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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Medical Faculty Associates, Inc (NPI 1417990581)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medical Faculty Associates, Inc
Address	2150 Pennsylvania Ave Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$75.7M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all recorded federal payer revenue is Medicaid at $75.7M. The lack of Medicare activity makes Medicaid the dominant and sole measurable government payer in this profile, concentrating payor exposure and benchmarking comparisons to in‑state peers rather than national Medicare peers.

Revenue is highly concentrated in a small set of E/M codes: the precomputed top 3 Medicaid codes by revenue (99284, 99214, 99213) account for 49.4% of this provider's total Medicaid revenue. Those three codes individually show large claim volumes — 99284: 139.1K claims at $85 avg paid/claim, 99214: 130.3K claims at $76 avg paid/claim, and 99213: 178.5K claims at $54 avg paid/claim — indicating the business is heavily reliant on high‑throughput evaluation & management services.

The mix of top codes points to an operational model built around emergency department care, high‑volume outpatient clinic visits, and inpatient follow‑up: high‑revenue ED codes (99284, 99285, 99283), office/outpatient E/M (99214, 99213, 99215, 99203), and inpatient subsequent care (99232, 99233) all appear prominently. This suggests the organization combines acute care (ED and inpatient) with large ambulatory throughput rather than being narrowly focused on a single procedure or specialty.

Competitive standing within the state is strong for multiple service lines. For office E/M, 99214 and 99213 each rank #2 in‑state (100th percentile; labeled as "extreme outlier, far above typical state volume"), and inpatient subsequent care 99232 ranks #1 of 68 providers (100th percentile; "extreme outlier"), showing this provider is a major volume contributor for core E/M services in DC.

Several codes are flagged as statistical outliers or notably above typical state volume, reinforcing concentration and market dominance for specific services. Examples include 99214 and 99213 (both "extreme outlier"), 99284 and 99291 ("notably above typical state volume"; ranks #2 at 97th and 96th percentiles respectively), and 99203 and 99232 (both "extreme outlier" and #1/#2 ranked), indicating volumes that materially exceed typical in‑state peers.

Despite the organizational taxonomy listing as Anesthesiology Physician, the Medicaid claim mix is dominated by E/M, ED, inpatient, and diagnostic imaging codes rather than anesthesia procedures. This divergence suggests the billing entity labeled MEDICAL FACULTY ASSOCIATES, INC operates as a broader clinical platform or group practice capturing multiservice ambulatory, ED, and inpatient throughput under the recorded NPI.

The provider’s service breadth extends beyond core E/M into imaging, pathology, and specialty services, implying integrated diagnostic capacity: notable Medicaid revenue contributors include 93306 (echo), 74177 (CT abdomen/pelvis with contrast), 77067/77066 (mammography), 70450 (CT head), and pathology codes 88305/88307, each ranked high in‑state (many at 94–97th percentiles). This mix indicates both front‑line acute care and downstream diagnostic/procedural services that can support care continuity and referral retention.

Operationally, heavy reliance on high‑volume, relatively low‑paid E/M encounters creates throughput sensitivity: the top three codes have large claim counts (e.g., 178.5K for 99213, 139.1K for 99284, 130.3K for 99214) with modest average paid/claim levels, making total revenue dependent on sustained visit volume and coding mix. Given the provider’s NPI tenure (enumerated 2006‑06‑14, ~20 years ago) this is a longstanding pattern rather than a short‑term spike, suggesting persistent scale in ambulatory and acute care operations.

Medicaid: Complete Services Breakdown

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

336 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	139,110	$90	$11.8M
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…	130,250	$80	$9.9M
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…	178,510	$50	$9.6M
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.	58,020	$110	$6.1M
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…	118,810	$40	$4.5M
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.	62,790	$50	$3.2M
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…	24,230	$100	$2.4M
99203	The provider sees a new 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 provider…	23,070	$80	$1.8M
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…	29,450	$50	$1.5M
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…	13,840	$100	$1.4M

Showing 1–10 of 336

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

Claims Volume vs. District of Columbia Distribution

Medical Faculty Associates, Inc — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

336 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	2	30	4,480	$140	$3.5M
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.	2	30	540	$140	$3.4M
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.	6	40	190	$150	$3.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7	10	5,170	$170	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	11	10	1,890	$220	$1.6M
19083	Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	3	10	530	$1,480	$1.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2	30	1,320	$110	$1M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	3	10	2,430	$230	$934.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2	20	660	$120	$788.6K
T2022	Case management, per month	11	10	2,540	$120	$728.6K

Showing 1–10 of 336

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Sam Mansour	VA	Ophthalmology Physician	$1.5M	$0
Roberto Soto	MD	Diagnostic Radiology Physician	$1.3M	$0
Lewis Glass	FL	Dermatopathology Physician	$1.2M	$0
Renu Berry	MD	Diagnostic Radiology Physician	$769.3K	$0
Marena Patronas	VA	Ophthalmology Physician	$744.9K	$0
Rashad Majeed	MD	Vascular Surgery Physician	$699.1K	$17K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K
Jonathan Johnson	DC	Surgery Physician	$825K	$16.5K

Medical Faculty Associates, Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References