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.

Adventist Healthcare, Inc. (NPI 1487650024)

Field	Value
Entity Type	Organization
Organization	Adventist Healthcare, Inc.
Address	11890 Healing Way
City	Silver Spring
State	MD
ZIP	20904
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

103 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.	5,940	$200	$1.2M
G0378	Hospital observation service, per hour	1,940	$580	$1.1M
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.	7,230	$120	$896.4K
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.	2,030	$160	$331.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	8,500	$10	$110.5K
99281	The provider sees a patient for the lowest level emergency department visit.	520	$160	$85K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	7,890	$10	$78.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	9,630	$10	$67.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	15,320	$1	$61.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	4,310	$10	$51.7K

Showing 1–10 of 103

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

Adventist Healthcare, Inc. — 0 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

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	39	150	1,540	$100	$1.2M
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.	46	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	15	40	1,330	$510	$824.7K
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.	85	160	980	$50	$387.6K
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.	21	150	940	$70	$345.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	24	30	550	$20	$244.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38	50	1,990	$20	$199.4K
99281	The provider sees a patient for the lowest level emergency department visit.	43	60	1,360	$50	$169.3K
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.	52	110	390	$70	$148K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	18	40	320	$50	$146.1K

Showing 1–10 of 103

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adventist Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$9.7M
Mubashar Choudry	MD	Cardiovascular Disease Physician	$2.2M	$0
Sridhar Chatrathi	MD	Cardiovascular Disease Physician	$2M	$1.7K
Shubir Sofat	MD	Cardiovascular Disease Physician	$880.5K	$0
Sameer Sofat	MD	Cardiovascular Disease Physician	$796K	$0
Khalid Ashai	MD	Cardiovascular Disease Physician	$659.9K	$120K
Mohsin Ijaz	MD	Cardiovascular Disease Physician	$654.8K	$0
Thomas Odar	MD	Cardiovascular Disease Physician	$544K	$0
Dennis Friedman	MD	Cardiovascular Disease Physician	$424.2K	$0
Joann Urquhart	MD	Interventional Cardiology Physician	$420.1K	$0

Nearby Providers

Other providers in the same ZIP code as Adventist Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Radiology Associates Inc	MD	Diagnostic Radiology Physician	$0	$27.8M
Mission Autism Clinics LLC	MD	Behavior Analyst	$0	$21.6M
Children's Pediatricians & Associates, LLC	MD	Pediatrics Physician	$0	$17.5M
Dr. Camps Pediatric Dental Center	MD	Pediatric Dentistry	$0	$16.1M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$12.8M
White Oak Pediatrics Drs Battiata & Impeduglia PA	MD	Pediatrics Physician	$0	$12.3M
Jsk Care Group, LLC	MD	Adult Day Care Clinic/Center	$0	$11.8M
Rock Creek Foundation For Mental Health Inc	MD	Developmental Disabilities Clinic/Center	$0	$10.2M
Kashif Ali	MD	Hematology & Oncology Physician	$3.6M	$0
David Heydt	MD	Anatomic Pathology Physician	$1.1M	$0

Adventist Healthcare, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References