FNeeds Improvement

Medicare Revenue Report Card 2026

Pennsylvania

58K Medicare providers analyzed

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I just reviewed the 2026 Medicare Revenue Report Card for Pennsylvania. Key findings: - Overall Grade: F - Estimated Missed Revenue: $90K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Pennsylvania report card:

https://npixray.com/reports/states/pennsylvania

Total Providers

58K

in Pennsylvania

Total Medicare Payment

$3755.6M

Avg Payment / Provider

$65K

Est. Missed Revenue

$90K

across all providers

Peer group: 58,065 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

Care Management Program Adoption

How Pennsylvania providers compare to the national average in adopting revenue-generating care management programs.

CCM

Chronic Care Management

0.0%-2.4% vs national

$62/patient/mo potential revenue

RPM

Remote Patient Monitoring

0.0%-1.1% vs national

$120/patient/mo potential revenue

BHI

Behavioral Health Integration

0.0%-0.1% vs national

$50/patient/mo potential revenue

AWV

Annual Wellness Visits

0.0%-7.8% vs national

$175/visit potential revenue

Pennsylvania Trend Signals

Revenue per Provider

$64,680

-18.9% vs benchmark · national avg $79,744

Provider Market Share

4.9% of US

+100.0% vs benchmark · 58,065 providers

CCM Adoption

0.0%

-100.0% vs benchmark · national 2.4%

RPM Adoption

0.0%

-100.0% vs benchmark · national 1.1%

AWV Completion

0.0%

-100.0% vs benchmark · national 7.8%

E&M Coding Distribution

How Pennsylvania providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.

99213

Level 3

33.0%

National: 31.2%

99214

Level 4

34.0%

National: 56.4%

99215

Level 5

33.0%

National: 9.3%

Top 20 Providers in Pennsylvania

Highest-volume Medicare providers by total payment.

ProviderPatientsMedicare $
Cernostics, Inc.4,850$44.5M
Silverpath, Inc.40,424$41.9M
Accredo Health Group Inc76$37.8M
Interpace Diagnostics Corporation2,798$15.5M
Sma Medical, Inc.16,604$13.4M
Unity Holding Groups Llc2,407$13.0M
Health Network Laboratories, Llc49,962$12.5M
Medarbor Llc9,812$12.3M
Quest Diagnostics Of Pennsylvania, Inc.60,616$11.3M
Cardionet, Llc33,973$11.0M
Skippack Medical Lab, Llc29,972$10.6M
Brookside Clinical Laboratory Inc4,985$10.6M
Procare Pharmacy Direct, Llc.14$8.3M
Institute For Dermatopathology, Inc.66,230$8.3M
City Of Philadelphia12,148$8.3M
Nehal GandhiMD691$8.0M
Center For Emergency Medicine Of Western Pennsylvania1,522$7.9M
Freedom Pathology Partners Llc4,835$7.4M
Quest Diagnostics Venture Llc32,211$7.2M
Omesh GuptaMD1,988$7.1M

Scan a Provider in PA

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 58,065 providers analyzedLast updated: January 2026

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