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.

University Of Penn-medical Group (NPI 1558759571)

University Of Penn-medical Group is a diagnostic radiology physician provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 91 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	University Of Penn-medical Group
Address	3400 Spruce St
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	December 29, 2014

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	46,450	$80	$3.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	52,880	$40	$2.2M
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	33,370	$60	$2M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	176,620	$10	$1.2M
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…	18,270	$40	$657.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	60,030	$10	$600.3K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	9,690	$60	$561.8K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	18,260	$30	$529.7K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	10,490	$50	$492.8K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	12,510	$40	$450.4K

Showing 1–10 of 91

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

University Of Penn-medical Group — 25 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1	480	260	$90	$115.3K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	5	50	100	$500	$107.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	4	150	130	$180	$95K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	2	10	160	$460	$71.6K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	7	140	100	$160	$71.3K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	2	40	80	$270	$71.2K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	1	20	40	$400	$70.5K
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…	6	370	250	$50	$64.7K
73701	In this procedure, the provider performs a computed tomography, or CT, scan of a patient’s lower extremity using contrast material. The provider performs this radiology procedure for diagnosis of a…	2	10	100	$70	$57.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2	510	250	$40	$56.2K

Showing 1–10 of 91

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Trustees Of The University Of Pennsylvania	PA	General Acute Care Hospital	$0	$84M
University Of Penn-medical Group	PA	Emergency Medicine Physician	$0	$21.5M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Trustees Of The University Of Pennsylvania	PA	Home Infusion Agency	$159.1K	$7.2M
Peter Bracha	FL	Retina Specialist (Ophthalmology) Physician	$4M	$0
Bruce Saran	PA	Ophthalmology Physician	$2.9M	$0
University Of Penn-medical Group	PA	Clinical Medical Laboratory	$1.2M	$1.3M
Jason Ruggiero	VA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Aimee Krausz	PA	Dermatology Physician	$1.4M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Philadelphia	PA	Children's Hospital	$0	$286.9M
House House Rehabilitation Services	PA	Community/Behavioral Health Agency	$0	$32.8M
Childrens Health Care Associates, Inc	PA	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$24.2M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	General Acute Care Hospital	$0	$23.3M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Tricounty Medical Equipment And Supply, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Dunbar Strategic Consulting Group	PA	Community/Behavioral Health Agency	$0	$10.8M
Intercultural Family Services, Inc.	PA	Health Service Psychologist	$0	$10.7M
Aspire Autism Inc.	PA	Community/Behavioral Health Agency	$0	$9.9M
Childrens Health Care Associates, Inc	PA	Neonatal-Perinatal Medicine Physician	$0	$8.8M

University Of Penn-medical Group — Billing Profile & Reimbursement Data

Sign up for University Of Penn-medical Group — Billing Profile & Reimbursement Data policy alerts

University Of Penn-medical Group — Billing Profile & Reimbursement Data

Sign up for University Of Penn-medical Group — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References