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.

Maryland Family Care, Inc. (NPI 1598718256)

Maryland Family Care, Inc. is a family medicine physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 120 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	Maryland Family Care, Inc.
Address	301 Saint Paul Pl
City	Baltimore
State	MD
ZIP	21202
Taxonomy	Family Medicine Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

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

120 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…	79,970	$90	$7.4M
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…	98,370	$70	$6.7M
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…	14,710	$110	$1.6M
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…	15,490	$100	$1.6M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,570	$110	$840.3K
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…	14,710	$40	$544.4K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	1,680	$310	$521.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,430	$120	$408.5K
99220	N/A	4,350	$90	$378.1K
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…	6,450	$50	$342.1K

Showing 1–10 of 120

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

Maryland Family Care, Inc. — 13 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious 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…	38	80	500	$70	$691.2K
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…	15	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…	12	3,280	610	$80	$296.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	235	250	960	$30	$246.7K
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…	5	330	800	$110	$228.7K
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…	44	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…	5	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…	28	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.	13	350	490	$110	$172.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	75	280	810	$20	$165.4K

Showing 1–10 of 120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
Michael Mccusker	VA	Hematology & Oncology Physician	$1.5M	$0
Vinod Varki	NY	Hematology & Oncology Physician	$388.7K	$0
Fernando Ferro	MD	Internal Medicine Physician	$259.3K	$0
Marion Kowalewski	MD	Internal Medicine Physician	$258.9K	$0
Ayman Akkad	MD	Internal Medicine Physician	$212K	$0
John Abel	MD	Internal Medicine Physician	$208.6K	$0
Robert Habicht	MD	Internal Medicine Physician	$153.8K	$0
Marie-alberte Boursiquot	MD	Internal Medicine Physician	$138.8K	$0
Camille Tawil	MD	Internal Medicine Physician	$133.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore City Schools	MD	Local Education Agency (LEA)	$0	$95.8M
Mayor And City Council Of Baltimore	MD	Land Ambulance	$6.3M	$38M
Health Care For The Homeless, Inc	MD	Federally Qualified Health Center (FQHC)	$0	$26.8M
Hope Resource Center, LLC	MD	Community/Behavioral Health Agency	$0	$18.1M
Pha Healthcare LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18M
St Paul Place Specialists, Inc.	MD	Dermatology Physician	$0	$13.3M
Lighthouse Behavioral Health Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$11.5M
Emergency Physicians Spps	MD	Emergency Medicine Physician	$0	$9.8M
Heavens Place-outpatient Detox & Recovery Center	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
S K Pesis Dds, Big Smiles Maryland, PC	MD	Dentist	$0	$6.9M

Maryland Family Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Maryland Family Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Maryland Family Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Maryland Family Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References