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.

Capital Children's Healthcare (NPI 1316484447)

Field	Value
Entity Type	Organization
Organization	Capital Children's Healthcare
Address	1220 Caraway Ct Ste 1050
City	Upper Marlboro
State	MD
ZIP	20774
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 26, 2017

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8,450	$1,330	$11.2M
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	20	$1,300	$19.5K

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

Capital Children's Healthcare — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	20	420	$2,390	$2.2M
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	1	10	20	$1,300	$19.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Capital Children's Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunil Patel	MD	Anesthesiology Physician	$33K	$0

Nearby Providers

Other providers in the same ZIP code as Capital Children's Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dimensions Health Corporation	MD	General Acute Care Hospital	$0	$29.6M
Qci Behavioral Health Consulting Group, LLC	MD	Mental Health Counselor	$0	$18.8M
Prince George's County Maryland	MD	Land Ambulance	$6.2M	$7.8M
We Care Adult Services, Inc.	MD	Adult Day Care Clinic/Center	$0	$9.2M
Ccdc Professionals, LLC	MD	Dentist	$0	$8.4M
Center For Therapeutic Concepts Inc	MD	Community/Behavioral Health Agency	$0	$6.5M
United Counseling And Support Services LLC	MD	Community/Behavioral Health Agency	$0	$5.8M
Affordable Behavioral Consultants	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.8M
Green States Anesthesia PLLC	MD	Dental Anesthesiology	$0	$4.8M
Community Counseling & Mentoring Services, Inc	MD	Clinic/Center	$0	$4.7M

Capital Children's Healthcare — Billing Profile & Reimbursement Data

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Capital Children's Healthcare — 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