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.

Adebowale Prest (NPI 1326030438)

Field	Value
Entity Type	Individual
Organization	Adebowale Prest
Address	321 Dorchester Ave
City	Cambridge
State	MD
ZIP	21613
Taxonomy	Family Medicine Physician
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: lifetime Total Medicare revenue is $2.8M and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is heavily concentrated on Medicare, leaving the practice dependent on Medicare volume for revenue generation and growth opportunities.

Revenue is highly concentrated in a few lab codes: the precomputed top 3 Medicare codes (80061, 80053, 84443) account for 46.8% of this provider’s total Medicare revenue. Those three codes individually show $446.1K revenue (16.6%) for 80061, $444K revenue (16.6%) for 80053, and $363.9K revenue (13.6%) for 84443, indicating that nearly half of Medicare dollars come from a small set of routine lab services.

The code mix points to a lab-centric primary care workflow: the highest‑revenue CPT/HCPCS are routine diagnostic panels and monitoring tests (80061 lipid panel, 80053 CMP, 84443 TSH, 82306 vitamin D, 85025 CBC, 83036 A1C). This pattern suggests the provider primarily delivers chronic disease surveillance and general health screening services that generate frequent, low‑unit lab claims rather than high‑intensity E/M visits.

Competitive standing on Medicare for core lab services is materially strong: 80061 ranks #63 of 21671 providers (100th percentile; notably above typical national volume) and 80053 ranks #75 of 26416 providers (100th percentile; notably above typical national volume). Several other lab codes — including 83036 A1C and 85025 CBC — are at the 100th percentile with 83036 labeled an "extreme outlier, far above typical national volume," which collectively indicates this provider is a major national volume outlier for routine lab testing.

Operational profile is throughput‑oriented: average paid per claim for the top lab codes is low ($13 avg for 80061, $10 avg for 80053, $16 avg for 84443) while claim counts are very high (34.3K claims for 80061, 44.4K claims for 80053, 22.7K claims for 84443). This combination — high claim volume and low per‑claim payment — is consistent with a business model that relies on large numbers of routine tests rather than a smaller number of higher‑priced procedures or E/M encounters.

Clinical focus centers on chronic disease monitoring and preventive screening: substantial revenue from 83036 (21.9K claims, $197K revenue, 7.3%) together with lipid panels (80061) and CMPs (80053) indicates frequent diabetes and metabolic monitoring, while high TSH and vitamin D volumes (84443 and 82306) imply active endocrine screening or management. These code patterns support the interpretation that ongoing disease surveillance and lab monitoring are primary clinical drivers of Medicare visits.

Despite dominance in lab volumes, some codes show only typical national volume: codes such as 84153 PSA and several micronutrient/iron tests are described as "typical, unremarkable volume" even when ranked in high percentiles. This mix indicates that while the provider is an outlier for a core set of high‑frequency routine labs, other ancillary tests and certain screening services remain within more expected national ranges.

The provider has long tenure in the Medicare program, with NPI enumeration dated 2005-08-16 (~21 years ago). Combined with the concentrated lab profile and national rank outlier status on multiple routine tests, the longevity suggests an established operating pattern that has persisted over many years and could be considered a stable, Medicare‑focused service line footprint.

Medicare: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	34,320	$10	$446.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	44,400	$10	$444K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	22,740	$20	$363.9K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	10,810	$30	$313.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	33,090	$10	$264.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	21,890	$10	$197K
84439	The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.	11,930	$10	$107.4K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	3,390	$20	$61K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	3,610	$20	$54.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	6,010	$10	$48.1K

Showing 1–10 of 77

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Adebowale Prest — 19 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

77 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0145	3	10	980	$30	$47.1K
99214	1,890	10,270	150	$90	$24.1K
U0003	6	40	50	$70	$21.7K
G0439	627	2,320	90	$130	$16K
82306	2	220	70	$30	$15.2K
87624	4	10	120	$30	$15.1K
84403	4	20	120	$30	$14.6K
88175	2	10	520	$30	$14.5K
80061	2	290	170	$10	$14.3K
87389	4	10	150	$20	$13.4K

Showing 1–10 of 77

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Choptank Community Health System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$27.2M
Choptank Community Health System, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$18.5M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.9M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Glenda Mccarter	MD	Nurse Practitioner	$1.3M	$0
Marilyn Chengot	NY	Cardiovascular Disease Physician	$909.9K	$15.1K
Momodu Jack	DC	Gastroenterology Physician	$25K	$759K
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avenues Recovery Center Of Chesapeake Bay, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$23.9M
Community Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$18.9M
Delmarva Community Services Inc	MD	Intellectual & Developmental Disabilities Psychologist	$0	$12.7M
Marshy Hope Family Services, LLC	MD	Clinical Social Worker	$0	$7.2M
Healthport	MD	Community/Behavioral Health Agency	$0	$7M
Channel Marker, Inc	MD	Community/Behavioral Health Agency	$0	$6.2M
Community Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$5.6M
Dorchester County Public Schools	MD	Counselor	$0	$4.8M
Dorchester County Commissioners	MD	Land Ambulance	$670.5K	$1.1M
Shore Health System, Inc	MD	Radiology Clinic/Center	$329.9K	$115.1K

Adebowale Prest — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References