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.

Washington Nephrology Associates, L.L.P. (NPI 1124193479)

Washington Nephrology Associates, L.L.P. is a nephrology physician provider located in Rockville, Maryland. This profile covers 0 Medicare and 22 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	Washington Nephrology Associates, L.L.P.
Address	1201 Seven Locks Rd Ste 200
City	Rockville
State	MD
ZIP	20854
Taxonomy	Nephrology Physician
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	33,500	$50	$1.8M
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…	37,230	$20	$819K
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…	22,390	$30	$693.9K
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…	13,740	$40	$535.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,360	$70	$322.7K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	1,530	$170	$264.5K
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…	2,630	$50	$126K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	3,840	$20	$61.4K
36907	During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…	430	$130	$54.5K
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…	760	$50	$40.9K

Showing 1–10 of 22

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

Washington Nephrology Associates, L.L.P. — 5 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	163	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…	2,445	3,280	610	$80	$296.1K
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…	9	300	420	$50	$213.2K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	2	10	250	$290	$194.1K
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…	10	420	600	$40	$182.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	1	40	1,260	$60	$177.7K
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…	267	280	810	$20	$165.4K
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…	62	1,000	200	$120	$96.3K
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…	366	930	110	$100	$90.1K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4	50	270	$60	$87.4K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Theodore Chambers	MD	Diagnostic Radiology Physician	$1.6M	$0
Mayurkumar Gohel	MD	Nephrology Physician	$382.8K	$0
Youssef Hokayem	MD	Nephrology Physician	$356.7K	$0
Ali Ghorbani	MD	Nephrology Physician	$354.2K	$0
Jeremy Marcus	DC	Nephrology Physician	$282.3K	$0
Mohammad Khan	DC	Nephrology Physician	$267.2K	$0
Jagdeep Obhrai	DC	Nephrology Physician	$228K	$0
Zahid Iqbal	WV	Internal Medicine Physician	$212.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minuteclinic LLC	MD	Family Nurse Practitioner	$0	$14.1M
Summit Ambulatory Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$2.6M	$80.2K
Asefa Mekonnen	MD	Sleep Medicine (Internal Medicine) Physician	$557.9K	$0
Samuel Galitzer	MD	Podiatrist	$340K	$49.6K
Nadia Yusuf	MD	Neurology Physician	$389.2K	$0
Ezra Cohen	MD	Neurology Physician	$377.4K	$0
Jay Bronder	MD	Psychiatry Physician	$355.5K	$0
Maryland Cvs Pharmacy LLC	MD	Pharmacy	$344.6K	$0
Chang Ching Lin	MD	Neurology Physician	$286K	$0
Giant Of Maryland LLC	MD	Community/Retail Pharmacy	$278.5K	$0

Washington Nephrology Associates, L.L.P. — Billing Profile & Reimbursement Data

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Washington Nephrology Associates, L.L.P. — 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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