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.

Jefferson Regional Medical Center (NPI 1578560504)

Field	Value
Entity Type	Organization
Organization	Jefferson Regional Medical Center
Address	565 Coal Valley Rd
City	Clairton
State	PA
ZIP	15025
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 6, 2005

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	4,030	$880	$3.5M
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.	20,450	$150	$3M
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.	12,150	$140	$1.7M
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.	12,170	$120	$1.4M
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.	3,130	$120	$372.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,870	$20	$213.6K
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)…	2,540	$80	$208.1K
0241U	N/A	2,340	$70	$154.5K
T1015	Clinic visit/encounter, all-inclusive	3,100	$50	$148.6K
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.	18,200	$10	$127.4K

Showing 1–10 of 253

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

Jefferson Regional Medical Center — 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	18	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	465	1,690	760	$170	$1.2M
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.	60	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…	99	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.	104	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.	81	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…	49	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.	30	1,230	250	$130	$284K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80	100	330	$40	$166K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	55	60	110	$220	$151.2K

Showing 1–10 of 253

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jefferson Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Penn Allegheny Health System Inc.	PA	General Acute Care Hospital	$0	$8.2M
Richard Kim	SC	Rheumatology Physician	$3.6M	$0
Thierry Verstraeten	PA	Ophthalmology Physician	$894.3K	$45K
Allegheny Clinic	PA	Radiology Clinic/Center	$842K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Carol Mayfield	PA	Family Nurse Practitioner	$568.5K	$0
Angela Stupi	PA	Rheumatology Physician	$472.5K	$27.1K
Lynette Judy	PA	Nurse Practitioner	$461.1K	$0
Bruce Cotugno	PA	Neurology Physician	$301.4K	$143.4K
Allegheny Clinic	PA	Ambulatory Surgical Clinic/Center	$434.8K	$0

Nearby Providers

Other providers in the same ZIP code as Jefferson Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Borough Of Jefferson Ambulance Association Inc	PA	Land Ambulance	$421.7K	$2.4M
Riaz Rahman	PA	Interventional Cardiology Physician	$391.5K	$0
Tyler Willenbrink	PA	MOHS-Micrographic Surgery Physician	$262.2K	$0
Feras Aloka	PA	Internal Medicine Physician	$239.1K	$0
Rajesh Mehta	PA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$181.1K	$19K
Gennady Geskin	PA	Cardiovascular Disease Physician	$152.1K	$0
Thomas Baer	PA	Foot & Ankle Surgery Podiatrist	$114.5K	$0
Scott Glazier	PA	Emergency Medicine Physician	$88.8K	$21.7K
Charles Brown	PA	Cardiovascular Disease Physician	$108.6K	$580
Michael Fashho	PA	Critical Care Medicine (Internal Medicine) Physician	$94.3K	$0

Jefferson Regional Medical Center — Billing Profile & Reimbursement Data

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Jefferson Regional Medical Center — 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