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.

East Goshen Pharmacy, LLC (NPI 1679531693)

East Goshen Pharmacy, LLC is a home infusion therapy pharmacy provider located in Audubon, Pennsylvania. This profile covers 0 Medicare and 32 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	East Goshen Pharmacy, LLC
Address	970 Rittenhouse Rd Ste 200
City	Audubon
State	PA
ZIP	19403
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	May 1, 2006

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	380	$6,570	$2.5M
S9366	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all…	2,770	$490	$1.4M
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	16,240	$70	$1.1M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	11,210	$90	$986.8K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	6,050	$120	$750.4K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	3,400	$210	$717.4K
S9374	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	2,080	$200	$423.3K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	2,260	$180	$405.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5,700	$60	$364.7K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	2,320	$140	$334.4K

Showing 1–10 of 32

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

East Goshen Pharmacy, LLC — 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	5	10	5,860	$270	$2.5M
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	1	10	380	$6,560	$2.5M
S9366	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all…	3	10	1,800	$540	$1.2M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	24	30	490	$190	$874.5K
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	10	20	180	$470	$766.9K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	3	10	1,770	$190	$570.1K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	3	20	4,620	$80	$561.5K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	3	10	1,640	$270	$514.1K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	8	10	1,120	$330	$484.5K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	6	40	1,050	$130	$467.9K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott-wilson, Inc.	KY	Home Infusion Therapy Pharmacy	$0	$24.5M
Homechoice Partners LLC	VA	Home Infusion Therapy Pharmacy	$0	$23.5M
New England Home Therapies, Inc.	MA	Oxygen Equipment & Supplies (DME)	$0	$23.3M
Infusion Partners LLC	TN	Home Infusion Therapy Pharmacy	$0	$19.8M
Infusion Partners LLC	LA	Home Infusion Therapy Pharmacy	$0	$13.7M
Bioscrip Infusion Services, LLC	FL	Home Infusion Therapy Pharmacy	$0	$12.5M
Knoxville Home Therapies LLC	TN	Home Infusion Therapy Pharmacy	$0	$11.7M
Infuscience, LLC	VA	Home Infusion Therapy Pharmacy	$0	$9.7M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$8.8M
New England Home Therapies, Inc.	MA	Parenteral & Enteral Nutrition Supplies (DME)	$0	$8.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eagleville Hospital	PA	Substance Abuse Rehabilitation Facility	$0	$90M
Arc Advocacy Services	PA	Case Management Agency	$0	$25M
Quest Diagnostics Clinical Laboratories Inc	PA	Clinical Medical Laboratory	$74.6K	$22.7M
Child And Family Focus, Inc.	PA	Community/Behavioral Health Agency	$0	$19.4M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$12.2M
Einstein Medical Center Montgomery	PA	General Acute Care Hospital	$0	$7.5M
Avenues Recovery Medical Center At Valley Forge	PA	General Acute Care Hospital	$0	$6.9M
Tracey Evans	PA	Hematology & Oncology Physician	$1.3M	$0
Lower Providence Community Center	PA	Ambulance	$405.5K	$404.1K
East Norriton Surgical Center, LLC	PA	Ambulatory Surgical Clinic/Center	$772.8K	$0

East Goshen Pharmacy, LLC — Billing Profile & Reimbursement Data

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East Goshen Pharmacy, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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