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.

Frederick Institute (NPI 1417232513)

Field	Value
Entity Type	Organization
Organization	Frederick Institute
Address	5716 Industry Ln Ste C
City	Frederick
State	MD
ZIP	21704
Taxonomy	Methadone Clinic
NPI Enumerated	October 20, 2011

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.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	72,610	$80	$5.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	24,380	$50	$1.2M
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…	810	$90	$70.1K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	140	$220	$29.9K
H0001	Alcohol and/or drug assessment	170	$150	$26K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	510	$20	$11.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	140	$40	$6.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	130	$40	$5.7K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	90	$60	$5.4K

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

Frederick Institute — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	41	110	51,720	$70	$4.8M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	46	50	2,370	$70	$484.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	36	380	1,450	$60	$459K
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…	1,491	3,280	610	$80	$296.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	311	360	2,160	$50	$284.3K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	49	80	240	$240	$141.1K
H0001	Alcohol and/or drug assessment	233	440	190	$170	$115.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	488	900	160	$60	$57.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	124	400	150	$20	$43.7K

Nearby Providers

Other providers in the same ZIP code as Frederick Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Center Of Frederick, LLC	MD	Pediatric Dentistry	$0	$22.9M
Serenity Treatment Center, Inc.	MD	Addiction (Substance Use Disorder) Counselor	$0	$6.7M
Chetankumar Patel	MD	Ophthalmology Physician	$3.9M	$0
Frederick Endoscopy Center LLC	MD	Endoscopy Clinic/Center	$1.3M	$0
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Scott Henry	MD	Podiatrist	$415.1K	$0
Michael Tolino	MD	Pulmonary Disease Physician	$373.5K	$0
Phuong Ho	MD	Internal Medicine Physician	$315.3K	$0
Jennifer Giegel	MD	Occupational Therapist	$227.4K	$0
Neil Waravdekar	MD	Pulmonary Disease Physician	$224.4K	$0

Frederick Institute — Billing Profile & Reimbursement Data

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Frederick Institute — 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