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.

Shore Health System, Inc (NPI 1669431219)

Shore Health System, Inc is a general acute care hospital provider located in Easton, Maryland. This profile covers 0 Medicare and 145 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	Shore Health System, Inc
Address	219 S Washington St
City	Easton
State	MD
ZIP	21601
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

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

145 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	7,020	$120	$807.1K
G0378	Hospital observation service, per hour	1,250	$630	$782.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,390	$160	$545.3K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	5,050	$60	$287.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,910	$100	$284.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	4,300	$70	$283.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	2,930	$70	$193.1K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3,910	$50	$187.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20,340	$10	$162.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	2,860	$50	$134.6K

Showing 1–10 of 145

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

Shore Health System, Inc — 1 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

145 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31	150	1,540	$100	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	23	40	1,330	$510	$824.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	60	780	$80	$613.1K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	2	10	10,300	$50	$501.9K
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	3	10	180	$230	$388.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	122	160	980	$50	$387.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	51	150	940	$70	$345.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	5	60	250	$100	$299.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	15	50	660	$30	$289.2K

Showing 1–10 of 145

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dimensions Health Corporation	MD	General Acute Care Hospital	$0	$29.6M
Shore Health System Inc	MD	Radiology Clinic/Center	$1.9M	$1.1M
Shore Health System, Inc.	MD	Ambulatory Surgical Clinic/Center	$991.9K	$0
Shore Health System, Inc	MD	Radiology Clinic/Center	$329.9K	$115.1K
Shore Health System, Inc	MD	Radiology Clinic/Center	$179.4K	$720
Shore Health System Inc	MD	Radiology Clinic/Center	$51.9K	$40.4K
Jenna Scott	MD	Physical Therapist	$88.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
For All Seasons, Inc	MD	Clinical Social Worker	$0	$11.4M
Bay Pediatric Center	MD	Pediatrics Physician	$0	$10.8M
Ydiprmc LLC	MD	Urgent Care Clinic/Center	$0	$8.7M
Elizabeth Clayton	MD	Rheumatology Physician	$7.1M	$0
Bnj Health Services LLC Easton	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.7M
David Smith	MD	Hematology & Oncology Physician	$6.4M	$0
Eastern Shore Psychological Services LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Chesapeake Treatment Services LLC	MD	Methadone Clinic	$0	$5.2M
Building Bridges Therapy Services	MD	Occupational Therapist	$0	$4.9M
Channel Marker, Inc.	MD	Rehabilitation Clinic/Center	$0	$4.3M

Shore Health System, Inc — Billing Profile & Reimbursement Data

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Shore Health System, 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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