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.

Montgomery County Public Schools Services (NPI 1508909524)

Field	Value
Entity Type	Organization
Organization	Montgomery County Public Schools Services
Address	850 Hungerford Dr
City	Rockville
State	MD
ZIP	20850
Taxonomy	Counselor
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$56.8M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $56.8M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) provider in these data. Analysts should treat Medicaid as the primary—and for billing purposes likely exclusive—revenue source when evaluating this organization’s scale and contracting posture.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 82.1% of this provider’s total Medicaid revenue. Those top three codes are T2022 ($33.5M, 59.0%), 92508 ($8.5M, 14.9%), and T1023 ($4.7M, 8.2%), indicating a small set of services drive the bulk of payment streams.

The code mix and descriptions point to school‑based behavioral health and rehabilitation operations: T2022 (case management, per month) is the dominant revenue driver, 92508 reflects high-volume group speech/language interventions, and T1023 indicates formal screening encounters to determine program appropriateness. This pattern is consistent with counseling, speech‑language pathology, and program‑eligibility screening typical of school systems.

Competitive standing for the largest codes is strong within Maryland: T2022 ranks #4 of 67 providers and sits at the 95th percentile (notably above typical state volume), while 92508 ranks #3 of 66 providers at the 97th percentile (notably above typical state volume). T1023 is more typical in-state, ranking #11 of 61 at the 83th percentile, so the provider is dominant on some high-value services and typical on others.

Several additional codes are statistical outliers or top statewide performers that reinforce a school‑service profile: W9323 ($3.8M, 6.7%) ranks #1 of 14 providers at the 100th percentile (notably above typical state volume), W9324 ($1.1M, 2.0%) ranks #1 of 8 at the 100th percentile, and W9322 ($142.5K, 0.3%) ranks #1 of 6 at the 100th percentile. The provider’s rank patterns show multiple code‑level leadership positions in Maryland rather than diffuse, low-volume participation.

The operational mix includes both group and individual therapeutic services across speech and physical/occupational therapy lines: 92508 (group speech, 325.1K claims, $8.5M), 92507 (individual speech, 28.3K claims, $1.7M), 97530 (therapeutic activity, 33.7K claims, $1.8M), and 97150 (group therapeutic procedures, 44K claims, $747.8K). This breadth suggests multidisciplinary service capacity—speech, therapeutic exercise, and group supervision—consistent with school‑based service delivery.

The provider’s NPI was enumerated on 2007-02-15 (~19 years ago), indicating long tenure in the billing data. That longevity supports the interpretation that the observed high-volume code mix reflects established, ongoing service lines rather than a short‑term reporting artifact.

From a payer or network perspective, the provider represents a concentrated Medicaid play with clear negotiation and utilization implications: because a majority of revenue flows from a handful of codes (82.1% from the top three), payers should evaluate reimbursement rates and utilization rules for T2022 and 92508 closely. The combination of top‑rank positions and extreme volume on several school‑aligned codes suggests the provider is a strategic counterparty for school‑based case management and therapy programs in Maryland.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	234,400	$140	$33.5M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	325,090	$30	$8.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	17,980	$260	$4.7M
W9323	N/A	26,270	$150	$3.8M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	33,680	$50	$1.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	28,300	$60	$1.7M
W9324	N/A	4,340	$260	$1.1M
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…	14,670	$50	$792.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	43,990	$20	$747.8K
W9322	N/A	490	$290	$142.5K

Showing 1–10 of 11

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

Montgomery County Public Schools Services — 8 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	4	70	5,520	$140	$5.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	11	60	3,550	$250	$2.6M
W9323	N/A	1	10	4,720	$140	$961.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3	70	3,490	$20	$953.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	26	220	2,530	$60	$618.3K
W9324	N/A	1	10	320	$260	$268.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	12	480	740	$50	$220.2K
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…	25	570	810	$30	$138K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	29	60	110	$90	$55.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	3	100	260	$10	$41K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Montgomery County Public Schools Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mep Health, LLC	MD	Emergency Medicine Physician	$0	$105.9M
A Plus Adult Medical Day Care Center Corporation	MD	Adult Day Care Clinic/Center	$0	$30.1M
Pediatrix Medical Group Of The Mid-atlantic PC	MD	Maternal & Fetal Medicine Physician	$0	$28.4M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17M
Jarher Incorporated	MD	Adult Day Care Clinic/Center	$0	$12M
Cornerstone Montgomery, Inc.	MD	Community/Behavioral Health Agency	$0	$11.6M
Asthma & Allergy Center LLC	MD	Allergy & Immunology Physician	$0	$11.5M
Montgomery Hospice Inc	MD	Community Based Hospice Care Agency	$0	$10.3M
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$9.7M
Cirrus Dx, Inc.	MD	Clinical Medical Laboratory	$7.8M	$906.9K

Montgomery County Public Schools Services — Billing Profile & Reimbursement Data

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Montgomery County Public Schools Services — 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

Nearby Providers

Frequently Asked Questions

References