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.

Philip Pearson (NPI 1952360513)

Field	Value
Entity Type	Individual
Organization	Philip Pearson
Address	830 Old Lancaster Rd
City	Bryn Mawr
State	PA
ZIP	19010
Taxonomy	Surgery Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicare	$85.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$130	$19.8K
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…	280	$70	$18.1K
46500	The provider injects a sclerosing solution into the submucosa of the lower part of the anus under a hemorrhoid. This procedure helps in reducing blood flow to the area and causes the hemorrhoid to…	50	$260	$12.7K
46260	In this procedure, the provider excises two or more internal and external hemorrhoids or hemorrhoid groups.	20	$410	$6.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	40	$130	$5.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$140	$4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.7K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	30	$140	$3.4K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	$190	$2.8K
99203	The provider sees a new 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 provider…	40	$70	$2.7K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Philip Pearson — 1 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	836	860	50	$290	$24.3K
46500	6	10	70	$260	$21.1K
45380	422	840	40	$180	$12.5K
G0105	448	500	30	$270	$12.4K
G0121	258	380	20	$270	$8.1K
99223	4,097	7,020	40	$130	$7.8K
99213	2,700	22,370	70	$60	$7.7K
46260	1	10	20	$410	$6.1K
99204	332	10,290	30	$110	$5K
45378	117	390	20	$190	$4.6K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line Healthcare	PA	Family Medicine Physician	$0	$8.2M
Barry Jacobson	PA	Obstetrics & Gynecology Physician	$3M	$0
Daniel Lin	PA	Family Medicine Physician	$127.1K	$2.4M
Thais Moldovan	PA	Rheumatology Physician	$1.1M	$0
Jennifer Armstrong	PA	Medical Oncology Physician	$545.2K	$0
Amanulla Khaji	PA	Hospitalist Physician	$528.3K	$4.6K
Theodore Plush	NJ	Pulmonary Disease Physician	$482.8K	$0
Courtney Stull	CA	Rheumatology Physician	$446.6K	$360
Raffi Megerian	PA	Internal Medicine Physician	$367.3K	$0
Jason Bradley	PA	Cardiovascular Disease Physician	$366.9K	$0

Philip Pearson — Billing Profile & Reimbursement Data

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Philip Pearson — 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

Frequently Asked Questions

References