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.

Outreach Recovery Ii, LLC (NPI 1427541838)

Outreach Recovery Ii, LLC is a addiction medicine (internal medicine) physician provider located in Laurel, Maryland. This profile covers 0 Medicare and 20 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	Outreach Recovery Ii, LLC
Address	14205 Park Center Dr # 201202
City	Laurel
State	MD
ZIP	20707
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	June 11, 2018

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

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

20 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…	92,420	$110	$9.8M
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.	139,510	$50	$6.4M
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…	16,580	$90	$1.4M
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	4,090	$100	$405.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	760	$440	$335.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	4,600	$70	$322K
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…	2,640	$110	$290.5K
G0481	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…	1,970	$130	$249.8K
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…	2,800	$80	$223.9K
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…	1,020	$160	$158.3K

Showing 1–10 of 20

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

Outreach Recovery Ii, LLC — 3 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0481	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…	35	50	3,420	$110	$1.2M
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…	9	60	780	$80	$613.1K
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…	1,650	2,200	890	$110	$596.1K
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.	2	160	980	$50	$387.6K
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…	12	3,670	680	$90	$310K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	442	450	730	$110	$298.2K
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…	806	3,280	610	$80	$296.1K
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…	347	610	520	$50	$178.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	161	440	510	$40	$128.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	142	1,090	90	$200	$101.4K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ehsan Abdeshahian	NY	Physical Medicine & Rehabilitation Physician	$554.8K	$0
Johan Reyes	NJ	Pain Medicine (Anesthesiology) Physician	$500.7K	$0
Edward Luschinski	MD	Family Nurse Practitioner	$387.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
High Quality Care Nursing, Inc	MD	Nursing Care Agency	$0	$77.2M
Nextgeneration Therapeutic Services	MD	Community/Behavioral Health Agency	$0	$23.4M
Bk Behavioral Health Center	MD	Addiction (Substance Use Disorder) Counselor	$0	$14.3M
Capital Diagnostics LLC	MD	Clinical Medical Laboratory	$207.7K	$11.6M
Precision Orthopedics And Sports Medicine	MD	Sports Medicine (Orthopaedic Surgery) Physician	$0	$9.9M
Innovative Therapeutic Services, Corp.	MD	Community/Behavioral Health Agency	$0	$9.6M
Associated Professional Rehabilitation Services, Inc.	MD	Physical Therapist	$0	$4.5M
Padder Health Services, LLC	MD	Internal Medicine Physician	$0	$4.5M
Addiction Recovery, Inc	MD	Substance Abuse Rehabilitation Facility	$0	$4.5M
Lartey Wellness Group LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.3M

Outreach Recovery Ii, LLC — Billing Profile & Reimbursement Data

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Outreach Recovery Ii, LLC — 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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