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.

Prince Georges County Public Schools (NPI 1265507917)

Field	Value
Entity Type	Organization
Organization	Prince Georges County Public Schools
Address	14201 School Ln
City	Upper Marlboro
State	MD
ZIP	20772
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$89M
Medicare	$0

Key Findings

PRINCE GEORGES COUNTY PUBLIC SCHOOLS is effectively a Medicaid-focused billing entity: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $89M, so all reported programmatic billing appears to flow through Medicaid rather than Medicare. This profile indicates single-payer concentration at the program level rather than a mixed Medicare/Medicaid practice mix.

Revenue is extremely concentrated in a very small number of service lines: the precomputed top-3 Medicaid codes account for 91.1% of this provider's total Medicaid revenue, led by T2022 at $65.4M (73.5%), followed by T1023 at $11.5M (13.0%) and 92507 at $4.2M (4.7%). This concentration means a few recurring, high-volume codes drive the vast majority of the provider’s Medicaid receipts.

The code mix is consistent with school-based, special-education and related services delivered by a Local Education Agency (LEA): T2022 (Case management, per month) is dominant, T1023 (screening for program participation) is the second-largest revenue driver, and 92507/92508 reflect intensive individual and group speech/hearing services. Together these codes point to ongoing monthly case management plus frequent screening and speech-language/hearing encounters as the operational core of the billing profile.

PRINCE GEORGES is a statewide dominant provider for its largest service: T2022 ranks #1 of 67 providers in-state (100th percentile) and is labeled an "extreme outlier," demonstrating system-level scale in monthly case management relative to peers. That rank and percentile indicate this LEA is far above typical state volume for the same code and likely centralizes case-management billing in its county schools.

Several other top Medicaid codes show above-typical competitive standing: T1023 ranks #3 of 61 in-state (97th percentile; notably above typical state volume) and 92507 ranks #4 of 221 (99th percentile; notably above typical state volume). 92508 also posts very large volume (166.8K claims, $4.2M revenue) and ranks #5 of 66 providers in-state (94th percentile), indicating both individual and group therapy lines are executed at scale compared with most in-state peers.

High claims volumes underline recurring, frequent service delivery: T2022 alone has 470.4K claims, 92508 records 166.8K claims, and 92507 has 73.2K claims. Those claim counts, paired with per-claim payment levels shown in the top codes, suggest high-throughput, repeated encounters (monthly case management and frequent therapy/screening sessions) rather than episodic, low-frequency care.

The provider offers a broader set of ancillary school-based health services beyond the top three codes, though at much smaller revenue shares: examples include 97530 ($1.1M), 97110 ($327.5K), 90832 ($63.1K), 90853 ($52.8K), and T2003 ($65.4K). These secondary codes indicate active physical/occupational therapy, some behavioral-health group and individual psychotherapy, and limited non-emergency transportation, expanding the operational footprint beyond case management and speech/hearing therapy.

PRINCE GEORGES has an established billing history with its NPI enumerated 2006-11-21 (~20 years ago), which, combined with its extreme outlier status on T2022 and very high claim volumes across multiple therapy and screening codes, points to long-standing, large-scale Medicaid program operations within the county school system.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	470,410	$140	$65.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	47,440	$240	$11.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	73,220	$60	$4.2M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	166,840	$30	$4.2M
W9323	N/A	11,270	$150	$1.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	22,890	$50	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8,190	$40	$327.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2,160	$90	$189.9K
W9324	N/A	600	$270	$163.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	5,780	$10	$80.9K

Showing 1–10 of 17

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

Prince Georges County Public Schools — 4 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	1	70	5,520	$140	$5.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3	60	3,550	$250	$2.6M
W9323	N/A	3	10	4,720	$140	$961.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	5	70	3,490	$20	$953.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	4	220	2,530	$60	$618.3K
T2003	Non-emergency transportation; encounter/trip	19	30	9,520	$30	$589.2K
W9324	N/A	3	10	320	$260	$268.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	17	480	740	$50	$220.2K
90832	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…	220	610	520	$50	$178.2K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	4	10	4,590	$20	$145.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Prince Georges County Public Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prince George's County Public Schools	MD	Early Intervention Provider Agency	$0	$8.2M
Patricia Goodman	MD	Primary Care Nurse Practitioner	$187K	$0
Rafik Tarfa	MD	Physical Therapist	$107.4K	$0
Charles Okorom	MD	Psychiatric/Mental Health Nurse Practitioner	$61.1K	$0
Barbara Nalley	MD	Adult Health Nurse Practitioner	$15.6K	$0
Frederick Temenu	MD	Psychiatric/Mental Health Nurse Practitioner	$1.3K	$0

Prince Georges County Public Schools — Billing Profile & Reimbursement Data

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Prince Georges County Public Schools — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References