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.

Urban Family Practice PC (NPI 1164594099)

Field	Value
Entity Type	Organization
Organization	Urban Family Practice PC
Address	1820 Lancaster St Ste 200
City	Baltimore
State	MD
ZIP	21231
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

97 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…	52,070	$50	$2.7M
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…	9,680	$80	$726.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,370	$90	$289.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,790	$80	$139.9K
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,…	3,080	$30	$92.4K
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…	1,190	$70	$86.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,600	$50	$80.2K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	950	$40	$38.7K
0012A	N/A	1,140	$30	$35.4K
0011A	N/A	1,230	$30	$34.4K

Showing 1–10 of 97

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

Urban Family Practice PC — 5 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

97 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…	265	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…	29	3,280	610	$80	$296.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	280	330	800	$110	$228.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	283	290	730	$100	$212.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	343	350	490	$110	$172.3K
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…	594	930	110	$100	$90.1K
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…	129	730	110	$70	$81.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	22	200	160	$40	$64.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	17	290	140	$120	$62.8K
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,…	60	900	160	$60	$57.8K

Showing 1–10 of 97

Related Providers

Other providers that share a Tax Identification Number (TIN) with Urban Family Practice PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olivia Cronin	IN	Family Medicine Physician	$143.4K	$0

Nearby Providers

Other providers in the same ZIP code as Urban Family Practice PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Powell Recovery Center	MD	Substance Abuse Rehabilitation Facility	$0	$19.2M
The Johns Hopkins Hospital	MD	Community/Behavioral Health Agency	$0	$6.7M
Powell Recovery Center, Inc.	MD	Substance Abuse Rehabilitation Facility	$0	$6.2M
Kennedy Krieger Education And Community Services, Inc.	MD	Developmental Disabilities Clinic/Center	$0	$5.1M
Powell Recovery Center, Inc.	MD	Adult Mental Health Clinic/Center	$0	$5M
Daniel Song	MD	Radiation Oncology Physician	$553.3K	$0
Kristin Redmond	MD	Radiation Oncology Physician	$231.9K	$0
Jeffrey Meyer	MD	Radiation Oncology Physician	$153.6K	$0
Peter Illei	MD	Anatomic Pathology Physician	$66.3K	$0
William Ingram	MD	Anatomic Pathology & Clinical Pathology Physician	$53.8K	$0

Urban Family Practice PC — Billing Profile & Reimbursement Data

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Urban Family Practice PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References