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.

Presbyterian Medical Center Of The University Of Pennsylvania Health S (NPI 1992746366)

Field	Value
Entity Type	Organization
Organization	Presbyterian Medical Center Of The University Of Pennsylvania Health S
Address	150 Monument Rd
City	Bala Cynwyd
State	PA
ZIP	19004
Taxonomy	Home Health Agency
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	39,820	$80	$3.2M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	13,160	$70	$973.9K
S9131	Physical therapy; in the home, per diem	9,860	$90	$857.4K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	6,700	$80	$522.5K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	5,240	$70	$387.6K
S9129	Occupational therapy, in the home, per diem	4,330	$90	$376.4K
S9128	Speech therapy, in the home, per diem	690	$90	$60.5K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	1,020	$40	$39.8K
S9127	Social work visit, in the home, per diem	600	$50	$30.8K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	250	$80	$18.8K

Showing 1–10 of 13

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

Presbyterian Medical Center Of The University Of Pennsylvania Health S — 3 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	86	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	61	80	5,780	$220	$2.2M
S9128	Speech therapy, in the home, per diem	4	10	4,870	$110	$585.8K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	3	130	1,190	$100	$528.9K
Q5001	Hospice or home health care provided in patient's home/residence	2	10	40	$1,390	$520.5K
S9129	Occupational therapy, in the home, per diem	3	10	910	$130	$442.2K
S9131	Physical therapy; in the home, per diem	2	20	910	$120	$418.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	4	80	1,050	$90	$289.6K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3	40	1,090	$90	$234.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	6	50	480	$90	$156.7K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Presbyterian Medical Center Of The University Of Pennsylvania Health S, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	General Acute Care Hospital	$0	$23.3M

Nearby Providers

Other providers in the same ZIP code as Presbyterian Medical Center Of The University Of Pennsylvania Health S, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$104.4M
Preferred Home Health Care & Nursing Services Inc	PA	Home Health Agency	$0	$30.8M
365 Health Services LLC	PA	Home Health Agency	$0	$26.7M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$21.8M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$17.8M
Behavior Analysis & Therapy Partners	PA	Psychologist	$0	$9.8M
Clinical Care Associates Of The University Of Pennsylvania Health Syst	PA	Hospitalist Physician	$0	$9.4M
Main Line Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$4.7M	$57.7K
Carolyn Glazer-hockstein	PA	Ophthalmology Physician	$1.8M	$0
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K

Presbyterian Medical Center Of The University Of Pennsylvania Health S — Billing Profile & Reimbursement Data

Sign up for Presbyterian Medical Center Of The University Of Pennsylvania Health S — Billing Profile & Reimbursement Data policy alerts

Presbyterian Medical Center Of The University Of Pennsylvania Health S — Billing Profile & Reimbursement Data

Sign up for Presbyterian Medical Center Of The University Of Pennsylvania Health S — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References