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.

John Hopkins (NPI 1922060052)

Field	Value
Entity Type	Individual
Organization	John Hopkins
Address	6th Avenue And Spruce Street
City	West Reading
State	PA
ZIP	19611
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicare	$24.7K
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
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	130	$80	$10.1K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	30	$150	$3.9K
00914	The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.	20	$160	$3.4K
00912	The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.	30	$130	$3.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$60	$1.5K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$80	$1.4K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$60	$960

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

John Hopkins — 1 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
00811	1,386	2,050	20	$70	$2.8K
00731	862	2,360	20	$70	$2.1K
01922	212	540	20	$90	$1.7K
00912	10	50	20	$90	$1.7K
00918	10	100	20	$90	$1.6K
00914	4	30	10	$90	$1.5K
00910	1	440	10	$50	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tower Health Medical Group	PA	Emergency Medicine Physician	$0	$8M
Center For Urologic Care Of Berks Co PC	PA	Ambulatory Surgical Clinic/Center	$1.6M	$25.5K
Stephen Longenecker	PA	Orthopaedic Surgery Physician	$543.9K	$0
Jaimie Heckman	PA	Family Nurse Practitioner	$330.8K	$0
Shawn White	PA	Urology Physician	$283.5K	$0
Christopher Testa	PA	Diagnostic Radiology Physician	$278.7K	$0
Arun Kundra	PA	Clinical Cardiac Electrophysiology Physician	$257.8K	$8.3K
Shuaib Latif	CT	Clinical Cardiac Electrophysiology Physician	$248.6K	$10.8K
Melissa Herbein	PA	Family Nurse Practitioner	$247.2K	$0
Li-hong Lu	PA	Physical Medicine & Rehabilitation Physician	$243.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reading Hospital	PA	General Acute Care Hospital	$0	$58.4M
Penn State Health Medical Group, LLC	PA	Pediatrics Physician	$0	$7.7M
New Directions Treatment Services	PA	Methadone Clinic	$0	$6.3M
Tower Direct LLC	PA	Land Ambulance	$1.4M	$1.9M
William Kimmel	PA	Anatomic Pathology & Clinical Pathology Physician	$1.7M	$131.8K
Eric Slotkin	PA	Orthopaedic Surgery Physician	$360.4K	$0
Kenneth Mcalpine	PA	Orthopaedic Surgery Physician	$261.8K	$0
Nathan Tiedeken	PA	Orthopaedic Surgery Physician	$247.9K	$0
Brian Tinsley	PA	Orthopaedic Hand Surgery Physician	$244.9K	$0
David Scollan	PA	Clinical Cardiac Electrophysiology Physician	$203.8K	$5.1K

John Hopkins — Billing Profile & Reimbursement Data

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John Hopkins — 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