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.

Trustees Of The University Of Pennsylvania (NPI 1851370910)

Field	Value
Entity Type	Organization
Organization	Trustees Of The University Of Pennsylvania
Address	3400 Spruce St
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 16, 2006

Payer Source	Total Paid
Medicaid	$84M
Medicare	$0

Key Findings

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA shows no Medicare billing on file and is effectively a single-payer Medicaid provider in the available dataset, reporting Total Medicaid revenue of $84M with no Medicare revenue reported. This makes Medicaid the sole visible public-payer revenue stream for analyst review and benchmarking.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three codes account for 49.7% of this provider's total Medicaid revenue, led by G0378 ($14.4M, 21.4%), 99284 ($9.6M, 14.2%), and 99283 ($9.5M, 14.1%). This concentration indicates that a plurality of Medicaid dollars are driven by observation and emergency department evaluation-and-management services.

Operationally the code mix points to a high-volume emergency and observation footprint: G0378 (Hospital observation service, per hour) has 11.9K claims, and the ED E/M codes 99284, 99283, and 99285 each appear with roughly 43.4K–43.3K claims and combined represent a material share of revenue. Such volumes suggest sustained throughput in the emergency department and use of observation status as a care pathway rather than elective or ambulatory outpatient predominance.

Several codes are extreme outliers versus in-state peers, underlining the provider's dominant role in specific service lines: G0378 ranks #3 of 149 providers in-state (99th percentile; extreme outlier), 99284 ranks #29 of 1604 (98th percentile; extreme outlier), and 99283 ranks #11 of 1063 (99th percentile; extreme outlier). These percentile and rank placements indicate this provider operates at much higher state-level volumes for observation and ED services than typical peers.

Beyond ED/observation, there is notable high-cost infusion and specialty procedure activity supporting Medicaid revenue. J2350 (ocrelizumab) generates $6.4M (9.5% of Medicaid revenue) and ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume), while J9271 (pembrolizumab) contributes $2M (3.0%) and ranks #2 of 24 (96th percentile), signaling significant specialty drug administration and oncology/infusion capacity.

Laboratory and routine-service volumes are also outsized in places: 36415 (venipuncture) shows 109.2K claims and $327.6K revenue, ranking #2 of 675 providers in-state (100th percentile; extreme outlier), which reflects very large patient throughput that supports both ED/observation workflows and inpatient/ambulatory services. High counts for basic services like venipuncture are consistent with a large acute-care hospital handling many Medicaid encounters.

Other mid-tier codes reflect a broad diagnostic and procedural portfolio consistent with an academic medical center: notable entries include advanced imaging and therapeutics such as 74177 (3.9K claims, $672.3K), 70553 (1.7K claims, $497K), and 78815 (493 claims, $395.4K), generally ranking in the upper percentiles statewide. These placements suggest robust ancillary service lines (imaging, radiation, PET/CT) that complement the ED/observation-dominated revenue mix.

The provider's NPI tenure (enumerated 2006-01-16, approximately 20 years ago) indicates an established presence in the market, and the combination of long tenure plus the observed statewide high-percentile ranks positions this entity as a mature, high-volume Medicaid provider in Pennsylvania. Analysts should treat reimbursement and utilization patterns here as reflecting sustained operational scale rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

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

582 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	11,900	$1,210	$14.4M
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.	43,420	$220	$9.6M
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.	43,360	$220	$9.5M
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.	43,320	$220	$9.3M
J2350	Injection, ocrelizumab, 1 mg	1,080	$5,930	$6.4M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	710	$3,110	$2.2M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	5,170	$410	$2.1M
J9271	Injection, pembrolizumab, 1 mg	1,830	$1,090	$2M
P9040	Red blood cells, leukocytes reduced, irradiated, each unit	1,720	$1,070	$1.8M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	700	$2,410	$1.7M

Showing 1–10 of 582

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

Trustees Of The University Of Pennsylvania — 11 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

582 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	4	10	280	$2,940	$5.9M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	16	60	2,400	$450	$2.6M
A0434	Specialty care transport (sct)	14	10	350	$20	$2M
J2350	Injection, ocrelizumab, 1 mg	1	10	170	$6,410	$1.9M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	3	150	510	$870	$1.4M
H2011	Crisis intervention service, per 15 minutes	44	70	2,210	$250	$1.3M
T1015	Clinic visit/encounter, all-inclusive	323	1,690	760	$170	$1.2M
A0436	Rotary wing air mileage, per statute mile	4	10	240	$690	$1.2M
J9271	Injection, pembrolizumab, 1 mg	2	20	420	$1,230	$827.7K

Showing 1–10 of 582

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Penn-medical Group	PA	Emergency Medicine Physician	$0	$21.5M
University Of Penn-medical Group	PA	Diagnostic Radiology Physician	$0	$17.7M
Trustees Of The University Of Pennsylvania	PA	Home Infusion Agency	$159.1K	$7.2M
University Of Penn-medical Group	PA	Clinical Medical Laboratory	$1.2M	$1.3M
Jeffrey Luebbert	PA	Clinical Cardiac Electrophysiology Physician	$273.8K	$0
Et-tsu Chen	PA	Radiation Oncology Physician	$163.4K	$0
Jacob Dubroff	PA	Nuclear Radiology Physician	$157.1K	$0
Evan Siegelman	PA	Diagnostic Radiology Physician	$146.3K	$0
Joseph Bavaria	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$145.2K	$0
David Bozentka	PA	Orthopaedic Hand Surgery Physician	$141.2K	$0

Nearby Providers

Other providers in the same ZIP code as Trustees Of The University Of Pennsylvania, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Philadelphia	PA	Children's Hospital	$0	$286.9M
House House Rehabilitation Services	PA	Community/Behavioral Health Agency	$0	$32.8M
Childrens Health Care Associates, Inc	PA	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$24.2M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	General Acute Care Hospital	$0	$23.3M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Tricounty Medical Equipment And Supply, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Dunbar Strategic Consulting Group	PA	Community/Behavioral Health Agency	$0	$10.8M
Intercultural Family Services, Inc.	PA	Health Service Psychologist	$0	$10.7M
Aspire Autism Inc.	PA	Community/Behavioral Health Agency	$0	$9.9M
Childrens Health Care Associates, Inc	PA	Neonatal-Perinatal Medicine Physician	$0	$8.8M

Trustees Of The University Of Pennsylvania — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References