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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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 Georgetown Medical Center, Inc (NPI 1285636522)

Medstar Georgetown Medical Center, Inc is a internal medicine physician provider located in Washington, District of Columbia. This profile covers 0 Medicare and 9 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	Medstar Georgetown Medical Center, Inc
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$923.4K
Medicare	$0

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	8,650	$80	$726.9K
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.	1,720	$60	$110.2K
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.	1,050	$40	$37.8K
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…	440	$40	$15.5K
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…	320	$40	$12.3K
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…	300	$40	$10.7K
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…	140	$40	$5.6K
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…	60	$60	$3.7K
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…	30	$30	$650

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

Claims Volume vs. District of Columbia Distribution

Medstar Georgetown Medical Center, Inc — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	10	30	4,480	$140	$3.5M
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.	16	30	540	$140	$3.4M
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.	16	40	190	$150	$3.3M
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…	31	50	580	$60	$424.9K
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…	195	310	750	$70	$321.6K
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…	290	320	620	$50	$313.6K
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…	49	120	300	$120	$287.3K
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…	34	70	320	$40	$259.9K
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…	23	40	110	$70	$49.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0
Andrew Mo	MD	Orthopaedic Surgery of the Spine Physician	$540.7K	$0
Jean-marc Voyadzis	MD	Neurological Surgery Physician	$486.7K	$0
Sean Collins	DC	Radiation Oncology Physician	$444.1K	$0
Charles Mugera	MD	Internal Medicine Physician	$396.2K	$0
Allison Oldfield	MD	Diagnostic Radiology Physician	$372.8K	$0
Bruce Knolmayer	MD	Orthopaedic Surgery Physician	$364.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Ryan Hankins	DC	Urology Physician	$445K	$0
Fernando Pagan	DC	Neurology Physician	$436.9K	$0
Laxman Bahroo	DC	Neurology Physician	$353.8K	$0
Brendan Merchant	DC	Internal Medicine Physician	$346.7K	$0
Michael Fabrizio	DC	Urology Physician	$344.8K	$0

Medstar Georgetown Medical Center, Inc — Billing Profile & Reimbursement Data

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Medstar Georgetown Medical Center, 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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