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.

Holy Redeemer Health System (NPI 1750371522)

Field	Value
Entity Type	Organization
Organization	Holy Redeemer Health System
Address	1648 Huntingdon Pike
City	Meadowbrook
State	PA
ZIP	19046
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 24, 2005

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

148 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.	18,140	$220	$4M
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.	10,750	$200	$2.1M
G0378	Hospital observation service, per hour	1,140	$1,120	$1.3M
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.	2,810	$100	$272.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,160	$60	$229K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	1,850	$110	$199.5K
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)…	2,890	$70	$187.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,680	$90	$156.1K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2,470	$40	$108.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3,250	$30	$84.4K

Showing 1–10 of 148

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

Holy Redeemer Health System — 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

148 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	51	150	510	$870	$1.4M
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.	174	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…	100	200	990	$70	$517.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	106	410	1,130	$60	$455.4K
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.	116	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.	47	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.	566	1,230	250	$130	$284K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	269	710	320	$40	$241.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	60	90	440	$120	$162.5K
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)…	9	80	420	$100	$130.6K

Showing 1–10 of 148

Related Providers

Other providers that share a Tax Identification Number (TIN) with Holy Redeemer Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holy Redeemer Ambulatory Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Jascha Rubin	PA	Hematology & Oncology Physician	$747.8K	$0
Caitlin Hardy	NJ	Diagnostic Radiology Physician	$468.5K	$0
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Bruce Klugherz	PA	Cardiovascular Disease Physician	$425.7K	$0
Felicie Wyatt	MS	Internal Medicine Physician	$376.9K	$0
Walter Dearolf	PA	Orthopaedic Surgery Physician	$317.3K	$840
Monil Shah	PA	Internal Medicine Physician	$292.7K	$0
John Beight	PA	Orthopaedic Surgery Physician	$279.5K	$1.2K
Alex Mepari	PA	Internal Medicine Physician	$242.1K	$22K

Nearby Providers

Other providers in the same ZIP code as Holy Redeemer Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Home Health Care Inc.	PA	Home Health Agency	$0	$26.3M
Philadelphia Home Health Services, LLC	PA	In Home Supportive Care Agency	$0	$25.7M
Philadelphia Home Care Agency, Inc	PA	Home Health Agency	$0	$18.8M
Helping Hand Home Health Care Agency, Inc.	PA	Home Health Agency	$0	$16.4M
Union Home Care LLC	PA	Home Health Agency	$0	$7.9M
Firstaff Nursing Services, Inc.	PA	Home Health Agency	$0	$6.9M
Simon Galapo	PA	Specialist	$759.5K	$0
Deirdre Reid-fighera	PA	Rheumatology Physician	$610.2K	$0
Mark Pyfer	PA	Ophthalmology Physician	$496.7K	$0
Stuart Lubinski	PA	Gastroenterology Physician	$443.9K	$0

Holy Redeemer Health System — Billing Profile & Reimbursement Data

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Holy Redeemer Health System — 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