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.

Hope Health Systems, Inc (NPI 1073931374)

Field	Value
Entity Type	Organization
Organization	Hope Health Systems, Inc
Address	6707 Whitestone Rd
City	Baltimore
State	MD
ZIP	21207
Taxonomy	Health Maintenance Organization
NPI Enumerated	April 3, 2014

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	56,690	$200	$11.5M
H0031	Mental health assessment, by non-physician	40	$130	$5.3K

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

Hope Health Systems, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	3	20	6,750	$150	$2.8M
H0031	Mental health assessment, by non-physician	23	30	120	$230	$1.1M

Nearby Providers

Other providers in the same ZIP code as Hope Health Systems, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Together Every1 Achieves More, Inc.	MD	Community/Behavioral Health Agency	$0	$37.3M
Hope Health Systems, Inc	MD	Community/Behavioral Health Agency	$0	$17.1M
Keys Development Ta LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.9M
A Helping Hand, LLC	MD	Methadone Clinic	$0	$10.8M
Keys Development Ta LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Together Every1 Achieves More, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
Alice Manor Adult Daycare	MD	Adult Day Care Clinic/Center	$0	$7.6M
Therapeutic Wellness Services	MD	Community/Behavioral Health Agency	$0	$7.2M
Hope Health Systems	MD	Community/Behavioral Health Agency	$0	$6.3M
James Lawrence Kernan Hospital, Inc.	MD	General Acute Care Hospital	$0	$5.9M

Hope Health Systems, Inc — Billing Profile & Reimbursement Data

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Hope Health Systems, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References