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.

Potomac Case Management Services (NPI 1184028219)

Field	Value
Entity Type	Organization
Organization	Potomac Case Management Services
Address	1446 W Patrick St Ste 16
City	Frederick
State	MD
ZIP	21702
Taxonomy	Case Management Agency
NPI Enumerated	October 17, 2014

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	29,390	$140	$4M
T1017	Targeted case management, each 15 minutes	12,660	$180	$2.3M
H0031	Mental health assessment, by non-physician	2,810	$140	$387.9K

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

Potomac Case Management Services — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	9	20	6,750	$150	$2.8M
T1016	Case management, each 15 minutes	4	40	4,570	$140	$1.3M
H0031	Mental health assessment, by non-physician	5	30	120	$230	$1.1M

Nearby Providers

Other providers in the same ZIP code as Potomac Case Management Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick County Public Schools	MD	Local Education Agency (LEA)	$0	$21.3M
Dr.sivakumar Pediatric Dental Center LLC	MD	Pediatric Dentistry	$0	$14.7M
Concerted Care Group Frederick LLC	MD	Methadone Clinic	$290K	$7.4M
Frederick Pediatric Associates P.A.	MD	Pediatrics Physician	$0	$7.6M
Amr Hegazi	MD	Hematology & Oncology Physician	$2.3M	$0
Grant Louie	MD	Rheumatology Physician	$2.1M	$0
Sadaf Taimur	MD	Hematology & Oncology Physician	$1.7M	$0
Frederick Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$1.7M	$0
Gregory Gagnon	MD	Radiation Oncology Physician	$1.6M	$0
Elhamy Eskander	MD	Medical Oncology Physician	$1.5M	$0

Potomac Case Management Services — Billing Profile & Reimbursement Data

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Potomac Case Management Services — Billing Profile & Reimbursement Data

Sign up for Potomac Case Management Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References