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.

Medstar Southern Maryland Hospital Center Inc (NPI 1366790693)

Field	Value
Entity Type	Organization
Organization	Medstar Southern Maryland Hospital Center Inc
Address	7503 Surratts Rd
City	Clinton
State	MD
ZIP	20735
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2012

Payer Source	Total Paid
Medicaid	$18.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

111 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.	730	$5,190	$3.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10,830	$300	$3.2M
G0378	Hospital observation service, per hour	3,050	$770	$2.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11,280	$190	$2.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4,730	$390	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	12,170	$90	$1M
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	650	$650	$423.8K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	8,480	$30	$279.9K
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…	20,210	$10	$262.8K
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.	11,580	$20	$231.6K

Showing 1–10 of 111

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

Medstar Southern Maryland Hospital Center Inc — 1 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

111 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.	8	20	420	$2,390	$2.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	21	150	1,540	$100	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	8	40	1,330	$510	$824.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	58	80	500	$70	$691.2K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	48	60	780	$80	$613.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	58	160	980	$50	$387.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11	150	940	$70	$345.1K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	6	20	280	$70	$290.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	26	40	150	$90	$192.4K

Showing 1–10 of 111

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fescum Inc	MD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$36.3M
M Medical Group, Inc.	MD	Critical Care Medicine (Internal Medicine) Physician	$0	$11.3M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$7.6M
Deepnarayan Tiwarri	MD	Hematology & Oncology Physician	$2.6M	$0
Nicholas Demonaco	MD	Hematology & Oncology Physician	$1.7M	$0
Jun Sun	MD	Hematology & Oncology Physician	$1.6M	$0
Rita Gupta	MD	Hematology & Oncology Physician	$1.6M	$0
Jose Mendoza	MD	Hematology & Oncology Physician	$1.4M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Surgcenter Of Southern Maryland, LLC	MD	Ambulatory Surgical Clinic/Center	$807.5K	$25.5K

Medstar Southern Maryland Hospital Center Inc — Billing Profile & Reimbursement Data

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Medstar Southern Maryland Hospital Center 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