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.

Matclinic Physicians Practice Group LLC (NPI 1104375294)

Matclinic Physicians Practice Group LLC is a addiction medicine (internal medicine) physician provider located in Dundalk, Maryland. This profile covers 0 Medicare and 12 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	Matclinic Physicians Practice Group LLC
Address	40 S Dundalk Ave Ste 400
City	Dundalk
State	MD
ZIP	21222
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	September 29, 2016

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

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

12 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…	53,540	$130	$6.9M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	107,740	$50	$5.4M
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…	30,740	$80	$2.5M
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…	780	$170	$134.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,350	$20	$24.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	40	$120	$4.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$210	$2.5K
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…	20	$110	$1.7K
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,…	30	$40	$1.5K
H0001	Alcohol and/or drug assessment	170	$0	$0

Showing 1–10 of 12

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

Matclinic Physicians Practice Group LLC — 3 of 9 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	336	400	4,360	$160	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	309	380	1,450	$60	$459K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	4	160	980	$50	$387.6K
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…	21	3,670	680	$90	$310K
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…	56	3,280	610	$80	$296.1K
H0001	Alcohol and/or drug assessment	232	440	190	$170	$115.9K
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…	182	930	110	$100	$90.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	399	550	110	$190	$86.3K
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…	626	730	110	$70	$81.9K
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,…	706	900	160	$60	$57.8K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Han	MD	Family Nurse Practitioner	$368.1K	$0
Cicely Locks	WA	Psychiatric/Mental Health Nurse Practitioner	$43K	$0
Obinneamaka Iweh Popoko	MD	Family Nurse Practitioner	$31.6K	$0
Laura Pedone	MD	Adult Health Nurse Practitioner	$22.9K	$0
Emmanuella Nortey	MD	Nurse Practitioner	$18.5K	$0
Cathy Stanfield	MD	Acute Care Nurse Practitioner	$15.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Hands Adult Day Care Of Dundalk, Inc	MD	Adult Day Care Clinic/Center	$0	$20.5M
Bd Health Services, Inc.	MD	Methadone Clinic	$229.1K	$11.8M
Addiction Treatment Of Maryland LLC	MD	Substance Abuse Rehabilitation Facility	$0	$11.8M
Key Point Health Services, Inc	MD	Psychiatric Residential Treatment Facility	$0	$10.1M
Dundalk Health Services, Inc.	MD	Methadone Clinic	$274.5K	$9.4M
Albemarle Laboratories	MD	Clinical Medical Laboratory	$169K	$9.5M
Associated Catholic Charities	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Dundalk Pediatric Associates, P. A.	MD	Pediatrics Physician	$0	$7.5M
United Therapeutic Center Inc	MD	Community/Behavioral Health Agency	$0	$6.8M
Deepak Seth	MD	Specialist	$336.3K	$5.2M

Matclinic Physicians Practice Group LLC — Billing Profile & Reimbursement Data

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Matclinic Physicians Practice Group LLC — 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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