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.

Southern Maryland Community Network, Inc. (NPI 1356474399)

Field	Value
Entity Type	Organization
Organization	Southern Maryland Community Network, Inc.
Address	305 Prince Frederick Blvd
City	Prince Frederick,
State	MD
ZIP	20678
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0044	Supported housing, per month	5,500	$770	$4.3M
H2016	Comprehensive community support services, per diem	960	$2,460	$2.4M
H0037	Community psychiatric supportive treatment program, per diem	1,040	$120	$122.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	360	$80	$27.5K

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

Southern Maryland Community Network, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	50	110	710	$3,120	$5.3M
H0044	Supported housing, per month	111	760	1,170	$760	$2.2M
H0037	Community psychiatric supportive treatment program, per diem	16	60	480	$100	$80.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	56	340	70	$80	$17.9K

Nearby Providers

Other providers in the same ZIP code as Southern Maryland Community Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dwi Services Inc	MD	Substance Abuse Rehabilitation Facility	$0	$16.8M
Dwi Services, Inc	MD	Substance Abuse Rehabilitation Facility	$0	$14.3M
Calvert County Health Department	MD	Adult Mental Health Clinic/Center	$0	$10.5M
Calvert County Public Schools	MD	Local Education Agency (LEA)	$0	$9.4M
Bayside Recovery LLC	MD	Community/Behavioral Health Agency	$0	$5.1M
Bhargesh P. Mehta, M.d., P.A.	MD	Pediatrics Physician	$0	$4.4M
Maryland Eye Surgery Center, L.L.C.	MD	Ambulatory Surgical Clinic/Center	$1.7M	$0
Faris Hawit	MD	Dermatology Physician	$794.7K	$0
Jason Wanner	MD	Ophthalmology Physician	$568.4K	$0
Samuel Foster	MD	Cardiovascular Disease Physician	$549.8K	$0

Southern Maryland Community Network, Inc. — Billing Profile & Reimbursement Data

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Southern Maryland Community Network, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References