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.

Shock Trauma Associates, P.A. (NPI 1679512909)

Shock Trauma Associates, P.A. is a emergency care clinic/center provider located in Baltimore, Maryland. This profile covers 0 Medicare and 16 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	Shock Trauma Associates, P.A.
Address	22 S Greene St
City	Baltimore
State	MD
ZIP	21201
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	June 5, 2006

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.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40,420	$50	$1.9M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	16,050	$120	$1.8M
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…	14,460	$60	$896.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	3,810	$20	$76.2K
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.	620	$100	$60.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	810	$30	$27.4K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	200	$70	$14K
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…	270	$40	$11.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	230	$50	$11.5K
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.	70	$150	$10.3K

Showing 1–10 of 16

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

Shock Trauma Associates, P.A. — 3 of 16 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

16 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.	99	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.	117	150	760	$130	$964.3K
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…	2,056	3,280	610	$80	$296.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3	110	300	$90	$225.7K
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…	18	300	420	$50	$213.2K
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…	8	420	600	$40	$182.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	131	310	160	$80	$82.1K
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,…	755	900	160	$60	$57.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	177	240	150	$60	$35.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	14	30	160	$50	$27.9K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Crandall	MD	Neurological Surgery Physician	$298K	$0
Charles Sansur	MD	Neurological Surgery Physician	$225.9K	$0
Alison Grazioli	MD	Critical Care Medicine (Internal Medicine) Physician	$87.1K	$0
Douglas Anderson	KY	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$81.6K	$0
Nora Cheung	MD	Surgery Physician	$53.2K	$0
Timothy Chryssikos	CA	Neurological Surgery Physician	$51.9K	$0
Jacob Cherian	MD	Neurological Surgery Physician	$51.2K	$0
Douglas Sward	MD	Emergency Medicine Physician	$35.6K	$0
Bizhan Aarabi	MD	Neurological Surgery Physician	$30.7K	$0
Darrel Freeman	MD	Certified Registered Nurse Anesthetist	$25K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chase Brexton Health Services, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$87.3M
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 Md Obstetrical And Gynecological Asso. PA	MD	Obstetrics & Gynecology Physician	$0	$11.5M

Shock Trauma Associates, P.A. — 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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