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.

Union Hospital Of Cecil County (NPI 1124067848)

Union Hospital Of Cecil County is a internal medicine physician provider located in Elkton, Maryland. This profile covers 0 Medicare and 82 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	Union Hospital Of Cecil County
Address	106 Bow St
City	Elkton
State	MD
ZIP	21921
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

82 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…	22,980	$70	$1.7M
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…	23,560	$60	$1.5M
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…	11,040	$40	$386.5K
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…	1,480	$80	$122.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,840	$60	$106.5K
99215	The provider sees an established 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…	1,170	$90	$99.7K
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.	2,200	$40	$92.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1,660	$50	$88K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,970	$40	$82.6K
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…	2,440	$30	$65.9K

Showing 1–10 of 82

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

Union Hospital Of Cecil County — 4 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

82 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…	14	50	590	$90	$493.6K
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…	70	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…	92	3,280	610	$80	$296.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	225	250	960	$30	$246.7K
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…	71	110	300	$90	$225.7K
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…	137	300	420	$50	$213.2K
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…	40	420	600	$40	$182.1K
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…	10	40	760	$40	$171.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	264	280	810	$20	$165.4K
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.	24	110	390	$70	$148K

Showing 1–10 of 82

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Of Cecil County	MD	General Acute Care Hospital	$182.5K	$1.7M
Wasif Qureshi	DE	Cardiovascular Disease Physician	$683.6K	$0
Mohammad Khan	DE	Pediatrics Physician	$0	$669.4K
Mark Zweben	DE	Cardiovascular Disease Physician	$586.6K	$0
Francis Palermo	DE	Cardiovascular Disease Physician	$559.8K	$8K
Christopher Bowens	DE	Cardiovascular Disease Physician	$481.5K	$0
Yuanyuan Zhang	DE	Internal Medicine Physician	$417.5K	$0
Kent Krejci	MD	Urology Physician	$352.6K	$0
Mehdi Gheshlaghi	WY	Cardiovascular Disease Physician	$348.3K	$0
Ari Goldberg	IL	Diagnostic Radiology Physician	$167K	$156.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upper Bay Counseling & Support Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.1M
Cecil County Public Schools	MD	Counselor	$0	$15.7M
Upper Bay Counseling & Support Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.6M
Serenity Health, LLC	MD	Methadone Clinic	$346.2K	$14M
Ats Of Cecil County, LLC	MD	Methadone Clinic	$274.4K	$11.7M
Usacs Integrated Acute Care Services Of Maryland, LLC	MD	Internal Medicine Physician	$0	$7.7M
Advantage Psychiatric Services LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Upper Bay Counseling & Support Services, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Health Care For Children,llc	MD	Pediatrics Physician	$0	$6.3M
Project Chesapeake, LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.2M

Union Hospital Of Cecil County — 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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