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.

Dlp Conemaugh Memorial Medical Center LLC (NPI 1801897038)

Field	Value
Entity Type	Organization
Organization	Dlp Conemaugh Memorial Medical Center LLC
Address	1086 Franklin St
City	Johnstown
State	PA
ZIP	15905
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicaid	$18.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

422 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	26,480	$60	$1.7M
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.	10,770	$160	$1.7M
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.	12,230	$120	$1.4M
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…	15,080	$90	$1.4M
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.	17,470	$80	$1.4M
G0378	Hospital observation service, per hour	980	$650	$639.9K
X0621	N/A	2,320	$240	$554.2K
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.	2,530	$160	$409.2K
U0005	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, cdc or non-cdc,…	13,540	$20	$270.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	64,860	$1	$259.4K

Showing 1–10 of 422

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

Dlp Conemaugh Memorial Medical Center LLC — 7 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

422 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	57	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	118	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…	52	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.	32	210	730	$40	$689.7K
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	8	10	1,270	$340	$567.5K
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…	18	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…	23	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.	103	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.	52	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.	59	1,230	250	$130	$284K

Showing 1–10 of 422

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dlp Conemaugh Memorial Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yasser Salem	CA	Surgery Physician	$170.6K	$1.8M
Adam Duhl	NJ	Maternal & Fetal Medicine Physician	$128.8K	$1.5M
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Hany Shanoudy	PA	Cardiovascular Disease Physician	$571.3K	$108.8K
Michael Larkin	PA	Cardiovascular Disease Physician	$414.1K	$192.2K
Salman Lateef	PA	Hospitalist Physician	$538.3K	$35.1K
Michael Amponsah	AZ	Interventional Cardiology Physician	$534.1K	$4.7K
Archana Sodagam	MD	Cardiovascular Disease Physician	$483.8K	$0
Ibrahim Sbeitan	PA	Hematology & Oncology Physician	$236.6K	$200.4K
Shalini Chabra	AZ	Diagnostic Radiology Physician	$382.1K	$0

Nearby Providers

Other providers in the same ZIP code as Dlp Conemaugh Memorial Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of Pittsburgh, Inc.	PA	Home Health Agency	$0	$9.6M
Matthew Zajdel	PA	Family Medicine Physician	$260.6K	$2.6M
Mieka Shuman	PA	General Practice Physician	$403.1K	$0
Sadaquat Liaqat	PA	Internal Medicine Physician	$319.4K	$0
St Georges Lab LLC	PA	Clinical Medical Laboratory	$146.2K	$96.6K
Samir Kodsi	PA	Diagnostic Radiology Physician	$231.3K	$0
Anwar Hussain	PA	Cardiovascular Disease Physician	$178.2K	$7.9K
Cyril Nathaniel	PA	Interventional Cardiology Physician	$167K	$10.7K
Richard Kastelic	PA	Family Medicine Physician	$113.3K	$56.6K
Charles Oschwald	PA	Cardiovascular Disease Physician	$147.3K	$7.8K

Dlp Conemaugh Memorial Medical Center LLC — Billing Profile & Reimbursement Data

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Dlp Conemaugh Memorial Medical Center LLC — 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