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.

Neurological Medicine, P.A. (NPI 1164594149)

Neurological Medicine, P.A. is a neurology physician provider located in Greenbelt, Maryland. This profile covers 0 Medicare and 21 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	Neurological Medicine, P.A.
Address	7500 Hanover Pkwy
City	Greenbelt
State	MD
ZIP	20770
Taxonomy	Neurology Physician
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	9,620	$230	$2.2M
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	10,080	$160	$1.6M
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	9,600	$150	$1.4M
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	9,670	$100	$957.1K
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…	14,530	$60	$857.2K
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…	4,900	$120	$602.7K
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…	4,900	$90	$440.9K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	3,900	$110	$420.8K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	3,760	$60	$221.7K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	3,740	$60	$212.9K

Showing 1–10 of 21

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

Neurological Medicine, P.A. — 9 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	1	10	150	$160	$403.7K
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…	565	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…	177	3,280	610	$80	$296.1K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	1	10	180	$140	$292.8K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	20	60	$190	$127.2K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	1	10	160	$110	$108K
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…	31	930	110	$100	$90.1K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2	10	170	$170	$83.3K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	1	10	750	$50	$75.2K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	1	10	450	$60	$74.1K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pm Pediatrics Of Maryland	MD	Urgent Care Clinic/Center	$0	$33.5M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$21.6M
Advanced Behavioral Health, Inc.	MD	Child & Adolescent Psychiatry Physician	$0	$20.2M
Families First Counseling And Psychiatry, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Maxim Healthcare Services, Inc.	MD	Home Health Agency	$0	$19.2M
Volunteers Of America Chesapeake & Carolinas, Inc	MD	Voluntary or Charitable Agency	$0	$16.4M
Capital Hospice	MD	Community Based Hospice Care Agency	$0	$15.8M
Maryland Health Alliance, Inc.	MD	Mental Health Counselor	$0	$13.1M
Elites Care LLC	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M

Neurological Medicine, P.A. — Billing Profile & Reimbursement Data

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Neurological Medicine, P.A. — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nabeen Hussain	MD	Neurology Physician	$1.3M	$0
Lawrence Whicker	MD	Neurology Physician	$1.3M	$0
Maciej Poltorak	MD	Neurology Physician	$712K	$0
Syed Asad	MD	Neurology Physician	$639.5K	$0
Kenneth Kudelko	MD	Neurology Physician	$528K	$0