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.

Francis Mccusker (NPI 1821086919)

Field	Value
Entity Type	Individual
Organization	Francis Mccusker
Address	609 W Germantown Pike Ste 210
City	East Norriton
State	PA
ZIP	19403
Taxonomy	Nephrology Physician
NPI Enumerated	October 12, 2005

Payer Source	Total Paid
Medicare	$85.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	140	$300	$42.3K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	60	$240	$13.4K
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…	180	$60	$11K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	120	$90	$10.8K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	80	$60	$4.9K
G0420	Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour	20	$70	$1.5K
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…	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Francis Mccusker — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	133	300	130	$280	$42.3K
99214	7,421	23,230	100	$80	$14.5K
90961	65	230	40	$230	$11K
99232	10,105	10,870	80	$60	$9.6K
99215	1,124	7,170	40	$120	$8.6K
90935	145	360	70	$60	$4.6K
G0420	2	10	20	$80	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaushal Patel	PA	Nephrology Physician	$192.5K	$0
Jay Shah	PA	Nephrology Physician	$171K	$0
Henry Schairer	PA	Nephrology Physician	$160K	$0
Gregory Varghese	PA	Nephrology Physician	$149.3K	$0
Thomas Delgiorno	PA	Nephrology Physician	$147.7K	$0
Paul Robbins	PA	Nephrology Physician	$126.6K	$0
Eric Fels	PA	Nephrology Physician	$123.9K	$0
Frederick Fleszler	PA	Nephrology Physician	$111.3K	$0
Shawn Hazlett	PA	Nephrology Physician	$100.9K	$0
Dana Root	PA	Family Nurse Practitioner	$47K	$0

Nearby Providers

Other providers in the same ZIP code as Francis Mccusker, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eagleville Hospital	PA	Substance Abuse Rehabilitation Facility	$0	$90M
Arc Advocacy Services	PA	Case Management Agency	$0	$25M
Quest Diagnostics Clinical Laboratories Inc	PA	Clinical Medical Laboratory	$74.6K	$22.7M
Child And Family Focus, Inc.	PA	Community/Behavioral Health Agency	$0	$19.4M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$12.2M
East Goshen Pharmacy, LLC	PA	Home Infusion Therapy Pharmacy	$0	$10.1M
Einstein Medical Center Montgomery	PA	General Acute Care Hospital	$0	$7.5M
Avenues Recovery Medical Center At Valley Forge	PA	General Acute Care Hospital	$0	$6.9M
Tracey Evans	PA	Hematology & Oncology Physician	$1.3M	$0
Lower Providence Community Center	PA	Ambulance	$405.5K	$404.1K

Francis Mccusker — Billing Profile & Reimbursement Data

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Francis Mccusker — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References