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.

Focus Point Solutions LLC (NPI 1700332871)

Field	Value
Entity Type	Organization
Organization	Focus Point Solutions LLC
Address	11672 Somerset Ave
City	Princess Anne
State	MD
ZIP	21853
Taxonomy	Health Maintenance Organization
NPI Enumerated	August 29, 2016

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	30,490	$160	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	7,020	$110	$737.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	5,630	$50	$281.4K
H0001	Alcohol and/or drug assessment	1,220	$190	$229.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1,470	$10	$16.1K
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…	30	$80	$2.4K

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

Focus Point Solutions LLC — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	21	400	4,360	$160	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	97	380	1,450	$60	$459K
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…	2,886	3,280	610	$80	$296.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	99	360	2,160	$50	$284.3K
H0001	Alcohol and/or drug assessment	81	440	190	$170	$115.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	48	190	390	$10	$14.5K

Nearby Providers

Other providers in the same ZIP code as Focus Point Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Three Lower Counties Community Services, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$110.2M
Three Lower Counties Community Services, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$23.3M
Go-getters, Inc.	MD	Community/Behavioral Health Agency	$0	$5.5M
Charles Hofmann	MD	Internal Medicine Physician	$143.1K	$0
Lionel Kum	MD	Medical Physician Assistant	$81.3K	$0

Focus Point Solutions LLC — Billing Profile & Reimbursement Data

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Focus Point Solutions LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References