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.

Adventist Physician Services, Inc. (NPI 1376623207)

Adventist Physician Services, Inc. is a physical medicine & rehabilitation physician provider located in Gaithersburg, Maryland. This profile covers 0 Medicare and 78 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	Adventist Physician Services, Inc.
Address	820 West Diamond Avenue
City	Gaithersburg
State	MD
ZIP	20878
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	41,560	$70	$2.8M
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…	28,090	$60	$1.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	18,880	$60	$1.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	26,950	$40	$1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,470	$60	$516.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	90,290	$10	$451.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,000	$90	$347.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	13,930	$20	$306.5K
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…	3,550	$80	$280.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,530	$60	$147K

Showing 1–10 of 78

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

Adventist Physician Services, Inc. — 7 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,483	2,200	890	$110	$596.1K
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…	30	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…	67	3,280	610	$80	$296.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	94	110	300	$90	$225.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12	300	420	$50	$213.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16	420	600	$40	$182.1K
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…	583	610	520	$50	$178.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	11	160	340	$70	$139.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	2	10	60	$770	$110.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	1,000	200	$120	$96.3K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mubashar Choudry	MD	Cardiovascular Disease Physician	$2.2M	$0
Sridhar Chatrathi	MD	Cardiovascular Disease Physician	$2M	$1.7K
Ravikumar Bhalavat	MD	Psychiatry Physician	$362.3K	$671.6K
Anees Ahsan	MD	Cardiovascular Disease Physician	$532.4K	$474.2K
Shubir Sofat	MD	Cardiovascular Disease Physician	$880.5K	$0
Pankaj Lal	MD	Specialist	$876.8K	$0
Alfred Burris	DC	Cardiovascular Disease Physician	$469.2K	$356.3K
Sameer Sofat	MD	Cardiovascular Disease Physician	$796K	$0
Khalid Ashai	MD	Cardiovascular Disease Physician	$659.9K	$120K
Mohsin Ijaz	MD	Cardiovascular Disease Physician	$654.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$30.5M
Montgomery County Maryland Government	MD	Ambulance	$10.8M	$9.8M
Jessa Medical Supply, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Geoffrey Martin	MD	Radiation Oncology Physician	$962.9K	$0
Anu Gupta	MD	Specialist	$658.8K	$0
Stuart Snyder	MD	Podiatrist	$529.3K	$0
Ginette Ndingue	MD	Family Nurse Practitioner	$447.7K	$0
Grady Kaiser	MD	General Practice Physician	$228.1K	$0
Danielle Johnson	MD	Family Nurse Practitioner	$190.6K	$0
Herbert Juarbe	MD	Endocrinology, Diabetes & Metabolism Physician	$169.2K	$0

Adventist Physician Services, Inc. — Billing Profile & Reimbursement Data

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Adventist Physician Services, 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

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