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.

Michael Hilden (NPI 1972564763)

Field	Value
Entity Type	Individual
Organization	Michael Hilden
Address	1861 Powder Mill Rd
City	York
State	PA
ZIP	17402
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$15.3K
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
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	80	$50	$4.3K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	40	$90	$4K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	30	$100	$2.6K
99494	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation whose conditions are not…	30	$40	$1.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	30	$40	$1.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$60	$1.2K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	20	$30	$510

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

Michael Hilden — 0 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
99493	20	20	60	$100	$18.9K
99489	47	90	90	$50	$14.9K
99349	616	700	70	$90	$13.8K
99490	477	510	170	$40	$12.6K
99487	46	100	40	$100	$10.5K
99494	9	10	80	$40	$8.8K
99439	291	300	100	$30	$7.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Shawna Murphy	PA	Emergency Medicine Physician	$989.5K	$0
Christina Collins	PA	Internal Medicine Physician	$844.7K	$0
Jillian Smith	NJ	Geriatric Medicine (Internal Medicine) Physician	$771.7K	$0
John Hopkins	NJ	Geriatric Medicine (Internal Medicine) Physician	$321.2K	$3.4K
Matthew Espenshade	PA	Orthopaedic Surgery Physician	$271.6K	$37.8K
Rebecca Brafman	NJ	Geriatric Medicine (Family Medicine) Physician	$284.9K	$14.6K
Eric Jackson	PA	Orthopaedic Surgery Physician	$296.1K	$0
Kalim Ahmed	MD	Pulmonary Disease Physician	$284.1K	$0
Shaheen Iqbal	MD	Pulmonary Disease Physician	$269.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellspan Medical Group	PA	Psychiatry Physician	$0	$22.3M
Andventure, LLC	PA	Home Health Agency	$0	$21.7M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$20.3M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$11.9M
Pyrmaid Healthcare Inc.	PA	Methadone Clinic	$96.6K	$8.1M
Ivan Marchena- Mendez	PA	Rheumatology Physician	$1M	$0
Luciano Iorizzo	PA	MOHS-Micrographic Surgery Physician	$539.5K	$0
Steven Heird	PA	Vascular Surgery Physician	$494.8K	$0
Stanton Lebouitz	PA	Dermatology Physician	$331.1K	$5.1K
Steven Caplan	PA	Dermatology Physician	$312.9K	$0

Michael Hilden — Billing Profile & Reimbursement Data

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Michael Hilden — 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