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.

Cornerstone Montgomery, Inc. (NPI 1619349529)

Field	Value
Entity Type	Organization
Organization	Cornerstone Montgomery, Inc.
Address	1398 Lamberton Dr
City	Silver Spring
State	MD
ZIP	20902
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 30, 2015

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

Key Findings

CORNERSTONE MONTGOMERY, INC. bills primarily as a community/behavioral health agency, with its two largest revenue drivers tied to long‑term community support and housing services. H2016 (Comprehensive community support services, per diem) generated $23.4M and H0044 (Supported housing, per month) generated $6.1M, indicating the organization operates large-scale per‑diem and monthly supported‑housing programs rather than short episodic clinical services.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with H2016 representing 79.3% and H0044 representing 20.7% of Medicaid receipts. This concentration suggests operational and financial dependence on a narrow set of Medicaid benefit categories.

On payer mix, this entity is effectively single‑payer: there is no Medicare billing on file and the provider reports $29.5M in lifetime Medicaid revenue. The absence of Medicare activity means financial and utilization analyses should focus on Medicaid program rules and population management.

For H2016 the provider is a major statewide player: 7.9K claims produced $23.4M in revenue at $2968 avg paid/claim, and the provider ranks #3 of 110 in‑state (98th percentile; notably above typical state volume for this code). This ranking and volume imply significant scale and capacity in delivering comprehensive community support services relative to in‑state peers.

For H0044 the provider shows a substantial but more typical presence in supported housing: 8.8K claims, $6.1M revenue at $689 avg paid/claim, and a rank of #56 of 756 in‑state (93rd percentile; typical, unremarkable volume for this code). The position indicates competitive participation across a broader field of housing providers rather than clear dominance.

Smaller service lines are present but immaterial to overall revenue: H2001 (Rehabilitation program, per 1/2 day) produced $8K from 14 claims and ranks #43 of 58 (25th percentile), and H2018 (Psychosocial rehabilitation services, per diem) produced $6K from 17 claims and ranks #37 of 48 (19th percentile). These low‑volume codes signal either limited program offerings in these service types or that billing focus is concentrated on H2016/H0044 modalities.

NPI tenure indicates this provider has been enumerated since 2015-10-30 (~11 years ago), providing a multi‑year operating history under the current billing identity; the sustained Medicaid revenue stream suggests established contractual relationships with state programs and referral networks.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	7,880	$2,970	$23.4M
H0044	Supported housing, per month	8,840	$690	$6.1M
H2001	Rehabilitation program, per 1/2 day	10	$570	$8K
H2018	Psychosocial rehabilitation services, per diem	20	$350	$6K

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

Cornerstone Montgomery, Inc. — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	3	110	710	$3,120	$5.3M
H0044	Supported housing, per month	56	760	1,170	$760	$2.2M
H2018	Psychosocial rehabilitation services, per diem	37	50	50	$340	$62.2K
H2001	Rehabilitation program, per 1/2 day	43	60	20	$420	$23.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Care, Inc	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101.9M
Kidz & Family Dental Center	MD	Dental Clinic/Center	$0	$13.3M
Smile Care 4 Children, LLC	MD	Pediatric Dentistry	$0	$10.5M
C Arefi B Nasehi & Associates PC	MD	General Practice Dentistry	$0	$7M
Pediatric Associates	MD	Primary Care Clinic/Center	$0	$6.8M
Right Care Pediatrics Inc	MD	Pediatrics Physician	$0	$5.3M
Derm Associates LLC	MD	Dermatology Physician	$5.1M	$11K
Virant Diagnostics, Inc	MD	Clinical Medical Laboratory	$48.8K	$4.3M
Frederick Min	MD	Hematology & Oncology Physician	$3.2M	$0
Alan Matsumoto	MD	Rheumatology Physician	$2.2M	$0

Cornerstone Montgomery, Inc. — Billing Profile & Reimbursement Data

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Cornerstone Montgomery, 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