.2K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	830	$260	$219.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	760	$290	$217K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,650	$130	$207.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	930	$190	$172.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	510	$320	$161.1K

Showing 1–10 of 135

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

Prospect Dcmh, LLC — 0 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

135 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	47	150	510	$870	$1.4M
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.	158	210	730	$40	$689.7K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	164	290	710	$300	$631.5K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	149	390	510	$250	$557.8K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	63	70	620	$60	$464.8K
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.	185	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.	138	1,060	150	$130	$405.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	40	60	430	$200	$354.2K
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.	115	1,230	250	$130	$284K
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.	954	980	310	$50	$136.6K

Showing 1–10 of 135

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Specialists LLC	PA	Home Health Agency	$0	$7.4M
Conrad Benedetto	PA	MOHS-Micrographic Surgery Physician	$462.3K	$0
Julia Siegerman	PA	Foot & Ankle Surgery Podiatrist	$320.5K	$0
Pennsylvania Cvs Pharmacy LLC	PA	Pharmacy	$201.5K	$0
Drew Barnabei	PA	Physical Therapist	$167.3K	$0
Pennsylvania Cvs Pharmacy, L.L.C.	PA	Pharmacy	$166K	$0
Edward Villanueva	PA	Podiatrist	$151.1K	$14K
Sarah Hayes	PA	Physician Assistant	$152.8K	$0
M Michels	PA	Optometrist	$97.5K	$41.4K
Michele Kossey	PA	Emergency Medicine Physician	$112.6K	$610

Prospect Dcmh, LLC — Billing Profile & Reimbursement Data

Sign up for Prospect Dcmh, LLC — Billing Profile & Reimbursement Data policy alerts

Prospect Dcmh, LLC — Billing Profile & Reimbursement Data

Sign up for Prospect Dcmh, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References