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.

Johns Hopkins Community Physicians, Inc (NPI 1578598868)

Johns Hopkins Community Physicians, Inc is a internal medicine physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 138 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Johns Hopkins Community Physicians, Inc
Address	600 N Wolfe St
City	Baltimore
State	MD
ZIP	21287
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

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

138 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…	67,700	$60	$4.3M
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…	36,960	$60	$2M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	29,300	$30	$878.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7,830	$60	$485.5K
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…	14,280	$30	$385.4K
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…	7,670	$50	$360.6K
1123F	No Summary found for this code	19,690	$20	$334.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,040	$110	$325.2K
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…	2,910	$110	$311.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	8,070	$30	$266.2K

Showing 1–10 of 138

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

Johns Hopkins Community Physicians, Inc — 12 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	18	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…	48	3,280	610	$80	$296.1K
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…	58	330	800	$110	$228.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9	110	300	$90	$225.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6	300	420	$50	$213.2K
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…	72	290	730	$100	$212.2K
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…	29	420	600	$40	$182.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	52	350	490	$110	$172.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	35	160	340	$70	$139.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	65	320	290	$120	$128K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Johns Hopkins Hospital	MD	General Acute Care Hospital	$0	$19.9M
Carmen Salvaterra	MD	Pulmonary Disease Physician	$8.9M	$0
The Johns Hopkins Hospital	MD	Clinical Medical Laboratory	$0	$8.1M
Daniel Kim	MD	Cardiovascular Disease Physician	$440K	$0
Alan Schneider	MD	Clinical Cardiac Electrophysiology Physician	$360.1K	$0
Daniel Schwartz	MD	Cardiovascular Disease Physician	$299.9K	$0
Maryam Mohammadi	DC	Cardiovascular Disease Physician	$272.6K	$0
Mark Milner	MD	Cardiovascular Disease Physician	$267.4K	$0
Shahab Bavani	MD	Internal Medicine Physician	$260.1K	$0
Kim Goring	MD	Critical Care Medicine (Internal Medicine) Physician	$253.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
Johns Hopkins University	MD	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.6M
Johns Hopkins University	MD	Internal Medicine Physician	$0	$6.2M
Johns Hopkins University	MD	Cardiovascular Disease Physician	$0	$4.9M
Johns Hopkins University	MD	Hospitalist Physician	$0	$4.5M
Johns Hopkins University	MD	Clinical Medical Laboratory	$2M	$1.6M
Akrit Sodhi	MD	Ophthalmology Physician	$1.6M	$0
Akosua Nti	MD	Ophthalmology Physician	$1.6M	$0
Adrienne Scott	MD	Ophthalmology Physician	$1.4M	$0
Najeff Waseem	MD	Medical Oncology Physician	$1.3M	$0

Johns Hopkins Community Physicians, Inc — Billing Profile & Reimbursement Data

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Johns Hopkins Community Physicians, 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

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