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.

Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1790737468)

Field	Value
Entity Type	Organization
Organization	Clinical Care Associates Of The University Of Pennsylvania Health Syst
Address	150 Monument Rd Fl 4
City	Bala Cynwyd
State	PA
ZIP	19004
Taxonomy	Hospitalist Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	44,800	$70	$3.2M
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.	18,610	$70	$1.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	16,180	$60	$922K
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…	10,350	$60	$610.9K
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.	6,470	$80	$530.5K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	380	$1,370	$524.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	7,430	$70	$490.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,610	$120	$187.1K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	90	$1,520	$134.1K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	1,160	$110	$128.9K

Showing 1–10 of 65

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

Clinical Care Associates Of The University Of Pennsylvania Health Syst — 13 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	97	160	2,180	$80	$965.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	8	20	100	$680	$589.6K
S9083	Global fee urgent care centers	248	400	360	$110	$571.8K
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.	73	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.	498	1,060	150	$130	$405.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	916	1,410	820	$160	$353.5K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	21	30	180	$570	$331.3K
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.	97	1,230	250	$130	$284K
J0585	Injection, onabotulinumtoxina, 1 unit	25	30	270	$330	$220.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	225	980	310	$50	$136.6K

Showing 1–10 of 65

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clinical Care Associates Of The University Of Pennsylvania Health Syst, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youval Katz	PA	Hematology & Oncology Physician	$982.3K	$0
Sparsha Kukunoor	PA	Hematology & Oncology Physician	$813K	$300
John Youssef	PA	Hematology & Oncology Physician	$548.6K	$0
Matthew Naegle	PA	Rheumatology Physician	$433.1K	$0
Carlin Mclaughlin	PA	Hematology & Oncology Physician	$374.9K	$0
Hammad Raza	PA	Hospitalist Physician	$238.3K	$60.1K
Ibrahim Usman-oyowe	IL	Physical Medicine & Rehabilitation Physician	$279.2K	$0
Neil Levin	PA	Nuclear Cardiology Physician	$255.2K	$630
Adi Ganz	NJ	Cardiovascular Disease Physician	$244.5K	$560
Parul Patel	PA	Cardiovascular Disease Physician	$219.9K	$350

Nearby Providers

Other providers in the same ZIP code as Clinical Care Associates Of The University Of Pennsylvania Health Syst, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$104.4M
Preferred Home Health Care & Nursing Services Inc	PA	Home Health Agency	$0	$30.8M
365 Health Services LLC	PA	Home Health Agency	$0	$26.7M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$21.8M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$17.8M
Behavior Analysis & Therapy Partners	PA	Psychologist	$0	$9.8M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	Home Health Agency	$0	$6.5M
Main Line Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$4.7M	$57.7K
Carolyn Glazer-hockstein	PA	Ophthalmology Physician	$1.8M	$0
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K

Clinical Care Associates Of The University Of Pennsylvania Health Syst — 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