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.

Trinity Health Mid-atlantic Medical Group (NPI 1588694111)

Field	Value
Entity Type	Organization
Organization	Trinity Health Mid-atlantic Medical Group
Address	1500 Lansdowne Ave
City	Darby
State	PA
ZIP	19023
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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.	45,470	$90	$4.2M
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.	30,500	$100	$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.	34,750	$70	$2.3M
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.	2,730	$50	$125.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	110	$190	$19.5K
99441	N/A	210	$40	$8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	550	$10	$2.7K
99443	N/A	80	$40	$2.7K
99220	N/A	10	$150	$2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1K

Showing 1–10 of 12

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

Trinity Health Mid-atlantic Medical Group — 3 of 10 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	25	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.	17	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.	19	1,230	250	$130	$284K
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.	47	340	250	$80	$89K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	108	250	80	$140	$74.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,255	1,300	110	$40	$41.5K
99220	N/A	34	40	70	$90	$23.2K
99443	N/A	14	40	40	$40	$11.4K
99441	N/A	12	70	50	$10	$2.2K
99053	The provider renders overnight services at a 24 hour facility.	5	30	50	$1	$1.9K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Trinity Health Mid-atlantic Medical Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Haytham Albizem	PA	Cardiovascular Disease Physician	$1.2M	$5.7K
Catherine Prince	CA	Cardiovascular Disease Physician	$1.1M	$0
Jascha Rubin	PA	Hematology & Oncology Physician	$747.8K	$0
Lincoln Pao	CO	Radiation Oncology Physician	$745.3K	$0
Adam Levine	NJ	Interventional Cardiology Physician	$530.6K	$0
Hiral Fontanilla	NJ	Radiation Oncology Physician	$443.4K	$0
Devender Akula	NJ	Clinical Cardiac Electrophysiology Physician	$425.7K	$0
Amanpreet Gill	NJ	Adult Health Clinical Nurse Specialist	$341.4K	$22.2K
Daniel Shanin	RI	Emergency Medicine Physician	$22.9K	$334.5K
Thierry Momplaisir	FL	Interventional Cardiology Physician	$289K	$0

Nearby Providers

Other providers in the same ZIP code as Trinity Health Mid-atlantic Medical Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Catholic Medical Center Of Southeastern PA	PA	General Acute Care Hospital	$0	$27.8M
Caresify LLC	PA	In Home Supportive Care Agency	$0	$9.5M
Advanced Hhs LLC	PA	Home Health Agency	$0	$7.6M
Cory Hawley	PA	Foot & Ankle Surgery Podiatrist	$1.4M	$110
Chad Metzger	PA	Interventional Pain Medicine Physician	$471.1K	$0
Malgorzata Goralczyk	PA	Diagnostic Radiology Physician	$247.7K	$0
Frank Ziskowski	PA	Podiatrist	$215.7K	$0
Lorenzo Galindo	PA	Anatomic Pathology & Clinical Pathology Physician	$210.3K	$0
Michael Korman	PA	Pulmonary Disease Physician	$199.2K	$0
William Urbas	PA	Foot & Ankle Surgery Podiatrist	$186.6K	$530

Trinity Health Mid-atlantic Medical Group — Billing Profile & Reimbursement Data

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Trinity Health Mid-atlantic Medical Group — 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