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    OpenPayerNPI Medicare & MedicaidFrontline Community Services Inc
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    Frontline Community Services Inc — Billing Profile & Reimbursement Data

    NPI 1700012101 · Beltsville, MD · Case Management Agency

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    Frontline Community Services Inc is a case management agency provider located in Beltsville, Maryland. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFrontline Community Services Inc
    Address6900 Virginia Manor Rd
    CityBeltsville
    StateMD
    ZIP20705
    TaxonomyCase Management Agency
    NPI EnumeratedMay 31, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$100.8M
    Medicare$0

    Key Findings

    FRONTLINE COMMUNITY SERVICES INC has no Medicare billing on file and reports $100.8M in lifetime Medicaid revenue, making its billing profile effectively single-payer with Medicaid as the exclusive documented source of government revenue for this NPI. This concentration on Medicaid makes state-level Medicaid program relationships the primary lens for analyzing its business and risk exposure.

    Revenue is highly concentrated in a very small set of services: the top three Medicaid codes T2016, H0025 and S5135 together account for 99.9% of the provider’s Medicaid revenue. Those three codes are reported as $73.6M (T2016, 73.0%), $24.1M (H0025, 23.9%) and $3.1M (S5135, 3.0%), indicating a narrow service mix driving nearly all billed dollars.

    The mix of dominant codes points to a business focused on residential habilitation and behavioral health outreach: T2016 (Habilitation, residential, waiver; per diem) and H0025 (Behavioral health prevention education service) are the two largest revenue drivers, suggesting the provider operates within waiver-funded residential habilitation and structured behavioral health prevention/education programs. The provider’s taxonomy as a Case Management Agency is consistent with this combination of residential habilitation and behavioral-health service delivery.

    For H0025 the provider is a statewide leader: H0025 recorded 53.3K claims, $24.1M revenue, $451 avg paid/claim and ranks #1 of 10 providers in-state (100th percentile), a result explicitly described as notably above typical state volume for this code. This ranking identifies FRONTLINE as a dominant provider in behavioral health prevention education within Maryland.

    T2016 is the single largest revenue source by far with 109K claims, $73.6M revenue and a $675 avg paid/claim; it ranks #2 of 11 providers in-state (90th percentile) and is also described as notably above typical state volume for this code. That profile marks the organization as a major, high-volume participant in residential habilitation waiver services, even if not the top-ranked billing entity for that code.

    S5135 and T2017 function as secondary or ancillary lines: S5135 (Companion care, adult; per 15 minutes) shows 15.1K claims, $3.1M revenue, $203 avg paid/claim and ranks #5 of 12 providers in-state (64th percentile) with a typical, unremarkable volume for this code, while T2017 activity is negligible (477 claims, $97.3K revenue, 0.1% of total) and is labeled as typical, unremarkable volume for this code despite ranking #2 of 2 providers. Together these smaller codes suggest ancillary support services supplementing the two dominant service lines.

    Operationally, the reported per-claim averages—$675 for T2016 and $451 for H0025—combined with the per-diem nature of T2016 imply revenue driven by sustained service episodes or residential placements rather than brief outpatient encounters. This cost and utilization pattern is characteristic of waiver-funded residential habilitation and programmatic prevention/education models, and it shapes reimbursement sensitivity to census and episode length.

    The provider has long tenure in the market, with an NPI enumeration date of 2009-05-31 (~17 years ago). That longevity, paired with top-decile rankings on its two largest codes and concentrated Medicaid revenue, indicates an established role in Maryland’s waiver and behavioral health networks rather than a recent entrant or low-volume specialist.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem109,030$680$73.6M
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)53,330$450$24.1M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes15,060$200$3.1M
    T2017Habilitation, residential, waiver; 15 minutes480$200$97.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem21033,370$580$25.8M
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)1105,340$360$4.3M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes51011,460$190$2.9M
    T2017Habilitation, residential, waiver; 15 minutes2101,780$950$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Frontline Community Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Worldshine Care LLCMDAdult Day Care Clinic/Center$0$24.3M
    Rose OmaMDSpeech-Language Pathologist$0$20.8M
    Heartland Hospice Services LLCMDCommunity Based Hospice Care Agency$0$20.6M
    Theranostix IncMDClinical Medical Laboratory$5.1M$5.3M
    Alight Supports, IncMDDevelopmental Disabilities Clinic/Center$0$8M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$4.8M
    Tehmina AliMDAnatomic Pathology Physician$1.7M$0
    Mobile Medical Imaging, LLCMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$782.2K$126.5K
    Ayim Akyea DjamsonMDSpecialist$622.3K$0
    Georgina JohnsMDFamily Nurse Practitioner$268.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maryland Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Frontline Community Services Inc — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland