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.

Meritus Urgent Care, LLC (NPI 1134383623)

Meritus Urgent Care, LLC is a urgent care clinic/center provider located in Hagerstown, Maryland. This profile covers 0 Medicare and 30 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	Meritus Urgent Care, LLC
Address	13620 Crayton Blvd
City	Hagerstown
State	MD
ZIP	21742
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 14, 2008

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.

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30,530	$90	$2.7M
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…	6,780	$110	$738.6K
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…	4,540	$120	$540K
S9088	Services provided in an urgent care center (list in addition to code for service)	22,880	$20	$388.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	6,180	$30	$185.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	6,550	$20	$98.2K
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…	470	$160	$73.3K
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,…	960	$60	$52.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	1,720	$20	$39.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	840	$50	$37.9K

Showing 1–10 of 30

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

Meritus Urgent Care, LLC — 3 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9088	Services provided in an urgent care center (list in addition to code for service)	2	60	5,010	$70	$450.9K
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…	608	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…	58	3,280	610	$80	$296.1K
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…	616	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…	240	930	110	$100	$90.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	92	250	320	$30	$82.2K
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…	24	730	110	$70	$81.9K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	29	30	170	$30	$69.6K
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,…	184	900	160	$60	$57.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	20	100	610	$10	$42.1K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahesh Krishnamoorthy	MD	Internal Medicine Physician	$243.1K	$0
Stacie Beaver	PA	Adult Health Nurse Practitioner	$62.8K	$29.6K
Brandon Purdy	MD	Family Nurse Practitioner	$48.9K	$0
Bianca Robinson	MD	Family Nurse Practitioner	$36.5K	$0
Denise Ringley	MD	Acute Care Nurse Practitioner	$22.9K	$0
Ronald Spruill	WV	Physician Assistant	$13.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Practices Of Antietam, LLC	MD	General Practice Physician	$0	$20.5M
Meritus Medical Laboratory LLC	MD	Clinical Medical Laboratory	$3.4M	$12.1M
Brook Lane Behavioral Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
William Su	MD	Vascular Surgery Physician	$1.4M	$0
Syed Mahmood	MD	Medical Oncology Physician	$1M	$0
Sarim Mir	MD	Neurology Physician	$801.3K	$0
Meridian Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$614.4K	$0
Ernest Amegashie	MD	Cardiovascular Disease Physician	$588.2K	$130
Hagerstown Surgery Center,llc	MD	Ambulatory Surgical Clinic/Center	$559K	$28.4K
Thomas Gilbert	MD	Emergency Medicine Physician	$556.7K	$0

Meritus Urgent Care, LLC — Billing Profile & Reimbursement Data

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Meritus Urgent Care, 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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