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.

Mnr Industries, LLC (NPI 1457478703)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mnr Industries, LLC
Address	1505 E Churchville Rd
City	Bel Air
State	MD
ZIP	21014
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$107.7M
Medicare	$0

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $107.7M. The absence of Medicare activity means analyses of scale, utilization, and competitive standing should be framed against Medicaid volumes and state peer sets rather than national Medicare benchmarks.

Revenue is highly concentrated in a few evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 76.6% of this provider's total Medicaid revenue. Those top three are 99214 ($56.9M, 53.0% of Medicaid revenue), 99213 ($14.9M, 13.9%), and 99204 ($10.4M, 9.7%), indicating the majority of dollars flow from routine established- and new-patient office/outpatient visits.

The code mix and volumes point to an urgent care/walk‑in visit model rather than specialty or procedure-driven care. High-volume E/M codes (e.g., 99214 with 517.4K claims) dominate revenue, while large counts of rapid diagnostic tests — 87811 at 193.8K claims, 87426 at 132.5K claims, and 87804 at 189.8K claims — show substantial point-of-care testing throughput consistent with urgent care operations.

On competitive standing within Maryland, this provider is an outlier and often a statewide leader for core visit and testing codes. 99214 ranks #1 of 3673 providers in-state (100th percentile; extreme outlier), 99204 ranks #1 of 934 providers in-state (100th percentile; extreme outlier), and 99213 ranks #5 of 3275 providers in-state (100th percentile; extreme outlier), signaling dominant volume for these services compared with peers.

Laboratory and infectious-disease testing contribute material volume and nontrivial revenue but remain secondary to E/M visits: 87811 generated $5.6M (5.2% of Medicaid revenue) and is labeled an extreme outlier (rank #1 of 90, 100th percentile), while 87426 produced $4.1M (3.8%) and also ranks #1 in-state (100th percentile; extreme outlier). Multiple other POC test codes (87804, 87400, 86328, 87880) similarly show extreme outlier rankings, indicating testing scale well above typical state providers.

The provider bills both standard E/M visit codes and urgent care–specific global fees, but E/M visits are the primary revenue engine. S9083 (global fee urgent care centers) accounts for $2.6M (2.4% of Medicaid revenue) and ranks #16 of 70 (78th percentile; typical), while S9088 (ancillary urgent care services) contributes $791K (0.7%) and ranks #3 of 58 (96th percentile; notably above typical), suggesting a blended billing approach with heavier reliance on visit-level E/M reimbursement.

The entity has been enumerated for an extended period (NPI registered 2007-03-23, ~19 years ago), which supports interpretation of these volumes as the output of an established operational model rather than a newly scaled entrant. Long tenure combined with extreme percentile rankings on multiple high-volume codes implies entrenched market behavior and capacity.

From an operations and payer-management perspective, the practice’s dependence on a small set of high-volume E/M codes (top 3 = 76.6% of Medicaid revenue) creates concentration exposure: changes to Medicaid reimbursement policy or utilization review for 99214/99213/99204 would disproportionately affect revenue. The very high claim counts across both visits and POC testing also imply that utilization management and contract terms for testing and E/M lines will be the most impactful levers for payers engaging this provider.

Medicaid: Complete Services Breakdown

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
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…	517,360	$110	$56.9M
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…	161,950	$90	$14.9M
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…	88,460	$120	$10.4M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	193,770	$30	$5.6M
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…	51,000	$100	$4.9M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	132,450	$30	$4.1M
S9083	Global fee urgent care centers	24,250	$110	$2.6M
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…	14,560	$120	$1.8M
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	189,750	$10	$948.8K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	76,910	$10	$846K

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

Mnr Industries, LLC — 18 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
S9083	Global fee urgent care centers	16	70	7,000	$120	$1.8M
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…	51	80	500	$70	$691.2K
S9088	Services provided in an urgent care center (list in addition to code for service)	3	60	5,010	$70	$450.9K
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…	1	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…	5	3,280	610	$80	$296.1K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	6	30	260	$180	$167.2K
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…	5	1,000	200	$120	$96.3K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1	90	250	$30	$91.2K
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…	1	930	110	$100	$90.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1	250	320	$30	$82.2K

Showing 1–10 of 83

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Gilbert	MD	Emergency Medicine Physician	$556.7K	$0
Michael Tholen	MD	General Practice Physician	$93.5K	$0
Jacqueline Fisher	MD	Physician Assistant	$87.1K	$0
Lionel Kum	MD	Medical Physician Assistant	$81.3K	$0
Yolanda Chandler	MD	Family Nurse Practitioner	$71.6K	$0
Jean Binkley	DE	Family Nurse Practitioner	$59.7K	$0
Nathan Mckoy	MD	Family Nurse Practitioner	$58.8K	$0
Stacie Butler	MD	Family Nurse Practitioner	$58.7K	$0
Augusta Jalloh	DC	Family Nurse Practitioner	$55.2K	$0
Sitta Gombeh-alie	DE	Family Medicine Physician	$53.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harford County Public Schools	MD	Local Education Agency (LEA)	$0	$41.4M
Upper Chesapeake Emergency Medicine Physicians, LLC	MD	Emergency Medicine Physician	$0	$22.9M
Prn Inc	MD	Home Health Agency	$0	$14.8M
Maryland Iop Partners	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.5M
Veni Vidi Vici Treatment Services, LLC.	MD	Methadone Clinic	$126.6K	$5.1M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$4.8M
Robert Hoofnagle	MD	Urology Physician	$1.6M	$0
Micah Girotti	MD	Vascular Surgery Physician	$1.2M	$0
Mark Mishra	MD	Radiation Oncology Physician	$1.1M	$0
Michael Osgood	MD	Vascular Surgery Physician	$972.4K	$0

Mnr Industries, LLC — 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