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.

Medstar Medical Group Ii LLC (NPI 1184046187)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medstar Medical Group Ii LLC
Address	5601 Loch Raven Blvd
City	Baltimore
State	MD
ZIP	21239
Taxonomy	General Practice Physician
NPI Enumerated	January 9, 2014

Payer Source	Total Paid
Medicaid	$91.5M
Medicare	$0

This provider is effectively single-payer in scope: Medicare billing is listed as "none below" while total Medicaid revenue is $91.5M, so the organization's billed activity and revenue are concentrated in the Medicaid program. The NPI was enumerated on 2014-01-09 (~12 years ago), indicating an established billing presence in the state Medicaid market.

Revenue concentration is extreme: the top three Medicaid codes (99214, 99233, 99213) account for 67.4% of the provider's total Medicaid revenue. Specifically, 99214 contributed $27.9M (34.0%), 99233 $16.6M (20.2%), and 99213 $10.9M (13.2%), showing that a small set of E/M services drives the majority of receipts.

The mix of top codes indicates the core business is high-volume evaluation-and-management care across outpatient and inpatient settings. High revenue from 99214 and 99213 points to large ambulatory established-patient volume, while 99233 (subsequent inpatient/observation care) and multiple initial/subsequent inpatient codes (e.g., 99223, 99222) imply substantial inpatient follow-up or hospital-based coverage as part of operations.

Competitive standing in-state is dominant for many high-revenue services: 99233 ranks #1 of 304 providers in-state (100th percentile, extreme outlier), 99214 ranks #2 of 3673 (100th percentile, extreme outlier), and 99213 ranks #4 of 3275 (100th percentile, extreme outlier). These ranks and percentile labels indicate volumes far above typical state peers and a market-leading role for these E/M services.

Beyond primary E/M codes, the provider reports sizable ancillary service lines that broaden its care footprint: 76816 (fetal reexamination) produced $1.5M and ranks #1 of 61 (100th percentile, extreme outlier), 88305 pathology produced $1.4M and ranks #1 of 123 (100th percentile, extreme outlier), and 93306 echocardiography produced $1.4M and ranks #3 of 157 (99th percentile, extreme outlier). The presence of pathology, obstetric ultrasound, and cardiac imaging revenues suggests either onsite ancillary capacity or a large referral volume for these diagnostic services.

Claim counts show very high throughput on core codes: 317K claims for 99214, 325.1K claims for 99233, and 189.8K claims for 93010, which corresponds with the large dollars reported for those codes. Those claim volumes, combined with the extreme-outlier rank descriptions, point to sustained high operational scale rather than isolated spikes in billing.

Several codes indicate higher-acuity and critical care involvement in the case mix: 99291 (critical care) generated $2.4M and ranks #2 of 111 in-state (99th percentile, extreme outlier), and 99223 (initial inpatient high-level) generated $4.6M and ranks #1 of 311 (100th percentile, extreme outlier). This pattern—substantial critical care and high-level inpatient codes alongside high-volume outpatient E/M—suggests a patient population with meaningful acuity that could influence utilization review and contracting considerations.

The combination of long tenure (NPI enumerated 2014-01-09 (~12 years ago)), heavy Medicaid revenue ($91.5M), and repeated extreme-outlier rankings across numerous codes positions this entity as a major Medicaid provider in Maryland. For payers and network analysts, the profile signals a primary target for Medicaid-focused contracting, utilization management, and coordination efforts given its outsized share of several high-value service lines.

Medicaid: Complete Services Breakdown

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

343 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…	317,050	$90	$27.9M
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…	325,080	$50	$16.6M
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…	172,310	$60	$10.9M
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…	55,440	$80	$4.6M
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…	29,000	$80	$2.4M
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…	26,620	$80	$2.2M
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…	18,780	$90	$1.8M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	28,730	$50	$1.5M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	29,710	$50	$1.4M
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…	19,440	$70	$1.4M

Showing 1–10 of 343

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

Medstar Medical Group Ii LLC — 23 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

343 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.	105	150	1,540	$100	$1.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,715	2,200	890	$110	$596.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	38	50	590	$90	$493.6K
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.	71	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…	2	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…	4	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.	9	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…	3	30	670	$130	$291.4K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	7	20	280	$70	$290.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	98	250	960	$30	$246.7K

Showing 1–10 of 343

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Jazibeh Qureshi	MD	Rheumatology Physician	$880.1K	$0
Paresh Shah	MD	Clinical Cardiac Electrophysiology Physician	$836K	$0
Andrew Satinsky	MD	Therapeutic Radiology Physician	$793.1K	$0
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montano Dds Dental Center PC	MD	Dentist	$0	$16.5M
The League For People With Disabilties, Inc.	MD	Adult Day Care Clinic/Center	$0	$10M
The Good Samaritan Hospital Of Maryland, Inc	MD	General Acute Care Hospital	$0	$4.5M
David Martin	MD	Plastic Surgery Physician	$381.8K	$22.1K
Marc Hungerford	MD	Orthopaedic Surgery Physician	$349.1K	$0
Jonathan Lim	MD	Nephrology Physician	$308.4K	$0
Amanda Comegys	MD	Physician Assistant	$301.2K	$0
Adam Berliner	MD	Nephrology Physician	$279.2K	$0
Kaleem Haque	MD	Nephrology Physician	$256.3K	$0
Elias Ghandour	MD	Nephrology Physician	$244.7K	$0

Medstar Medical Group Ii LLC — Billing Profile & Reimbursement Data

Sign up for Medstar Medical Group Ii LLC — Billing Profile & Reimbursement Data policy alerts

Medstar Medical Group Ii LLC — Billing Profile & Reimbursement Data

Sign up for Medstar Medical Group Ii LLC — Billing Profile & Reimbursement Data policy alerts

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