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.

York Hospital (NPI 1881617132)

Field	Value
Entity Type	Organization
Organization	York Hospital
Address	1001 S George St
City	York
State	PA
ZIP	17403
Taxonomy	Family Medicine Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	35,040	$80	$2.7M
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.	34,730	$70	$2.4M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	13,330	$40	$546.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,670	$60	$105.1K
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.	2,250	$40	$94.4K
D0140	Limited oral evaluation – problem focused	1,550	$40	$63.6K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,500	$40	$55.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	740	$40	$25.7K
D0120	Periodic oral evaluation - established patient	920	$20	$22K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	2,590	$10	$18.1K

Showing 1–10 of 27

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

York Hospital — 4 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	32	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.	208	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.	17	1,230	250	$130	$284K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	207	250	80	$140	$74.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	13	490	320	$40	$55.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	67	710	230	$70	$49.7K
D2392	Post 2 surface resin‑based composite	413	960	190	$70	$35.1K
D1120	Prophylaxis–child	539	1,240	220	$30	$30.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	368	980	260	$20	$25K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	430	1,640	300	$30	$24.7K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
York Hospital	PA	General Acute Care Hospital	$0	$40.7M
Wellspan Medical Group	PA	Psychiatry Physician	$0	$22.3M
Wellspan Medical Group	PA	Pediatrics Physician	$0	$9.9M
York Hospital	ME	General Acute Care Hospital	$0	$5.8M
George Gentchos	NJ	Diagnostic Radiology Physician	$335.4K	$0
Brian Keroack	ME	Specialist	$326.6K	$0
Edward Fels	ME	Specialist	$266.6K	$0
Peter Dourdoufis	NH	Cardiovascular Disease Physician	$254.4K	$0
Jeffrey Colnes	ME	Cardiovascular Disease Physician	$226K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family First Health Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$6.4M
Haiyun Wang	PA	Hematology & Oncology Physician	$2M	$0
Joyce Huang	PA	Hematology & Oncology Physician	$1.7M	$0
Joseph Kannarkatt	PA	Hematology & Oncology Physician	$1.7M	$0
Chanh Huynh	PA	Hematology & Oncology Physician	$1.4M	$430
Dan Sotirescu	PA	Hematology & Oncology Physician	$1.4M	$0
Apple Hill Surgical Center Partners	PA	Ambulatory Surgical Clinic/Center	$996.2K	$283.1K
Daniel Efiom-ekaha	PA	Hematology & Oncology Physician	$1.2M	$0
Creston Tate	PA	Family Medicine Physician	$18.1K	$1.1M
Grigori Okoev	PA	Hematology & Oncology Physician	$905.2K	$0

York Hospital — Billing Profile & Reimbursement Data

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York 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