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.

Westmoreland Regional Hospital (NPI 1689691214)

Field	Value
Entity Type	Organization
Organization	Westmoreland Regional Hospital
Address	532 W Pittsburgh St
City	Greensburg
State	PA
ZIP	15601
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

290 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	10,640	$150	$1.6M
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.	9,340	$110	$998.8K
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.	8,190	$70	$581.4K
G0378	Hospital observation service, per hour	450	$710	$322.3K
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…	3,540	$60	$226.8K
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…	3,020	$60	$190.4K
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.	1,010	$150	$155.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,240	$30	$141.4K
T1015	Clinic visit/encounter, all-inclusive	3,630	$40	$137.9K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	16,940	$10	$135.5K

Showing 1–10 of 290

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

Westmoreland Regional Hospital — 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

290 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	81	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	416	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.	57	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…	54	200	990	$70	$517.5K
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…	21	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.	133	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.	118	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.	61	1,230	250	$130	$284K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32	100	330	$40	$166K
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.	94	480	260	$90	$115.3K

Showing 1–10 of 290

Nearby Providers

Other providers in the same ZIP code as Westmoreland Regional Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Human Services Of Pennsylvania, LLC	PA	Public Health or Welfare Agency	$0	$48M
Westmoreland Casemanagement And Supports, Inc	PA	Case Management Agency	$0	$34.4M
Westmoreland Casemanagement And Supports, Inc.	PA	Case Management Agency	$0	$25M
Clear Day Treatment Of Westmoreland, LLC	PA	Substance Abuse Rehabilitation Facility	$0	$17.7M
Mutual Aid Ambulance Service Inc.	PA	Land Ambulance	$1.9M	$8.1M
Community Psychiatric Centers Outpatient Clinic	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Accessabilities, Inc.	PA	Physical Therapist	$0	$8.3M
Medmark Treatment Centers Of Pennsylvania, Inc.	PA	Methadone Clinic	$102.1K	$7.6M
Pressley Ridge	PA	Community/Behavioral Health Agency	$0	$6.6M
Express Mobile Diagnostic Services, LLC	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.4M	$1.7M

Westmoreland Regional Hospital — Billing Profile & Reimbursement Data

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Westmoreland Regional Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References