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.

Milestone Medical Services Inc (NPI 1437412798)

Milestone Medical Services Inc is a clinic/center provider located in Takoma Park, Maryland. This profile covers 0 Medicare and 83 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	Milestone Medical Services Inc
Address	7676 New Hampshire Ave
City	Takoma Park
State	MD
ZIP	20912
Taxonomy	Clinic/Center
NPI Enumerated	June 21, 2012

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	19,910	$80	$1.6M
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…	5,300	$110	$593.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,120	$100	$527.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,210	$100	$520.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,970	$80	$489.5K
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,…	9,340	$50	$420.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,660	$110	$413.8K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	21,250	$10	$170K
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…	1,080	$140	$152.9K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	4,380	$30	$148.9K

Showing 1–10 of 83

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

Milestone Medical Services Inc — 10 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	518	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…	114	3,280	610	$80	$296.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	330	800	$110	$228.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	21	290	730	$100	$212.2K
S0316	Disease management program, follow-up/reassessment	13	10	700	$150	$209.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	350	490	$110	$172.3K
0240U	N/A	3	10	30	$130	$164.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	23	320	290	$120	$128K
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…	193	1,000	200	$120	$96.3K
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…	149	930	110	$100	$90.1K

Showing 1–10 of 83

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Clinic, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$64.6M
Dr David M Vieth PC	MD	General Practice Dentistry	$0	$45.7M
Washington Cardiovascular Institute LLC	MD	Cardiovascular Disease Physician	$0	$17.6M
Park Pediatrics	MD	Pediatrics Physician	$0	$12.8M
Washington-mclaughlin Adult Day Care Center	MD	Adult Day Care Clinic/Center	$0	$8.8M
Advoquate Health Services LLC	MD	Case Management Agency	$0	$6.2M
Diversity Talks, LLC	MD	Speech-Language Pathologist	$0	$5.5M
Ja Community Services, LLC	MD	Developmentally Disabled Services Day Training Agency	$0	$4.8M
Andrei Gursky	MD	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$4.7M	$0
Mubashar Choudry	MD	Cardiovascular Disease Physician	$2.2M	$0

Milestone Medical Services Inc — Billing Profile & Reimbursement Data

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Milestone Medical 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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