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.

Katzen Medical Associates, PC (NPI 1326052614)

Katzen Medical Associates, PC is a ophthalmology physician provider located in Lutherville, Maryland. This profile covers 0 Medicare and 44 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	Katzen Medical Associates, PC
Address	1209 York Rd
City	Lutherville
State	MD
ZIP	21093
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

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

44 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…	18,180	$50	$836.3K
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…	13,300	$60	$798.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	16,320	$50	$750.8K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	12,530	$30	$413.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	6,160	$50	$283.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	6,710	$40	$282K
V2020	Frames, purchases	14,860	$20	$237.8K
99204	The provider sees a new 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 provider…	2,030	$110	$227.1K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	5,510	$40	$192.8K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	4,200	$40	$172.3K

Showing 1–10 of 44

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

Katzen Medical Associates, PC — 12 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. Maryland median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	4	10	440	$630	$1.2M
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…	173	3,670	680	$90	$310K
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…	136	3,280	610	$80	$296.1K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	5	20	760	$50	$127.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	6	30	60	$200	$103.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	4	30	460	$40	$103K
99204	The provider sees a new 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 provider…	98	930	110	$100	$90.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	3	80	220	$30	$82K
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…	339	730	110	$70	$81.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	5	430	440	$40	$59.3K

Showing 1–10 of 44

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Grodin	MD	Ophthalmology Physician	$2.2M	$0
Olga Shif	MD	Ophthalmology Physician	$1.8M	$0
Joseph Harlan	MD	Ophthalmology Physician	$1.5M	$0
Joshua Steiner	PA	Ophthalmology Physician	$1.4M	$860
Bradford Sgrignoli	PA	Retina Specialist (Ophthalmology) Physician	$669.8K	$15.9K
Donna Booth	MD	Specialist	$410.2K	$0
Amy Zimmerman	MD	Ophthalmology Physician	$402.6K	$0
Jonathan Katz	MD	Glaucoma Specialist (Ophthalmology) Physician	$402.4K	$0
Gary Baziz	MD	Optometrist	$146.7K	$220.4K
Tania Marcic	MD	Ophthalmology Physician	$271.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic Community Services, Inc.	MD	Rehabilitation Clinic/Center	$0	$21.1M
Maxim Healthcare Services, Inc.	MD	Home Health Agency	$0	$18.4M
Stella Maris Inc.	MD	Community Based Hospice Care Agency	$0	$16.9M
Glass Health Programs, Inc.	MD	Substance Use Disorder Rehabilitation Clinic/Center	$479.3K	$8.7M
William Sharfman	MD	Medical Oncology Physician	$9.1M	$0
Mosaic Community Services, Inc.	MD	Adult Mental Health Clinic/Center	$0	$7.1M
Windrush Behavioral Health, LLC	MD	Specialist	$0	$7M
Psych Associates Of Maryland LLC	MD	Psychologist	$0	$5.8M
Richard Huslig	MD	Hematology & Oncology Physician	$4.9M	$0
Learning And Therapy Corner, LLC	MD	Speech-Language Pathologist	$0	$4.2M

Katzen Medical Associates, PC — 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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