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.

Baltimore County Public Schools (NPI 1326188509)

Field	Value
Entity Type	Organization
Organization	Baltimore County Public Schools
Address	6901 N Charles St
City	Towson
State	MD
ZIP	21204
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$102.7M
Medicare	$0

Key Findings

This entity is effectively single-payer in scope: there is no Medicare billing on file and reported Medicaid revenue totals $102.7M, indicating the provider’s operational scale is driven almost entirely by Medicaid-reimbursed services. The NPI was enumerated on 2007-02-07 (~19 years ago), confirming a long-tenured presence in the state Medicaid market.

Revenue concentration is highly focused: the precomputed top 3 Medicaid codes by revenue account for 78.2% of total Medicaid revenue. Those top three are T2022 ($49M, 47.7%), T1023 ($20.3M, 19.8%), and 92508 ($11.1M, 10.8%), so case management, screening/eligibility encounters, and group speech services drive the bulk of receipts.

The code mix points to a school-centered clinical model with large volumes of case management and in-school therapy services. Dominant codes include T2022 (case management, per month), T1023 (screening/eligibility, per encounter), and multiple speech/therapy CPTs (92508, 92507, 97530), which together suggest the provider operates extensive school-based behavioral health and speech/therapy programs rather than a conventional clinic or inpatient facility.

Competitive standing within Maryland is outsized for several key codes: T2022 ranks #3 of 67 providers (97th percentile; extreme outlier), T1023 ranks #2 of 61 (98th percentile; extreme outlier), and 92508 ranks #1 of 66 (100th percentile; extreme outlier). These rank and percentile positions indicate this provider is one of the largest statewide performers for school-based case management, screening, and group speech services.

Operational scale can be seen in claim volumes as well as dollars: T2022 shows 360K claims, 92508 shows 652.3K claims, and T1023 shows 88.3K claims, illustrating high-frequency, recurring encounters typical of district-wide school services. The combination of very large claim counts and per-claim payments (for example $136 avg paid/claim for T2022 and $136 and $230 for the other top codes) points to repetitive monthly and encounter-based billing patterns consistent with enrolled student caseloads.

Service breadth is concentrated in allied and behavioral services rather than acute medical procedures: top billed CPT/HCPCS include speech-language (92508, 92507, 92523), physical/occupational therapy (97530, 97150, 97110), and psych services (90832, 90853), with meaningful dollars also in transportation (T2003) and private duty nursing (T1000). This spread of codes supports a profile of multidisciplinary school health and therapy delivery across multiple modalities.

Not all lines are uniformly extreme—some codes show typical or unremarkable state volumes alongside the outliers. For example, T2003 (non-emergency transportation) ranks #2 of 27 providers (96th percentile) and is labeled typical/unremarkable, while some psychotherapy codes like 90834 sit near the state median (rank #1019 of 2204, 54th percentile), indicating pockets of standard utilization amid the dominant school-based services.

The combination of long tenure (~19 years), concentrated Medicaid revenue ($102.7M) and extreme statewide rank positions for core codes suggests this provider functions as a major in-state aggregator of Medicaid-funded school health services. Analysts should treat it as a primary competitor or market leader for school-based case management, screening, and group speech/therapy programs within Maryland rather than as a typical small outpatient provider.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	359,980	$140	$49M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	88,250	$230	$20.3M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	652,310	$20	$11.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	217,690	$40	$8.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	149,880	$30	$4M
W9323	N/A	19,760	$150	$2.9M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	47,720	$40	$1.9M
T2003	Non-emergency transportation; encounter/trip	71,160	$20	$1.5M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	36,990	$30	$924.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	83,650	$10	$669.2K

Showing 1–10 of 25

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

Baltimore County Public Schools — 14 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	3	70	5,520	$140	$5.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2	60	3,550	$250	$2.6M
W9323	N/A	2	10	4,720	$140	$961.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1	70	3,490	$20	$953.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1	220	2,530	$60	$618.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,019	2,200	890	$110	$596.1K
T2003	Non-emergency transportation; encounter/trip	2	30	9,520	$30	$589.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	370	450	510	$120	$393.2K
W9324	N/A	2	10	320	$260	$268.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2	480	740	$50	$220.2K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Baltimore County Public Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gilchrist Hospice Care Inc.	MD	Inpatient Hospice	$0	$60.7M
Sheppard Pratt Physicians, P.A.	MD	Psychiatry Physician	$0	$17.3M
Greater Baltimore Medical Center, Inc.	MD	General Practice Physician	$0	$9.4M
Mei Tang	MD	Medical Oncology Physician	$6.9M	$0
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6.8M
University Of Maryland St. Joseph Medical Group, LLC	MD	General Practice Physician	$0	$6.2M
Sheppard Pratt Physicians PA	MD	Mental Health Counselor	$0	$5.7M
Baltimore County Deparment Of Health	MD	Public Health or Welfare Agency	$0	$5.2M
David Baranano	MD	Ophthalmology Physician	$4.2M	$0
Raymond Sjaarda	MD	Ophthalmology Physician	$4.2M	$0

Baltimore County Public Schools — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References