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.

Chase Brexton Health Services, Inc. (NPI 1588606305)

Field	Value
Entity Type	Organization
Organization	Chase Brexton Health Services, Inc.
Address	1111 North Charles Street
City	Baltimore
State	MD
ZIP	21201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicaid	$87.3M
Medicare	$0

Key Findings

CHASE BREXTON HEALTH SERVICES, INC. is effectively a Medicaid-focused FQHC in Baltimore, MD: there is no Medicare billing on file and the provider reports $87.3M in lifetime Medicaid revenue, indicating a near–single-payer footprint concentrated on state Medicaid business rather than Medicare contracts. The NPI was enumerated on 2006-06-13 (~20 years ago), signaling long-standing participation in the safety-net market.

Revenue is highly concentrated in a few encounter and visit codes: the precomputed top-3 Medicaid codes (T1015, 99213, 99214) account for 93.5% of this provider’s total Medicaid revenue. T1015 alone represents $42.2M (48.5% of Medicaid revenue), while 99213 and 99214 drive $24M (27.6%) and $15.2M (17.5%) respectively, which together define the organization’s primary revenue stream.

Business and service-line implication from the top codes: dominant use of T1015 (Clinic visit/encounter, all-inclusive) plus high volumes of 99213 and 99214 indicate the operation functions as a high-volume primary care and ambulatory clinic typical of an FQHC model, delivering a large number of routine and chronic care visits with a mix of low-to-moderate complexity E/M encounters. The presence of preventive medicine codes (99391, 99392, 99393, 99394, 99395) and vaccine code 90677 further supports a comprehensive primary care and preventive services offering.

Competitive standing in-state is strong on core visit codes: T1015 ranks #2 of 58 providers in Maryland (98th percentile) and 99213 ranks #15 of 3275 providers (100th percentile, labeled an "extreme outlier"), while 99214 ranks #20 of 3673 providers (99th percentile, also an "extreme outlier"). These rankings indicate the provider is a major statewide player for clinic encounter volume and established-patient outpatient visits relative to peers.

Patterns beyond core E/M show integrated behavioral and supportive services but at much smaller revenue scale: behavioral health counseling H0004, group counseling H0005, intensive outpatient H0015, and psychotherapy 90834 all appear in the top-25 Medicaid codes but together represent fractional shares of revenue compared with the three leading visit codes, suggesting behavioral health is offered but is not the primary revenue driver. The presence of nutritional therapy code 97803 and substance-use codes implies multidisciplinary services consistent with many FQHCs.

Several codes show unusually high claim counts but low paid-per-claim amounts and are flagged as notably above typical state volume (for example, 3074F: 21.1K claims, 3078F: 17.1K claims, 3008F: 25.3K claims). These high-frequency, low-dollar codes may represent standardized reporting lines or bulk-submitted quality/measure codes and are ranked in the 98th percentile in-state; they are operationally meaningful for volume and reporting workload even though they contribute little to revenue.

Clinical and lab service mix includes preventive vaccines and respiratory virus testing: 90677 (1K claims, $111.6K revenue) ranks #10 of 147 providers (94th percentile) and multiplex testing 87637 (891 claims, $38.3K revenue) ranks #11 of 39 providers (74th percentile). These entries show the clinic delivers routine immunizations and on-site or associated diagnostic testing relevant to primary care and population health management.

Tenure and payer concentration together imply strategic posture: with an NPI established ~20 years ago and Medicaid revenue of $87.3M but no Medicare billing on file, the provider appears to be a long-tenured safety-net organization whose financial exposure and competitive positioning are tied predominantly to state Medicaid flows and high-volume ambulatory visit reimbursement structures.

Medicaid: Complete Services Breakdown

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	170,350	$250	$42.2M
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…	94,510	$250	$24M
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…	59,850	$250	$15.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5,280	$250	$1.3M
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…	3,560	$280	$1M
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…	3,400	$280	$948.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,900	$300	$573.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,550	$290	$446.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	910	$300	$272.4K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	1,420	$190	$264.6K

Showing 1–10 of 112

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

Chase Brexton Health Services, Inc. — 7 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	60	380	$170	$4.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	363	400	4,360	$160	$1.5M
90834	In 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…	993	2,200	890	$110	$596.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	170	380	1,450	$60	$459K
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…	20	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…	15	3,280	610	$80	$296.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	273	360	2,160	$50	$284.3K
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…	46	330	800	$110	$228.7K
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…	37	290	730	$100	$212.2K
S0316	Disease management program, follow-up/reassessment	12	10	700	$150	$209.8K

Showing 1–10 of 112

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chase Brexton Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Md Obstetrical And Gynecological Asso. PA	MD	Obstetrics & Gynecology Physician	$0	$11.5M
Hibsteab Lemma	MD	Psychiatric/Mental Health Nurse Practitioner	$89.1K	$0
Harry Johnson	MD	Obstetrics & Gynecology Physician	$88.4K	$0
Courtney O'neill	MD	Gerontology Nurse Practitioner	$86.7K	$0
Cherif Boutros	NJ	Surgical Oncology Physician	$37.6K	$0
Katherine Goetzinger	MD	Obstetrics & Gynecology Physician	$1.4K	$0
Ozhan Turan	MD	Maternal & Fetal Medicine Physician	$1.2K	$0
Andrea Desai	MD	Maternal & Fetal Medicine Physician	$720	$0

Nearby Providers

Other providers in the same ZIP code as Chase Brexton Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Maryland Community Medical Group, Inc.	MD	Family Medicine Physician	$0	$30.5M
University Of Maryland Pediatric Associates, PA	MD	Pediatrics Physician	$0	$25.7M
Helping Hands Therapeutic Services, Inc	MD	Rehabilitation Clinic/Center	$0	$15.1M
Nursing And Health Services Training Consultants Inc.	MD	Nursing Care Agency	$0	$14.8M
Glass Health Programs, Inc.	MD	Substance Use Disorder Rehabilitation Clinic/Center	$339.2K	$13.3M
Glass Health Programs, Inc.	MD	Methadone Clinic	$711.9K	$12.8M
Empowering Minds Resource Center	MD	Community/Behavioral Health Agency	$0	$12.6M
University Of Maryland Emergency Medicine Associates, PA	MD	Emergency Medicine Physician	$0	$11.6M
University Of Maryland Diagnostic Imaging Specialists P A	MD	Diagnostic Radiology Physician	$0	$10.6M
University Of Maryland Medical Center, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.2M

Chase Brexton Health Services, Inc. — Billing Profile & Reimbursement Data

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Chase Brexton Health Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References