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.

Mercy Catholic Medical Center Of Southeastern PA (NPI 1730173550)

Field	Value
Entity Type	Organization
Organization	Mercy Catholic Medical Center Of Southeastern PA
Address	1500 Lansdowne Ave
City	Darby
State	PA
ZIP	19023
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

214 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,330	$270	$6.8M
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.	17,540	$310	$5.4M
G0378	Hospital observation service, per hour	2,210	$1,770	$3.9M
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.	6,950	$340	$2.4M
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.	8,740	$250	$2.2M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	990	$1,550	$1.5M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	940	$1,580	$1.5M
T1015	Clinic visit/encounter, all-inclusive	7,540	$110	$829.3K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	220	$1,250	$277.9K
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…	2,270	$100	$222.8K

Showing 1–10 of 214

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

Mercy Catholic Medical Center Of Southeastern PA — 4 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

214 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	32	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	265	1,690	760	$170	$1.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	86	130	310	$60	$769.3K
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.	91	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…	60	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.	76	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.	29	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…	46	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.	93	1,230	250	$130	$284K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	262	420	650	$180	$270.2K

Showing 1–10 of 214

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Catholic Medical Center Of Southeastern PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rafael Amaral	PA	Gastroenterology Physician	$63.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Catholic Medical Center Of Southeastern PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health Mid-atlantic Medical Group	PA	Emergency Medicine Physician	$0	$9.8M
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

Mercy Catholic Medical Center Of Southeastern PA — Billing Profile & Reimbursement Data

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Mercy Catholic Medical Center Of Southeastern PA — 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