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.

Mary Schwartz Mumford (NPI 1306995675)

Field	Value
Entity Type	Individual
Organization	Mary Schwartz Mumford
Address	1350 Connecticut Ave Nw Ste 1250
City	Washington
State	DC
ZIP	20036
Taxonomy	Nurse Practitioner
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$105K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	2,000	$50	$96.2K
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…	70	$70	$4.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10	$110	$1.3K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	130	$10	$1.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10	$80	$950
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	30	$20	$570
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	$10	$100

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

Mary Schwartz Mumford — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	26	30	350	$110	$345.1K
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…	255	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…	98	320	620	$50	$313.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	35	40	330	$100	$251.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	22	40	250	$10	$39.5K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	20	30	150	$10	$17.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	72	70	510	$1	$8.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
East Bay Community Action Program	RI	Community/Behavioral Health Agency	$0	$2.2M
East Bay Community Action Program	RI	Dental Clinic/Center	$0	$2M
Jasma Patel	RI	Dentist	$0	$1.9M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
David Stoll	RI	Hematology & Oncology Physician	$22.4K	$1.4M
John Corvese	RI	Optometrist	$29.7K	$1.4M

Nearby Providers

Other providers in the same ZIP code as Mary Schwartz Mumford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Management, Inc.	DC	Home Health Agency	$0	$70.9M
Asap Services Corporation	DC	Home Health Agency	$0	$44.3M
Palisades Healthcare Partners Inc	DC	Home Health Agency	$0	$4.7M
Mindflower Limited Liability Company	DC	Professional Counselor	$0	$3.6M
Altasource Management Company, LLC.	DC	Case Management Agency	$0	$2.2M
Suburban/nrh Medical Rehabilitation Inc	DC	Rehabilitation Clinic/Center	$0	$1.8M
Capitol Oms PLLC	DC	Dentist	$0	$1.7M
Thomas Shin	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Therapeutic Links Behavioral Health Services, LLC	DC	Clinical Social Worker	$0	$1.2M
Bio-medical Applications Of The District Of Columbia, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$936.8K

Mary Schwartz Mumford — Billing Profile & Reimbursement Data

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Mary Schwartz Mumford — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References