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.

Lifebridge Community Pediatrics, LLC (NPI 1629495528)

Lifebridge Community Pediatrics, LLC is a pediatrics physician provider located in Towson, Maryland. This profile covers 0 Medicare and 61 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	Lifebridge Community Pediatrics, LLC
Address	849 Fairmont Avenue
City	Towson
State	MD
ZIP	21286
Taxonomy	Pediatrics Physician
NPI Enumerated	March 28, 2014

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	21,630	$80	$1.7M
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…	8,710	$110	$923K
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…	7,100	$90	$617.7K
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…	6,140	$100	$602.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,060	$100	$208.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	5,700	$20	$114K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	8,520	$10	$76.7K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	3,240	$20	$68K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,730	$40	$65.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	650	$100	$65.4K

Showing 1–10 of 61

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

Lifebridge Community Pediatrics, LLC — 5 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

61 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…	299	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…	103	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…	19	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…	13	290	730	$100	$212.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	81	350	490	$110	$172.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	119	320	290	$120	$128K
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…	745	1,000	200	$120	$96.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	301	870	700	$20	$79.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	19	200	160	$40	$64.6K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	23	270	440	$50	$59.8K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Lifebridge Community Physicians, Inc	MD	Family Medicine Physician	$0	$13.2M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Jonathan Rogers	MD	Cardiovascular Disease Physician	$1.2M	$0
Martin Engelhardt	MD	Cardiovascular Disease Physician	$1.1M	$0
Paresh Shah	MD	Clinical Cardiac Electrophysiology Physician	$836K	$0
Jeffrey Banker	MD	Cardiovascular Disease Physician	$683.4K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Edward Swanton	MD	Geriatric Psychiatry Physician	$385.3K	$74.5K
Sherwin Danaie	MD	Diagnostic Radiology Physician	$388.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore County Maryland Office Of Finance	MD	Ambulance	$12.2M	$16.1M
Redesigning Minds, LLC	MD	Community/Behavioral Health Agency	$0	$19.9M
Real Life Changes, LLC	MD	Community/Behavioral Health Agency	$0	$7.2M
Child And Adult Psychiatry Charito Quintero-howard, Md, LLC	MD	Community Health Clinic/Center	$0	$6.4M
Arrow Child & Family Ministries Of Maryland	MD	Community/Behavioral Health Agency	$0	$5.4M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Mct, LLC	MD	Land Ambulance	$1.9M	$772.5K
Tazeen Rehman	MD	Rheumatology Physician	$1.6M	$0
Cd Laboratories, Inc.	MD	Clinical Medical Laboratory	$771.3K	$416.7K
Endoscopy Center Of North Baltimore LLC	MD	Ambulatory Surgical Clinic/Center	$854.1K	$0

Lifebridge Community Pediatrics, LLC — Billing Profile & Reimbursement Data

Sign up for Lifebridge Community Pediatrics, LLC — Billing Profile & Reimbursement Data policy alerts

Lifebridge Community Pediatrics, LLC — Billing Profile & Reimbursement Data

Sign up for Lifebridge Community Pediatrics, LLC — 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