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.

Stc Pediatrics LLC (NPI 1902440423)

Stc Pediatrics LLC is a pediatrics physician provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Stc Pediatrics LLC
Address	160 E Erie Ave
City	Philadelphia
State	PA
ZIP	19134
Taxonomy	Pediatrics Physician
NPI Enumerated	October 29, 2019

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17,140	$100	$1.7M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15,570	$100	$1.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	36,850	$40	$1.4M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,210	$90	$1.1M
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…	17,080	$60	$1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,180	$100	$623.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	15,760	$20	$330.9K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	12,160	$20	$243.2K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	30,390	$10	$182.3K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	12,690	$10	$126.9K

Showing 1–10 of 56

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

Stc Pediatrics LLC — 22 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	775	980	310	$50	$136.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	820	230	$80	$71.7K
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…	69	8,160	210	$60	$68.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9	660	180	$70	$63.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	41	8,870	240	$40	$56.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4	870	160	$70	$48.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5	730	90	$70	$31.5K
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…	498	1,410	60	$90	$30.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	423	1,630	90	$30	$22K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4	540	130	$10	$15.3K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stc Pediatrics LLC	PA	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$12.2M
Pratap Reddy	PA	Sleep Medicine (Internal Medicine) Physician	$171.4K	$3.4K
Nabila Chowdhury	PA	Medical Oncology Physician	$117.5K	$0
Steven Smith	PA	Allergy & Immunology Physician	$112.5K	$0
Teresa Carlin	NJ	Emergency Medicine Physician	$55.9K	$0
Ruth Adams	NV	MOHS-Micrographic Surgery Physician	$33.1K	$0
Manjula Balasubramanian	PA	Anatomic Pathology & Clinical Pathology Physician	$10.4K	$0
Boban Abraham	PA	Pediatric Cardiology Physician	$2.9K	$6.8K
Lisa Muraika	PA	Anesthesiology Physician	$8.7K	$0
Harvey Stern	CT	Pediatric Anesthesiology Physician	$7.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum, LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$72.1M
Stc Opco LLC	PA	Children's Hospital	$0	$69.2M
Beacon Point Recovery Center, LLC.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.7M
Citywide Community Counseling Service Inc	PA	Community/Behavioral Health Agency	$0	$22.4M
Davetta Care LLC	PA	In Home Supportive Care Agency	$0	$20.2M
Hispanic Community Counseling Services	PA	Community/Behavioral Health Agency	$0	$15.9M
Comhar Inc	PA	Community/Behavioral Health Agency	$0	$15.3M
Comhar, Inc	PA	Community/Behavioral Health Agency	$0	$5.7M
Vikram Patel	PA	Geriatric Medicine (Family Medicine) Physician	$396.6K	$74.3K
Jonathan Levyn	PA	Family Medicine Physician	$67.5K	$230.4K

Stc Pediatrics LLC — Billing Profile & Reimbursement Data

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Stc Pediatrics LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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