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.

St Agnes Healthcare Inc (NPI 1144250176)

St Agnes Healthcare Inc is a internal medicine physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 107 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	St Agnes Healthcare Inc
Address	900 Caton Ave
City	Baltimore
State	MD
ZIP	21229
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

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

107 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…	34,490	$50	$1.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20,790	$70	$1.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	23,350	$40	$1M
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…	27,160	$30	$787.6K
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…	9,700	$60	$601.6K
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…	7,130	$80	$541.5K
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…	9,230	$60	$526K
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…	15,480	$30	$510.7K
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…	12,500	$40	$487.7K
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…	7,950	$60	$477.2K

Showing 1–10 of 107

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

St Agnes Healthcare Inc — 11 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15	150	1,540	$100	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	60	150	760	$130	$964.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3	150	940	$70	$345.1K
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…	35	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…	218	3,280	610	$80	$296.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	5	10	140	$110	$294.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	18	30	670	$130	$291.4K
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…	11	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…	17	300	420	$50	$213.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	55	60	370	$70	$195.6K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seton Medical Group, Inc	MD	Internal Medicine Physician	$0	$5.9M
St. Agnes Healthcare, Inc.	MD	General Acute Care Hospital	$0	$5.4M
Nasser Nasseri-asl	MD	Specialist	$1.2M	$0
St. Agnes Healthcare, Inc.	MD	Clinical Medical Laboratory	$147.4K	$890.8K
Richard Hudes	MD	Radiation Oncology Physician	$778.3K	$0
Sylwester Dziuba	MD	Radiation Oncology Physician	$686.4K	$0
Nina Gordon	MD	Diagnostic Radiology Physician	$496.6K	$0
Oliver Chen	MD	Diagnostic Radiology Physician	$473.5K	$0
David Strobel	MD	Dermatology Physician	$464.1K	$0
Seyed Hootan Forghani Saeidabadi	MD	Rheumatology Physician	$453.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Healthcare Nursing Services, Inc.	MD	Home Health Agency	$0	$45.5M
Time Organization, Inc	MD	Community/Behavioral Health Agency	$0	$39.4M
Compassionate Care Nursing Services	MD	Home Health Agency	$0	$36.6M
Win Team, LLC	MD	Community/Behavioral Health Agency	$0	$21M
Maryland Treatment Centers Inc	MD	Substance Abuse Rehabilitation Facility	$0	$19M
Time Organization, Inc	MD	Rehabilitation Clinic/Center	$0	$13.8M
National Pike Health Center	MD	Mental Health Counselor	$0	$13.2M
Ats Of Cecil County, LLC	MD	Methadone Clinic	$203.9K	$12.8M
Cep America LLC	MD	Emergency Medicine Physician	$0	$12M
Time Organization, Inc.	MD	Community Health Clinic/Center	$0	$9.4M

St Agnes Healthcare Inc — Billing Profile & Reimbursement Data

Sign up for St Agnes Healthcare Inc — Billing Profile & Reimbursement Data policy alerts

St Agnes Healthcare Inc — Billing Profile & Reimbursement Data

Sign up for St Agnes Healthcare Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References