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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

John Henry (NPI 1013982784)

Field	Value
Entity Type	Individual
Organization	John Henry
Address	174 Thomas Johnson Dr
City	Frederick
State	MD
ZIP	21702
Taxonomy	Specialist
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicare	$131.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	380	$90	$35.4K
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…	270	$120	$32.3K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	20	$650	$15K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	220	$50	$10.7K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	10	$620	$7.5K
67840	In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.	20	$220	$4.5K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	80	$50	$3.6K
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	$80	$3.5K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	10	$310	$3.4K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	150	$20	$2.9K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

John Henry — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15823	34	30	40	$530	$27.8K
99214	2,413	10,270	150	$90	$24.1K
67904	14	20	30	$580	$22.2K
14060	43	50	20	$560	$15K
99213	6,911	9,280	100	$60	$12.5K
92202	51	60	240	$10	$11K
92083	115	480	90	$50	$8.8K
99204	74	5,380	40	$120	$7.3K
67840	11	20	20	$210	$7.3K
92201	38	70	170	$20	$6.8K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick County Public Schools	MD	Local Education Agency (LEA)	$0	$21.3M
Dr.sivakumar Pediatric Dental Center LLC	MD	Pediatric Dentistry	$0	$14.7M
Concerted Care Group Frederick LLC	MD	Methadone Clinic	$290K	$7.4M
Frederick Pediatric Associates P.A.	MD	Pediatrics Physician	$0	$7.6M
Potomac Case Management Services	MD	Case Management Agency	$0	$6.7M
Amr Hegazi	MD	Hematology & Oncology Physician	$2.3M	$0
Grant Louie	MD	Rheumatology Physician	$2.1M	$0
Sadaf Taimur	MD	Hematology & Oncology Physician	$1.7M	$0
Frederick Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$1.7M	$0
Gregory Gagnon	MD	Radiation Oncology Physician	$1.6M	$0

John Henry — Billing Profile & Reimbursement Data

Sign up for John Henry — Billing Profile & Reimbursement Data policy alerts

John Henry — Billing Profile & Reimbursement Data

Sign up for John Henry — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References