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.

St. Agnes Healthcare, Inc. (NPI 1245274901)

Field	Value
Entity Type	Organization
Organization	St. Agnes Healthcare, Inc.
Address	900 Caton Ave
City	Baltimore
State	MD
ZIP	21229
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	2,440	$490	$1.2M
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.	5,950	$110	$660.9K
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.	3,090	$150	$454.8K
99281	The provider sees a patient for the lowest level emergency department visit.	23,210	$20	$348.1K
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.	4,580	$60	$261.2K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	7,920	$20	$190K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9,210	$20	$175K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	19,350	$10	$174.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	11,050	$10	$154.7K
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…	680	$200	$135.7K

Showing 1–10 of 142

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

St. Agnes Healthcare, Inc. — 4 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

142 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.	38	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.	33	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	13	40	1,330	$510	$824.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	46	80	500	$70	$691.2K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	19	60	780	$80	$613.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	67	160	980	$50	$387.6K
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.	33	150	940	$70	$345.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	13	60	250	$100	$299.5K
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…	2,817	3,280	610	$80	$296.1K
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…	44	110	300	$90	$225.7K

Showing 1–10 of 142

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Agnes Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Agnes Healthcare Inc	MD	Internal Medicine Physician	$0	$11.5M
Seton Medical Group, Inc	MD	Internal Medicine Physician	$0	$5.9M
Nasser Nasseri-asl	MD	Specialist	$1.2M	$0
St. Agnes Healthcare, Inc.	MD	Clinical Medical Laboratory	$147.4K	$890.8K
Richard Hudes	MD	Radiation Oncology Physician	$778.3K	$0
Sylwester Dziuba	MD	Radiation Oncology Physician	$686.4K	$0
Nina Gordon	MD	Diagnostic Radiology Physician	$496.6K	$0
Oliver Chen	MD	Diagnostic Radiology Physician	$473.5K	$0
David Strobel	MD	Dermatology Physician	$464.1K	$0
Seyed Hootan Forghani Saeidabadi	MD	Rheumatology Physician	$453.7K	$0

Nearby Providers

Other providers in the same ZIP code as St. Agnes Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Healthcare Nursing Services, Inc.	MD	Home Health Agency	$0	$45.5M
Time Organization, Inc	MD	Community/Behavioral Health Agency	$0	$39.4M
Compassionate Care Nursing Services	MD	Home Health Agency	$0	$36.6M
Win Team, LLC	MD	Community/Behavioral Health Agency	$0	$21M
Maryland Treatment Centers Inc	MD	Substance Abuse Rehabilitation Facility	$0	$19M
Time Organization, Inc	MD	Rehabilitation Clinic/Center	$0	$13.8M
National Pike Health Center	MD	Mental Health Counselor	$0	$13.2M
Ats Of Cecil County, LLC	MD	Methadone Clinic	$203.9K	$12.8M
Cep America LLC	MD	Emergency Medicine Physician	$0	$12M
Time Organization, Inc.	MD	Community Health Clinic/Center	$0	$9.4M

St. Agnes Healthcare, Inc. — Billing Profile & Reimbursement Data

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St. Agnes Healthcare, Inc. — 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