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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Howard University (NPI 1033163597)

Key Findings

Field	Value
Entity Type	Organization
Organization	Howard University
Address	2041 Georgia Ave Nw
City	Washington
State	DC
ZIP	20060
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

HOWARD UNIVERSITY reports no Medicare billing on file and $26.1M in lifetime Medicaid revenue, making it effectively a Medicaid-focused billing entity in these datasets. The NPI was enumerated on 2006-05-20 (~20 years ago), indicating long tenure in the market that aligns with sustained Medicaid activity rather than Medicare participation.

Revenue is highly concentrated in a small set of outpatient and inpatient evaluation-and-management services: the top three Medicaid codes (99213, 99214, 99232) together account for 51.0% of the provider's Medicaid revenue. Individually these top drivers are 99213 ($4.9M; 23.2%), 99214 ($3.7M; 17.6%), and 99232 ($2.2M; 10.2%), showing a heavy reliance on E/M encounters for revenue.

The code mix suggests a mixed ambulatory and hospital-based service model. High-volume primary outpatient E/M codes 99213 (100.6K claims, $49 avg paid/claim) and 99214 (59.5K claims, $63 avg paid/claim) point to high-throughput clinic visits and likely broad primary care or specialty clinic panels, while 99232 and other inpatient E/M codes indicate substantial follow-up inpatient care capacity.

Competitive standing in-state is strong for core E/M services: 99213 ranks #4 of 316 providers in-state (99th percentile; extreme outlier) and 99214 ranks #6 of 305 (98th percentile; extreme outlier), signaling volumes far above typical peers. 99232 ranks #3 of 68 (97th percentile; notably above typical state volume), which together position the provider as a dominant Medicaid-volume participant for both routine outpatient visits and inpatient follow-ups.

Critical care services are also material but not an outlier: 99291 generates $2.1M (10.1% of Medicaid revenue) with 19.9K claims and $108 avg paid/claim, and ranks #3 of 27 providers in-state (92th percentile; typical, unremarkable volume for this code). This indicates the provider delivers significant acute-care resources alongside its ambulatory throughput, yet critical care volumes are within expected statewide ranges.

Beyond E/M, the provider bills a diverse set of ancillary services consistent with a multi-specialty clinic/center profile. Notable non-E/M contributions include mammography 77067 ($905.9K, 4.3%), surgical pathology 88305 ($513.4K, 2.4%), and obstetric ultrasound 76816 ($311.9K, 1.5%), reflecting integrated imaging, lab/pathology, and women’s health services.

The revenue and claims profile implies a volume-driven reimbursement model: high claim counts (e.g., 100.6K claims for 99213) combined with modest average paid/claim (e.g., $49 for 99213) indicate operations that depend on throughput to generate scale. For payers and network planners, this pattern suggests capacity for large ambulatory panels and frequent follow-up care needs.

For contracting and competitive analysis, the provider should be treated as a major Medicaid system participant in DC for outpatient E/M and inpatient follow-up services. The extreme outlier and high-percentile rankings on its top codes mean Howard University is a primary competitor for Medicaid patient volume in these service lines within the state.

Medicaid: Complete Services Breakdown

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

246 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established 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…	100,630	$50	$4.9M
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…	59,500	$60	$3.7M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	54,350	$40	$2.2M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	19,900	$110	$2.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32,730	$60	$1.8M
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…	12,840	$70	$924.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	9,340	$100	$905.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10,920	$50	$513.4K
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…	3,600	$110	$392.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12,230	$30	$379.3K

Showing 1–10 of 246

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

Claims Volume vs. District of Columbia Distribution

Howard University — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

246 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	5	30	1,320	$110	$1M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	5	10	2,430	$230	$934.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7	20	660	$120	$788.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	9	10	430	$550	$722.1K
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.	9	20	310	$530	$605.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3	30	1,050	$120	$581.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6	130	290	$140	$579.2K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	9	10	1,260	$140	$568.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5	10	2,480	$150	$499.8K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	10	10	180	$790	$490.4K

Showing 1–10 of 246

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mohammad Monireddin Ghazvini	VA	Clinical Cardiac Electrophysiology Physician	$655.1K	$0
Howard University College Of Dentistry	DC	General Practice Dentistry	$0	$618.3K
Elias Mamo	MD	Infectious Disease Physician	$342.5K	$254K
Renee Bovelle	MD	Ophthalmology Physician	$595.1K	$0
Reginald Barnes	DC	Ophthalmology Physician	$115.7K	$439.7K
Maren Shaw	DC	Dermatology Physician	$415K	$0
Jacquelyn Dunmore-griffith	MD	Radiation Oncology Physician	$357.1K	$0
Norman Allen	DC	Cardiovascular Disease Physician	$339.4K	$4.6K
Isaac Opoku-asare	DC	Cardiovascular Disease Physician	$333.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard University Hospital Corp	DC	General Acute Care Hospital	$0	$98.7M
Cep America, LLC	DC	Emergency Medicine Physician	$0	$15.6M
Howard University Dialysis Center LLC	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M
Edward Longwe	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$899.8K
Surajudeen Bolarinwa	DC	Orthopaedic Surgery Physician	$278.8K	$0
Kristine Dettloff	DC	Diagnostic Radiology Physician	$262.8K	$0
Edris Meda	DC	Internal Medicine Physician	$225.8K	$0
Raymond Young	DC	Cardiovascular Disease Physician	$188.7K	$0
Constance Mere	DC	Nephrology Physician	$144.5K	$0
Yohannes Gebrekidan	DC	Internal Medicine Physician	$136.3K	$0

Howard University — 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