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.

Scranton Primary Health Care Center, Inc. (NPI 1801871579)

Field	Value
Entity Type	Organization
Organization	Scranton Primary Health Care Center, Inc.
Address	959 Wyoming Ave
City	Scranton
State	PA
ZIP	18509
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	63,260	$110	$6.8M
0012A	N/A	660	$40	$23.6K
0011A	N/A	590	$30	$17.2K
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…	13,010	$1	$13K
0001A	N/A	250	$40	$9.3K
0002A	N/A	230	$40	$9.1K
0064A	N/A	120	$40	$4.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,910	$1	$2.9K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	140	$20	$2.6K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	60	$40	$2.2K

Showing 1–10 of 91

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

Scranton Primary Health Care Center, Inc. — 3 of 17 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	41	1,690	760	$170	$1.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	100	820	230	$80	$71.7K
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…	523	8,160	210	$60	$68.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	129	660	180	$70	$63.7K
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…	173	8,870	240	$40	$56.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	169	710	230	$70	$49.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	45	870	160	$70	$48.2K
D2392	Post 2 surface resin‑based composite	209	960	190	$70	$35.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	54	730	90	$70	$31.5K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	20	20	50	$130	$31.1K

Showing 1–10 of 91

Nearby Providers

Other providers in the same ZIP code as Scranton Primary Health Care Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Pennsylvania Center For Independent Living	PA	Supports Brokerage Agency	$0	$227.5M
St. Joseph's Center	PA	Intellectual Disabilities Intermediate Care Facility	$0	$12.4M
Aaron Center, Inc.	PA	Psychiatry Physician	$0	$8M
Lackawanna Mobile X-ray Inc	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$316.5K
The Scranton PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$771.8K	$0
Mark Cruciani	PA	Rheumatology Physician	$413.9K	$0
Lackawanna Mobile X-ray, Inc.	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$216.7K	$260
David Rutta	PA	Gastroenterology Physician	$134.3K	$0
Christopher Brozena	PA	Physical Therapist	$122.3K	$0
Elmo Baldassari	PA	Foot & Ankle Surgery Podiatrist	$107.4K	$1.7K

Scranton Primary Health Care Center, Inc. — Billing Profile & Reimbursement Data

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Scranton Primary Health Care Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Scranton Primary Health Care Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References