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 University (NPI 1093796609)

Johns Hopkins University is a body imaging physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 110 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Johns Hopkins University
Address	600 N Wolfe St
City	Baltimore
State	MD
ZIP	21205
Taxonomy	Body Imaging Physician
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

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

110 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	47,320	$70	$3.3M
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.	70,750	$30	$2.2M
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…	19,450	$60	$1.2M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	224,020	$10	$1.1M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	8,700	$120	$1M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	22,240	$40	$778.4K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	8,410	$90	$740.3K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	14,720	$50	$691.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	44,900	$10	$314.3K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	8,540	$30	$290.5K

Showing 1–10 of 110

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 University — 19 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	50	590	$90	$493.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	11	30	80	$150	$183.1K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	2	20	80	$310	$177.5K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	20	40	760	$40	$171.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	6	40	150	$120	$169K
99153	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…	2	10	480	$230	$168.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1	20	140	$150	$161.8K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	9	10	110	$120	$152K
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.	1	110	390	$70	$148K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	4	20	90	$120	$123.1K

Showing 1–10 of 110

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	Internal Medicine Physician	$0	$28.6M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
The Johns Hopkins Hospital	MD	General Acute Care Hospital	$0	$19.9M
Pain Treatment Centers Of America, PLLC	AR	Multi-Specialty Clinic/Center	$0	$19.5M
William Sharfman	MD	Medical Oncology Physician	$9.1M	$0
Johns Hopkins University	MD	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.6M
Johns Hopkins University	MD	Internal Medicine Physician	$0	$6.2M
Johns Hopkins University	MD	Cardiovascular Disease Physician	$0	$4.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Redeem Healthcare And Medical System Inc	MD	Methadone Clinic	$316.5K	$8.9M
Toller Enterprises LLC	MD	Psychiatric/Mental Health Nurse Practitioner	$0	$5.9M
Elevate Health And Wellness	MD	Community/Behavioral Health Agency	$0	$5.3M
Bc Services	MD	Adolescent and Children Mental Health Clinic/Center	$0	$4.3M
Jubeth Fontanilla	MD	Adult Health Nurse Practitioner	$188.9K	$0
Sharon Turban	MD	Internal Medicine Physician	$63.7K	$0
Navin Kapur	MD	Cardiovascular Disease Physician	$47.9K	$320
Lydia Rafferty	MD	Speech-Language Pathologist	$46.1K	$0
Maxim Rosario	MD	Clinical Pathology Physician	$39.1K	$0
Armin Arbab-zadeh	MD	Cardiovascular Disease Physician	$33.3K	$0

Johns Hopkins University — Billing Profile & Reimbursement Data

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Johns Hopkins University — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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