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.

Johns Hopkins Pediatrics At Home, Inc. (NPI 1073692794)

Field	Value
Entity Type	Organization
Organization	Johns Hopkins Pediatrics At Home, Inc.
Address	5901 Holabird Ave
City	Baltimore
State	MD
ZIP	21224
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and all recorded public-payer activity is through Medicaid, totaling $45.6M in lifetime Medicaid revenue. That payer concentration makes Medicaid policy and fee schedules the primary drivers of this provider’s financial performance.

Revenue concentration is high and tightly focused: the precomputed top-3 Medicaid codes account for 44.0% of the provider’s total Medicaid revenue, with B4035 ($8.6M; 23.3%), B4161 ($5.2M; 14.2%), and E0465 ($2.4M; 6.6%) together representing nearly half of Medicaid receipts. This pattern indicates material dependence on a small set of product lines for a majority of revenue.

The code mix signals a pediatric-focused DME/supplies operation that specializes in enteral nutrition and respiratory support: B4035 (enteral feeding supply kit, pump fed), B4161 (pediatric hydrolyzed/amino acid enteral formula), and related codes such as B4149 and B4160 appear among top earners, while E0465 (home ventilator with invasive interface) and numerous tracheostomy and suction supply codes (A4624, A4605, A4526) support a substantial respiratory-support business line. Together these codes suggest the organization supplies both high-cost specialty formulas and the consumable/technical equipment needed for children receiving home enteral and ventilatory care.

On statewide competitive standing the provider is a major player for multiple high-revenue pediatric DME codes: B4035 ranks #2 of 26 providers in-state (96th percentile) and B4161 ranks #2 of 13 (92th percentile), characterized in the data as "notably above typical state volume." By contrast E0465 ranks #2 of 6 (80th percentile) and is labeled "typical, unremarkable volume," indicating strong but less dominant position in home ventilator provisioning.

The provider shows outright leadership on several pediatric and youth supply codes where it ranks at the top statewide: T4534 (youth disposable incontinence underwear) is #1 of 11 (100th percentile, "notably above typical state volume"), and the provider also ranks #1 on other incontinence and pediatric supply lines such as T4525 and T4532 in their respective cohorts. These #1 rankings indicate market dominance in select consumable categories (youth/pediatric incontinence and some pediatric-sized supplies), complementing its concentrated specialty-formula business.

Claims-volume patterns point to a mix of high-volume, lower-unit-price consumables alongside concentrated, higher-price specialty items: examples include large claim counts for B4035 (33.7K claims) and high-volume consumables like A4554 (19K claims at $42 avg paid/claim) and E1390 (16.5K claims, $1.7M revenue). This combination suggests operational capabilities in recurring distribution/logistics for frequent-use supplies as well as handling of higher-cost, medically specialized nutrition products.

The provider’s tenure is long-standing: the NPI was enumerated on 2006-11-03 (~20 years ago), which aligns with the scale and penetration seen in multiple state-level code rankings. That longevity supports the interpretation that their market position—particularly in pediatric enteral and incontinence supplies—has been established over many years.

Because nearly half of Medicaid revenue is concentrated in three codes (44.0% by the precomputed top-3 share) and the organization appears Medicaid-dependent with no Medicare activity, the provider has elevated exposure to changes in Medicaid coverage, reimbursement for enteral formulas, and state-level contracting dynamics. Any significant shifts in reimbursement policy or utilization rules for B4035 or B4161 would likely have outsized financial impact on this provider’s operations.

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	33,700	$250	$8.6M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	7,980	$660	$5.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,460	$700	$2.4M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3,990	$490	$1.9M
A4624	Tracheal suction catheter, any type other than closed system, each	4,370	$430	$1.9M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	10,120	$180	$1.9M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16,490	$100	$1.7M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	6,380	$250	$1.6M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	11,270	$110	$1.2M
A4606	Oxygen probe for use with oximeter device, replacement	10,660	$100	$1M

Showing 1–10 of 120

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Johns Hopkins Pediatrics At Home, Inc. — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	990	$650	$1.7M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	2	10	1,030	$450	$1.1M
S8189	Tracheostomy supply, not otherwise classified	2	10	4,540	$70	$1.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	2,760	$360	$1M
A4353	Intermittent urinary catheter, with insertion supplies	4	10	760	$860	$980.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	30	1,500	$150	$899.7K
A4624	Tracheal suction catheter, any type other than closed system, each	2	10	1,090	$330	$897K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	1,130	$580	$868.6K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	17	40	2,410	$140	$800.1K
A4483	Moisture exchanger, disposable, for use with invasive mechanical ventilation	2	10	5,760	$120	$704.9K

Showing 1–10 of 120

Nearby Providers

Other providers in the same ZIP code as Johns Hopkins Pediatrics At Home, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore Medical System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$121.2M
Medi-rents & Sales, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$85.8M
Johns Hopkins Pharmaquip Inc	MD	Home Infusion Therapy Pharmacy	$0	$81.8M
Johns Hopkins Home Care Group, Inc	MD	Case Management Agency	$0	$43M
Community Wellness Outpatient Mental Health Center LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.6M
Key Point Health Services, Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$19.2M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$18.8M
Eastern Avenue Health Solutions Inc.	MD	Methadone Clinic	$340.5K	$16.6M
Community Wellness Psychiatric Rehabilitation Program LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
Dynamic Health Care LLC	MD	Mental Health Counselor	$0	$9.3M

Johns Hopkins Pediatrics At Home, Inc. — Billing Profile & Reimbursement Data

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Johns Hopkins Pediatrics At Home, Inc. — 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

Nearby Providers

Frequently Asked Questions

References