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.

Medstar Franklin Square Physicians LLC (NPI 1538582945)

Field	Value
Entity Type	Organization
Organization	Medstar Franklin Square Physicians LLC
Address	9000 Franklin Square Dr
City	Baltimore
State	MD
ZIP	21237
Taxonomy	General Practice Physician
NPI Enumerated	January 22, 2014

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

131 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…	49,970	$90	$4.5M
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…	60,110	$70	$4M
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…	7,590	$90	$667.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17,010	$40	$646.5K
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…	5,360	$90	$461K
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…	4,200	$100	$419.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11,000	$40	$385.1K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	3,270	$90	$277.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,650	$100	$265.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	9,590	$20	$230.2K

Showing 1–10 of 131

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

Medstar Franklin Square Physicians LLC — 5 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

131 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.	88	150	1,540	$100	$1.2M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	170	$360	$964.1K
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.	53	150	940	$70	$345.1K
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…	23	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…	23	3,280	610	$80	$296.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	10	140	$110	$294.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	7	30	670	$130	$291.4K
76828	The provider performs a repeat or follow–up fetal Doppler echocardiography by pulsed or continuous sound waves with spectral display to assess blood flow in the fetus.	3	10	800	$30	$274.1K
76821	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…	9	10	1,680	$50	$242.7K
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…	35	330	800	$110	$228.7K

Showing 1–10 of 131

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medstar Franklin Square Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahmad Abu-ghaida	MD	Vascular Surgery Physician	$3.6M	$0
Huzefa Bahrain	MD	Hematology & Oncology Physician	$2.1M	$0
Suresh Malik	MD	Internal Medicine Physician	$497K	$0
Hassan Kassamali	MD	Specialist	$432.3K	$0
Amit Kalra	NJ	Cardiovascular Disease Physician	$426.5K	$0
Glenn Meininger	MD	Clinical Cardiac Electrophysiology Physician	$331.2K	$0
David Lumsden	MD	Orthopaedic Surgery Physician	$293.7K	$0
Tamara Ashvetiya	MD	Cardiovascular Disease Physician	$293.6K	$0
Shweta Kurian	MD	Hematology & Oncology Physician	$237.7K	$0
David Gold	MD	Orthopaedic Surgery Physician	$232.7K	$0

Nearby Providers

Other providers in the same ZIP code as Medstar Franklin Square Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Treatment Services LLC	MD	Methadone Clinic	$1M	$56.3M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.8M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$26.2M
Amedisys Hospice, LLC	MD	Community Based Hospice Care Agency	$0	$15.6M
Mosaic Community Services, Inc.	MD	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$13.9M
Advance Adult Day Care L.L.C.	MD	Adult Day Care Clinic/Center	$0	$7.9M
Franklin Square Hospital Center, Inc	MD	General Acute Care Hospital	$0	$7.2M
Medstar Medical Group Ii	MD	Psychiatry Physician	$0	$6.4M
Edwin F. Aguilar, M.d., P.C.	MD	Pediatrics Physician	$0	$5.6M
Procare Ambulance Of Maryland Inc	MD	Land Ambulance	$3.8M	$1.4M

Medstar Franklin Square Physicians LLC — Billing Profile & Reimbursement Data

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Medstar Franklin Square Physicians 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

Related Providers

Nearby Providers

Frequently Asked Questions

References