Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThe Johns Hopkins Hospital
    Ask Trek AI about this page

    The Johns Hopkins Hospital — Billing Profile & Reimbursement Data

    NPI 1578597993 · Baltimore, MD · General Acute Care Hospital

    Customize your policy alerts

    Sign up for The Johns Hopkins Hospital — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    The Johns Hopkins Hospital is a general acute care hospital provider located in Baltimore, Maryland. This profile covers 0 Medicare and 316 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Johns Hopkins Hospital
    Address600 N Wolfe St
    CityBaltimore
    StateMD
    ZIP21287
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$19.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    316 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.8,500$310$2.7M
    99285The 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.4,990$460$2.3M
    G0463Hospital outpatient clinic visit for assessment and management of a patient101,190$20$2M
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.8,270$220$1.8M
    G0378Hospital observation service, per hour4,620$360$1.7M
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…1,150$750$859.5K
    99283The 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.5,150$160$809K
    P9016Red blood cells, leukocytes reduced, each unit1,670$440$740.6K
    36512Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…1,200$510$608.6K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.8,210$70$607.8K

    Showing 1–10 of 316

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    316 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.291501,540$100$1.2M
    99285The 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.24150760$130$964.3K
    G0378Hospital observation service, per hour2401,330$510$824.7K
    U0003Infectious 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…2580500$70$691.2K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.2105,010$80$668.2K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1560780$80$613.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5352,200890$110$596.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.46160980$50$387.6K
    99283The 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.29150940$70$345.1K
    36512Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…2101,660$200$338.8K

    Showing 1–10 of 316

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Johns Hopkins Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johns Hopkins UniversityMDEmergency Medicine Physician$0$21.1M
    Johns Hopkins UniversityMDBody Imaging Physician$0$15.3M
    Johns Hopkins Community Physicians, IncMDInternal Medicine Physician$0$12.8M
    William SharfmanMDMedical Oncology Physician$9.1M$0
    Johns Hopkins UniversityMDPediatric Emergency Medicine (Pediatrics) Physician$0$8.6M
    The Johns Hopkins HospitalMDClinical Medical Laboratory$0$8.1M
    Johns Hopkins UniversityMDInternal Medicine Physician$0$6.2M
    Johns Hopkins UniversityMDCardiovascular Disease Physician$0$4.9M
    Johns Hopkins UniversityMDHospitalist Physician$0$4.5M
    Daniel BeckerMDNeurology Physician$3.9M$0

    Nearby Providers

    Other providers in the same ZIP code as The Johns Hopkins Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johns Hopkins UniversityMDClinical Medical Laboratory$2M$1.6M
    Akrit SodhiMDOphthalmology Physician$1.6M$0
    Akosua NtiMDOphthalmology Physician$1.6M$0
    Adrienne ScottMDOphthalmology Physician$1.4M$0
    Najeff WaseemMDMedical Oncology Physician$1.3M$0
    Ani BalmanoukianMDHematology & Oncology Physician$954.8K$0
    Tin Yan LiuMDOphthalmology Physician$939.9K$0
    Angela PoltrackMDAcute Care Nurse Practitioner$775.9K$0
    Noah HahnMDHematology & Oncology Physician$712K$0
    Cindy CaiMDOphthalmology Physician$691.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maryland Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    The Johns Hopkins Hospital — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland