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.

Howard Hines (NPI 1285685412)

Field	Value
Entity Type	Individual
Organization	Howard Hines
Address	106 Milford St Ste 301
City	Salisbury
State	MD
ZIP	21804
Taxonomy	Dermatology Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicare	$527.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,150	$60	$131.3K
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…	870	$90	$79.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,650	$40	$67.6K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	550	$80	$44.5K
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	360	$90	$33.5K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,540	$10	$22.7K
96920	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.	150	$120	$18.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	240	$70	$16.6K
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…	210	$70	$14.8K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	110	$130	$14.1K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Howard Hines — 5 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. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96920	2	10	290	$130	$36.7K
96910	6	30	170	$100	$31.6K
99214	723	10,270	150	$90	$24.1K
J7308	17	30	40	$300	$21.8K
17110	24	440	120	$80	$15.5K
17000	4	420	210	$40	$12.9K
99213	15	9,280	100	$60	$12.5K
11102	98	390	120	$70	$12.3K
17004	36	180	40	$130	$11K
12032	97	150	30	$210	$10.9K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Howard Hines, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
The Johns Hopkins Hospital	MD	General Acute Care Hospital	$0	$19.9M
Johns Hopkins University	MD	Body Imaging Physician	$0	$15.3M
William Sharfman	MD	Medical Oncology Physician	$9.1M	$0
Johns Hopkins University	MD	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.6M
Johns Hopkins University	MD	Internal Medicine Physician	$0	$6.2M
Johns Hopkins University	MD	Cardiovascular Disease Physician	$0	$4.9M
Johns Hopkins University	MD	Hospitalist Physician	$0	$4.5M
Daniel Becker	MD	Neurology Physician	$3.9M	$0
Johns Hopkins University	MD	Clinical Medical Laboratory	$2M	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wraparound Maryland, Inc	MD	Case Management Agency	$0	$18.4M
Go-getters, Inc.	MD	Community/Behavioral Health Agency	$0	$14.7M
Board Of Education Of Wicomico County	MD	Local Education Agency (LEA)	$0	$14.6M
Healthport	MD	Community/Behavioral Health Agency	$0	$10.9M
Chesapeake Pediatric & Adolescent Associates, PA	MD	Pediatric Adolescent Medicine Physician	$0	$6.6M
Healthport	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.5M
Coastal Hospice Inc	MD	Community Based Hospice Care Agency	$0	$5.3M
Children's Medical Group Of Salisbury, PA	MD	Pediatrics Physician	$0	$5M
Konlian,o'neill & Associates, P.A.	MD	Rehabilitation Practitioner	$0	$5M
James Rial	MD	Ophthalmology Physician	$4.7M	$510

Howard Hines — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References