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.

James Cosgrove (NPI 1881631562)

Field	Value
Entity Type	Individual
Organization	James Cosgrove
Address	1501 Lansdowne Ave Ste 302
City	Darby
State	PA
ZIP	19023
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicare	$5.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$100	$2.7K
99204	The provider sees a new 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 provider…	10	$130	$1.7K
57410	In this procedure, the physician examined the female genital organs while the patient is under anesthesia other than local.	10	$70	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

James Cosgrove — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19,400	23,230	100	$80	$14.5K
99204	8,943	10,290	30	$110	$5K
57410	1	10	10	$70	$810

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Trinity Health Mid-atlantic Medical Group	PA	Emergency Medicine Physician	$0	$9.8M
St Francis Hospital Inc	DE	Ambulance	$0	$3.8M
St. Francis Hospital Inc.	DE	Family Medicine Physician	$0	$1.9M
Haytham Albizem	PA	Cardiovascular Disease Physician	$1.2M	$5.7K
Catherine Prince	CA	Cardiovascular Disease Physician	$1.1M	$0
Jascha Rubin	PA	Hematology & Oncology Physician	$747.8K	$0
Lincoln Pao	CO	Radiation Oncology Physician	$745.3K	$0
St Francis Hospital Inc	DE	Obstetrics & Gynecology Physician	$0	$711.4K
Adam Levine	NJ	Interventional Cardiology Physician	$530.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Catholic Medical Center Of Southeastern PA	PA	General Acute Care Hospital	$0	$27.8M
Caresify LLC	PA	In Home Supportive Care Agency	$0	$9.5M
Advanced Hhs LLC	PA	Home Health Agency	$0	$7.6M
Cory Hawley	PA	Foot & Ankle Surgery Podiatrist	$1.4M	$110
Chad Metzger	PA	Interventional Pain Medicine Physician	$471.1K	$0
Malgorzata Goralczyk	PA	Diagnostic Radiology Physician	$247.7K	$0
Frank Ziskowski	PA	Podiatrist	$215.7K	$0
Lorenzo Galindo	PA	Anatomic Pathology & Clinical Pathology Physician	$210.3K	$0
Michael Korman	PA	Pulmonary Disease Physician	$199.2K	$0
William Urbas	PA	Foot & Ankle Surgery Podiatrist	$186.6K	$530

James Cosgrove — Billing Profile & Reimbursement Data

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James Cosgrove — 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