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.

Temple University Hospital, Inc (NPI 1962579029)

Field	Value
Entity Type	Organization
Organization	Temple University Hospital, Inc
Address	3401 N Broad St
City	Philadelphia
State	PA
ZIP	19140
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$116.6M
Medicare	$0

Key Findings

TEMPLE UNIVERSITY HOSPITAL, INC has no Medicare billing on file and is effectively a single-payer Medicaid reporter in the available claims dataset; total Medicaid revenue is $116.6M and there is no recorded Medicare revenue to compare against, indicating that Medicaid is the dominant—and for this dataset, sole—noted source of government payer volume.

Revenue concentration is high: the precomputed top three Medicaid codes account for 58.4% of the provider’s total Medicaid revenue. This indicates a revenue base heavily driven by a small set of services rather than a broad mix of procedures.

Emergency department E/M visits dominate Medicaid billing by revenue and volume: codes 99283 ($23.8M, 25.6% of Medicaid revenue, ranks #3 of 1063, labeled an extreme outlier), 99284 ($20.6M, 22.1%, ranks #11 of 1604, extreme outlier), and closely related higher- and lower-acuity ED codes such as 99285 and 99281 also appear among top items. Together these findings show Temple functions as a high-volume ED center for Medicaid patients relative to in-state peers.

Observation and short-stay services are another major driver: G0378 (hospital observation service, per hour) accounts for $10M (10.7% of Medicaid revenue) and ranks #9 of 149 providers in-state (95th percentile, notably above typical state volume). This supports an operational profile that handles large numbers of observation/short-stay cases in addition to emergency care.

The hospital shows strong procedure and specialty throughput in gastroenterology and endoscopy: codes 43239 ($3.5M; ranks #2 of 292, extreme outlier), 45380 ($1.5M; ranks #1 of 117, extreme outlier), 45378 ($1.4M; ranks #2 of 62, 98th percentile) and 45385 ($1.3M; ranks #1 of 79, extreme outlier) all rank at or near the top in-state, indicating Temple is a leading provider of upper and lower endoscopic diagnostics and therapeutic resections for Medicaid patients.

On oncology and infusion, high-cost injectable therapeutics appear but at smaller revenue shares: J9271 (pembrolizumab, $3.4M, ranks #4 of 24, 87th percentile) and J9299 (nivolumab, $662.5K, ranks #3 of 6, 60th percentile) are present, showing the hospital provides specialty cancer drugs to Medicaid patients but does not dominate statewide volume for these agents.

Outpatient and ancillary services are meaningful across multiple modalities: high volumes of office/outpatient E/M (99214, 99204, 99213, and 99215 cumulatively contribute material revenue) plus imaging and diagnostic procedures (77067 mammography, 93306 echocardiography, 78815 PET/CT) indicate a broad outpatient infrastructure beyond the ED and inpatient observation footprint. Many of these codes are ranked in very high percentiles, marking Temple as a major statewide provider for routine and advanced outpatient services.

Tenure is long: the provider’s NPI was enumerated on 2006-11-30 (~20 years ago), which supports a sustained market presence and aligns with the large, concentrated Medicaid volumes and high in-state rankings across multiple service lines.

Medicaid: Complete Services Breakdown

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

547 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	89,600	$270	$23.8M
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.	80,960	$250	$20.6M
G0378	Hospital observation service, per hour	6,240	$1,600	$10M
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…	60,950	$70	$4.5M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	3,490	$990	$3.5M
J9271	Injection, pembrolizumab, 1 mg	1,380	$2,430	$3.4M
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.	16,060	$190	$3M
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	3,070	$870	$2.7M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	15,260	$170	$2.5M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	27,250	$70	$1.8M

Showing 1–10 of 547

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

Temple University Hospital, Inc — 20 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

547 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	5	10	170	$6,410	$1.9M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	10	20	350	$1,720	$1.6M
G0378	Hospital observation service, per hour	9	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	1,452	1,690	760	$170	$1.2M
J9271	Injection, pembrolizumab, 1 mg	4	20	420	$1,230	$827.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	46	130	310	$60	$769.3K
P9040	Red blood cells, leukocytes reduced, irradiated, each unit	4	10	940	$820	$738.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	101	210	730	$40	$689.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	13	200	990	$70	$517.5K
J9022	Injection, atezolizumab, 10 mg	2	10	490	$990	$487.2K

Showing 1–10 of 547

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Temple University Hospital, Inc - Psych Unit	PA	Psychiatric Hospital Unit	$0	$22.3M
Temple University Hospital, Inc	PA	General Acute Care Hospital	$0	$13.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All American Home Care LLC	PA	Home Health Agency	$0	$45M
Esperanza Health Center, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$40.8M
Cognitive Behavioral Services, Inc.	PA	Community/Behavioral Health Agency	$0	$20.8M
Pan American Mental Health Services Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.1M
Temple Faculty Practice Plan, Inc	PA	Emergency Medicine Physician	$0	$18.4M
Temple Faculty Practice Plan, Inc	PA	Diagnostic Radiology Physician	$0	$18M
Paulino Home Healthcare LLC	PA	In Home Supportive Care Agency	$0	$12.5M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.5M
Greater Philadelphia Health Action, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$5.5M
Michael Jaworski	PA	Internal Medicine Physician	$2.1M	$0

Temple University Hospital, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References