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.

Abington Memorial Hospital (NPI 1811992084)

Field	Value
Entity Type	Organization
Organization	Abington Memorial Hospital
Address	1200 Old York Rd
City	Abington
State	PA
ZIP	19001
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 15, 2005

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,900	$230	$5.8M
G0378	Hospital observation service, per hour	4,690	$760	$3.6M
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.	9,620	$270	$2.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,230	$70	$477K
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.	3,010	$160	$470.2K
T1015	Clinic visit/encounter, all-inclusive	7,200	$60	$431.8K
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.	2,850	$150	$421.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,590	$90	$233.4K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	2,810	$70	$207.7K
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…	2,330	$70	$158.6K

Showing 1–10 of 253

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

Abington Memorial Hospital — 2 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	13	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	271	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…	89	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.	71	210	730	$40	$689.7K
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…	24	70	620	$60	$464.8K
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…	262	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.	44	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.	100	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.	151	1,230	250	$130	$284K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	31	100	330	$40	$166K

Showing 1–10 of 253

Related Providers

Other providers that share a Tax Identification Number (TIN) with Abington Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Jefferson University Hospitals Inc	PA	General Acute Care Hospital	$0	$40.3M
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Joshua Cantor	PA	Anatomic Pathology & Clinical Pathology Physician	$2.2M	$140.6K
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Vamshi Mallavarapu	PA	Cardiovascular Disease Physician	$564K	$3.2K
Eric Rosenwinkel	PA	Clinical Cardiac Electrophysiology Physician	$505.7K	$0
Robert O'sullivan	PA	Cardiovascular Disease Physician	$477.5K	$0
Stuart Lubinski	PA	Gastroenterology Physician	$443.9K	$0
David Craft	PA	Orthopaedic Surgery Physician	$432.3K	$0
Bruce Klugherz	PA	Cardiovascular Disease Physician	$425.7K	$0

Nearby Providers

Other providers in the same ZIP code as Abington Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Sasso	PA	Specialist	$1.4M	$0
Patrick Fall	PA	Anesthesiology Physician	$1.4M	$0
Jeremy Jaffe	PA	Specialist	$862K	$0
Jennifer Weed	PA	Nurse Practitioner	$413.1K	$1.1K
Peter Villas	PA	Diagnostic Radiology Physician	$376.5K	$50
Michael Giuliani	PA	Physical Therapist	$314K	$0
Brad Klein	PA	Neurology Physician	$275.6K	$0
Phuong Tien	PA	Family Medicine Physician	$243.5K	$16.3K
Wayne Pinover	PA	Radiation Oncology Physician	$255.8K	$0
James Cook	PA	Neurology Physician	$241.3K	$0

Abington Memorial Hospital — Billing Profile & Reimbursement Data

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Abington Memorial Hospital — 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