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.

Mep Health, LLC (NPI 1164483558)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mep Health, LLC
Address	9901 Medical Center Dr
City	Rockville
State	MD
ZIP	20850
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 28, 2006

Payer Source	Total Paid
Medicaid	$105.9M
Medicare	$0

MEP HEALTH, LLC is effectively a single-payer Medicaid billing entity: there is no Medicare billing on file and total reported Medicaid revenue is $105.9M, indicating the provider’s revenue base is concentrated in Medicaid patients rather than a mixed Medicare/Medicaid payer mix. This billing profile implies any payer policy shifts or Medicaid payment changes would have outsized financial impact on the practice.

Revenue concentration is extremely high: the top three Medicaid codes (99285, 99284, 99283) together account for 93.8% of this provider's total Medicaid revenue. Those codes individually represent 41.6%, 40.8%, and 11.4% of Medicaid revenue respectively, showing that a very small set of emergency E/M codes drives nearly all reported revenue.

The code mix identifies the operation as a high-volume emergency medicine service line focused on ED visits across acuity levels: 99285 (high-complexity), 99284 (moderate), and 99283 (low) dominate revenue, which is consistent with a staffed emergency department or contracted emergency physician group model. The presence of significant critical care billing via 99291 ($5.8M, 5.5% of Medicaid revenue) further signals capability to manage higher-acuity, time‑intensive cases in an emergency or critical care setting.

MEP HEALTH shows a dominant competitive standing in Maryland for core ED services: the provider ranks #1 statewide for 99285, 99284, and 99283 and is labeled an “extreme outlier, far above typical state volume for this code” for those top codes. These top-percentile rankings indicate the provider’s ED volumes are far above typical peers in-state and that it is a major local provider of emergency evaluation and management services.

Beyond E/M visits, the provider reports outsized procedural volumes that align with emergency airway and invasive access capability: 99291 ranks #1 of 111 providers (100th percentile; extreme outlier), 31500 (intubation) ranks #1 of 13 providers (100th percentile; extreme outlier), and 36556 (central line) ranks #1 of 10 providers (100th percentile; notably above typical state volume for this code). This pattern suggests routine performance of airway management and central venous access consistent with emergency and critical care workflows.

Although the provider bills extremely high volumes for major ED E/M codes, lower-reimbursement support items are billed frequently but contribute little to revenue: for example, 93010 appears 67.3K times at $7 avg paid/claim for $471.3K total (0.4% of Medicaid revenue) and ranks #6 in-state (97th percentile; notably above typical state volume). This indicates high patient throughput generating many low-value ancillary claims alongside the dominant E/M revenue.

The practice has long tenure in the NPI registry, enumerated 2006-03-28 (~20 years ago), which supports interpretation of the high-volume Medicaid footprint as an established operational pattern rather than a recent spike. Longevity combined with consistently top-ranked ED coding in-state suggests sustained scale in emergency services over time.

Concentration risk is material: with $105.9M of revenue coming entirely from Medicaid and 93.8% of that revenue tied to three ED E/M codes, the provider’s financial and operational profile is heavily dependent on high-volume emergency care reimbursement from Medicaid. Any changes in ED coding policy, Medicaid eligibility, or rate-setting could disproportionately affect this provider’s revenue given the narrow code mix driving nearly all income.

Medicaid: Complete Services Breakdown

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
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.	364,170	$120	$44.1M
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.	464,490	$90	$43.2M
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.	219,730	$60	$12.1M
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…	47,310	$120	$5.8M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	67,330	$10	$471.3K
99292	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…	1,630	$50	$78.1K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	960	$40	$42K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	470	$70	$31.6K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	840	$30	$27.6K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	360	$40	$15.6K

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

Mep Health, LLC — 10 of 19 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
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.	1	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.	1	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.	1	150	940	$70	$345.1K
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…	1	110	300	$90	$225.7K
99281	The provider sees a patient for the lowest level emergency department visit.	49	60	1,360	$50	$169.3K
99220	N/A	41	50	550	$80	$106.8K
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…	140	160	210	$50	$68.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	46	80	250	$50	$64.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6	150	1,350	$10	$64.1K
99217	N/A	36	50	370	$30	$28.5K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eddie Fernandez	MD	Emergency Medical Services (Emergency Medicine) Physician	$882.3K	$0
Alfred Jump	MD	Emergency Medicine Physician	$709.3K	$0
Michael Perraut	MD	Internal Medicine Physician	$479.5K	$0
Khanh Nguyen	MD	Emergency Medicine Physician	$357.3K	$0
Adam Corman	GA	Emergency Medicine Physician	$39.9K	$161.9K
Cheri Cartagena	MD	Medical Physician Assistant	$163.3K	$0
Mohammad Malik	MD	Emergency Medicine Physician	$162.7K	$0
Patrick Mcginley	MD	Emergency Medicine Physician	$160.7K	$0
Mengyang Liu	TX	Emergency Medicine Physician	$153.1K	$0
Benjamin Ivester	MD	Emergency Medicine Physician	$151.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montgomery County Public Schools Services	MD	Counselor	$0	$56.8M
A Plus Adult Medical Day Care Center Corporation	MD	Adult Day Care Clinic/Center	$0	$30.1M
Pediatrix Medical Group Of The Mid-atlantic PC	MD	Maternal & Fetal Medicine Physician	$0	$28.4M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17M
Jarher Incorporated	MD	Adult Day Care Clinic/Center	$0	$12M
Cornerstone Montgomery, Inc.	MD	Community/Behavioral Health Agency	$0	$11.6M
Asthma & Allergy Center LLC	MD	Allergy & Immunology Physician	$0	$11.5M
Montgomery Hospice Inc	MD	Community Based Hospice Care Agency	$0	$10.3M
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$9.7M
Cirrus Dx, Inc.	MD	Clinical Medical Laboratory	$7.8M	$906.9K

Mep Health, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References