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.

Sinai Hospital Of Baltimore Inc (NPI 1255359782)

Sinai Hospital Of Baltimore Inc is a internal medicine physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 47 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	Sinai Hospital Of Baltimore Inc
Address	2435 W Belvedere Ave
City	Baltimore
State	MD
ZIP	21215
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70,010	$40	$2.7M
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…	17,110	$50	$804.3K
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…	17,880	$40	$786.5K
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…	5,200	$100	$509.4K
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…	9,180	$50	$477.5K
99220	N/A	3,130	$90	$272.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6,430	$40	$250.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,520	$60	$218.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5,230	$10	$57.6K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,210	$50	$56.9K

Showing 1–10 of 47

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

Sinai Hospital Of Baltimore Inc — 8 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

47 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…	284	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…	140	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…	79	110	300	$90	$225.7K
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…	14	300	420	$50	$213.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	420	600	$40	$182.1K
99220	N/A	9	50	550	$80	$106.8K
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…	978	1,000	200	$120	$96.3K
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…	482	930	110	$100	$90.1K
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…	12	310	160	$80	$82.1K
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…	338	730	110	$70	$81.9K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Sinai Hospital Of Baltimore, Inc.	MD	General Acute Care Hospital	$0	$10.2M
Grace Medical Center, Inc.	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.2M
Huzefa Bahrain	MD	Hematology & Oncology Physician	$2.1M	$0
Devang Gandhi	WI	Pediatrics Physician	$0	$1.7M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Jonathan Rogers	MD	Cardiovascular Disease Physician	$1.2M	$0
Martin Engelhardt	MD	Cardiovascular Disease Physician	$1.1M	$0
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Paresh Shah	MD	Clinical Cardiac Electrophysiology Physician	$836K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$35.2M
Maryland Medical Day Services, LLC	MD	Adult Day Care Clinic/Center	$0	$24.7M
People Encouraging People, Inc.	MD	Mental Health Counselor	$0	$21.6M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$21.4M
Associated Catholic Charities, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Sarah's House Mental Services LLC	MD	Community/Behavioral Health Agency	$0	$17.8M
King Health Systems, Inc.	MD	Public Health or Welfare Agency	$0	$17.5M
People Encouraging People, Inc.	MD	Mental Health Counselor	$0	$17.3M
Time Outpatient Mental Health Clinic	MD	Community/Behavioral Health Agency	$0	$16.6M
Baltimore Area Community Health Services LLC	MD	Community/Behavioral Health Agency	$0	$16.2M

Sinai Hospital Of Baltimore 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

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