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.

Medstar - Georgetown Medical Center, Inc. (NPI 1427145176)

Key Findings

Field	Value
Entity Type	Organization
Organization	Medstar - Georgetown Medical Center, Inc.
Address	3800 Reservoir Rd., Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

MEDSTAR - GEORGETOWN MEDICAL CENTER, INC. is effectively a single-payer Medicaid hospital in these data: it has no Medicare billing on file while reporting $45.6M in lifetime Medicaid revenue, indicating that all documented federal program activity in this profile is concentrated in Medicaid rather than Medicare. This makes Medicaid the primary revenue source for analysis and network leverage assessments.

Revenue concentration is high: the precomputed top three Medicaid codes by revenue account for 34.9% of the provider's total Medicaid revenue, signaling that a relatively small group of services drives more than one-third of Medicaid receipts. Analysts should prioritize these leading codes when modeling revenue risk or growth opportunities.

The Medicaid code mix indicates a combination of high-volume emergency, infusion, and rehabilitative services consistent with a general acute care hospital that operates a busy emergency department and outpatient therapy/infusion clinics. High-volume ED E/M codes such as 99283 (12.6% of Medicaid revenue) and higher-acuity 99284/99285 entries, together with infusion codes 96361/96365 and therapy codes 97110/97140, point to substantial ED throughput, dehydration/IV fluid treatment, chemotherapy/infusion activity, and outpatient physical therapy.

On competitive standing within the state, the provider mostly sits in typical percentile ranges rather than dominating: for example, 99283 ranks #10 of 38 (76th percentile), 99361 ranks #4 of 8 (57th percentile), and 97110 ranks #5 of 27 (85th percentile). This suggests the hospital is a solid, above-median participant for many high-volume codes but not the single dominant statewide provider for these services.

There are several service-level leaders worth noting for in-state competitive positioning: the provider is the state volume leader for 29581 (rank #1 of 5, 100th percentile) which concerns multilayer compression bandaging for venous stasis, and it ranks highly (top 5 or top 10) for several infusion, imaging, and procedure codes such as 96361 (#4 of 8), 96413 (#2 of 9), and 43239 (#4 of 19). These ranks imply programmatic strength in wound care, infusion/oncology support, and endoscopic procedures relative to peers.

Typical paid-per-claim levels and claim counts reflect diverse service intensities: high claim counts paired with moderate average paid/claim (e.g., 19K claims for 99283 at $233) indicate volume-driven revenue in the ED, while lower-claim, higher-unit-pay items (e.g., 43239 at $673 and 45380 at $766) reflect revenue from higher-acuity diagnostic procedures. For modeling reimbursement sensitivity, both the volume-weighted ED/therapy codes and the higher-unit procedural codes should be treated differently.

Tenure is long: the provider’s NPI was enumerated on 2006-10-06 (roughly 20 years ago), supporting the expectation of an established service footprint and referral relationships in the Washington, DC market. This longevity, combined with the code mix, supports interpretation that these Medicaid volumes reflect sustained operational lines (ED, infusion/oncology, outpatient therapy, and endoscopy).

No Medicare activity is on file, so Medicare-level competitive or utilization comparisons are not possible from this dataset. Analysts should treat this profile as a Medicaid-centric reporting entity for payer contracting, utilization management, and state-level market share analysis rather than a dual-Medicare/Medicaid acute-care comparator.

Medicaid: Complete Services Breakdown

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

328 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,040	$230	$4.4M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,850	$540	$4.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	19,300	$190	$3.6M
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.	11,990	$250	$3M
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.	12,510	$200	$2.6M
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,…	11,770	$200	$2.3M
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.	4,930	$260	$1.3M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,730	$670	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17,420	$70	$1.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	5,500	$190	$1M

Showing 1–10 of 328

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

Medstar - Georgetown Medical Center, Inc. — 2 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

328 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4	10	5,630	$540	$4.4M
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.	9	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.	11	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.	10	40	190	$150	$3.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	10	6,080	$100	$2M
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.	11	10	5,170	$170	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	9	10	1,890	$220	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5	30	3,790	$110	$1.4M
G0378	Hospital observation service, per hour	6	10	7,540	$130	$1.3M
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…	7	10	2,360	$50	$1.2M

Showing 1–10 of 328

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0
Andrew Mo	MD	Orthopaedic Surgery of the Spine Physician	$540.7K	$0
Jean-marc Voyadzis	MD	Neurological Surgery Physician	$486.7K	$0
Sean Collins	DC	Radiation Oncology Physician	$444.1K	$0
Charles Mugera	MD	Internal Medicine Physician	$396.2K	$0
Allison Oldfield	MD	Diagnostic Radiology Physician	$372.8K	$0
Bruce Knolmayer	MD	Orthopaedic Surgery Physician	$364.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Ryan Hankins	DC	Urology Physician	$445K	$0
Fernando Pagan	DC	Neurology Physician	$436.9K	$0
Laxman Bahroo	DC	Neurology Physician	$353.8K	$0
Brendan Merchant	DC	Internal Medicine Physician	$346.7K	$0
Michael Fabrizio	DC	Urology Physician	$344.8K	$0

Medstar - Georgetown Medical Center, 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