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.

Fescum Inc (NPI 1558668947)

Field	Value
Entity Type	Organization
Organization	Fescum Inc
Address	6304 Willow Way
City	Clinton
State	MD
ZIP	20735
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	February 21, 2011

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Key Findings

FESCUM INC is effectively a Medicaid-only provider: total Medicare revenue is none (no Medicare billing on file) while lifetime Medicaid revenue is $36.3M. This makes Medicaid the sole material payer on file and indicates the provider’s financial footprint is concentrated entirely in state Medicaid programs.

Revenue is highly concentrated in a narrow set of services: the top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, led by T2016 at 48.4%, 99509 at 29.4%, and S5135 at 22.3%. That concentration means these specific service lines explain the provider’s entire Medicaid billing profile rather than a diversified mix of codes.

The code mix signals a service model focused on residential habilitation and hands-on personal support: T2016 (Habilitation, residential, waiver; per diem) is the largest revenue driver, while 99509 (home health provider visits for ADLs) and S5135 (companion care, per 15 minutes) indicate substantial in-home or companion care activity. Together these codes are consistent with an Intellectual and/or Developmental Disabilities Residential Treatment Facility offering both residential habilitation and repeated, time-based support.

Competitive standing varies by service line: for T2016 the provider ranks #8 of 11 in-state (30th percentile) and is described as having typical, unremarkable volume for that code, indicating a modest market position in residential habilitation. For 99509 it ranks #4 of 10 (67th percentile) with typical, unremarkable volume, and for S5135 it ranks #2 of 12 (91th percentile) which places the provider among the higher-volume in-state suppliers of companion care despite the same 'typical, unremarkable volume' label.

Claim counts and payer rates reflect a labor- and time-intensive revenue base: T2016 shows 21.9K claims at $804 avg paid/claim for $17.6M revenue; 99509 shows 39.4K claims at $271 avg paid/claim for $10.7M revenue; and S5135 shows 31.5K claims at $257 avg paid/claim for $8.1M revenue. The combination of large claim volumes and per-diem or per-15-minute payments is consistent with recurring direct-care services rather than episodic procedures.

The provider has an established presence in the Medicaid system, with its NPI enumerated on 2011-02-21 (~15 years ago). This multi-year tenure supports interpreting the observed billing pattern as an established operating profile rather than a short-term or new-market activity.

Operationally, the fact that 100.0% of Medicaid revenue is concentrated in these three codes creates sensitivity to policy, rate, or utilization changes for residential habilitation, ADL home visits, and companion care. Any contract, reimbursement, or utilization shift affecting T2016, 99509, or S5135 could materially impact the provider’s overall Medicaid revenue given the lack of other material revenue streams.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	21,850	$800	$17.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	39,410	$270	$10.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	31,460	$260	$8.1M

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

Fescum Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	10	33,370	$580	$25.8M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	4	10	29,130	$210	$7.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	10	11,460	$190	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Southern Maryland Hospital Center Inc	MD	General Acute Care Hospital	$0	$18.4M
M Medical Group, Inc.	MD	Critical Care Medicine (Internal Medicine) Physician	$0	$11.3M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$7.6M
Deepnarayan Tiwarri	MD	Hematology & Oncology Physician	$2.6M	$0
Nicholas Demonaco	MD	Hematology & Oncology Physician	$1.7M	$0
Jun Sun	MD	Hematology & Oncology Physician	$1.6M	$0
Rita Gupta	MD	Hematology & Oncology Physician	$1.6M	$0
Jose Mendoza	MD	Hematology & Oncology Physician	$1.4M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Surgcenter Of Southern Maryland, LLC	MD	Ambulatory Surgical Clinic/Center	$807.5K	$25.5K

Fescum Inc — 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