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.

Samuel Charles (NPI 1265484547)

Field	Value
Entity Type	Individual
Organization	Samuel Charles
Address	139 E Main St
City	Elkton
State	MD
ZIP	21921
Taxonomy	Neurology Chiropractor
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicare	$19.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	510	$40	$19.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Samuel Charles — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98942	6	30	230	$40	$14.1K

Nearby Providers

Other providers in the same ZIP code as Samuel Charles, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upper Bay Counseling & Support Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.1M
Cecil County Public Schools	MD	Counselor	$0	$15.7M
Upper Bay Counseling & Support Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.6M
Serenity Health, LLC	MD	Methadone Clinic	$346.2K	$14M
Ats Of Cecil County, LLC	MD	Methadone Clinic	$274.4K	$11.7M
Usacs Integrated Acute Care Services Of Maryland, LLC	MD	Internal Medicine Physician	$0	$7.7M
Advantage Psychiatric Services LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Upper Bay Counseling & Support Services, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Health Care For Children,llc	MD	Pediatrics Physician	$0	$6.3M
Project Chesapeake, LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.2M

Samuel Charles — Billing Profile & Reimbursement Data

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Samuel Charles — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References