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    OpenPayerNPI Medicare & MedicaidJohns Hopkins Pharmaquip Inc
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    Johns Hopkins Pharmaquip Inc — Billing Profile & Reimbursement Data

    NPI 1710057500 · Baltimore, MD · Home Infusion Therapy Pharmacy

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    Johns Hopkins Pharmaquip Inc is a home infusion therapy pharmacy provider located in Baltimore, Maryland. This profile covers 0 Medicare and 188 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
    OrganizationJohns Hopkins Pharmaquip Inc
    Address5901 Holabird Avenue
    CityBaltimore
    StateMD
    ZIP21224
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedNovember 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$81.8M
    Medicare$0

    Key Findings

    JOHNS HOPKINS PHARMAQUIP INC reports $81.8M in lifetime Medicaid revenue and has no Medicare billing on file, making its current public payer footprint effectively single-payer and concentrated in Medicaid. This payer mix means analyses of scale, market position, and operational focus should prioritize Medicaid utilization and reimbursements rather than Medicare comparisons.

    Revenue is highly concentrated in a few specialty infusion codes: the top three Medicaid codes (Q5104, J2357, J1559) account for 52.6% of the provider's Medicaid revenue, with Q5104 generating $12.1M (18.9%), J2357 $12M (18.6%), and J1559 $9.7M (15.1%). That concentration indicates majority of dollars derive from a small set of high-cost injectable therapies rather than diffuse DME items.

    The code mix and volumes point to a home-infusion and specialty-pharmacy operation with integrated DME and care coordination: Q5104, J2357, and J1559 are high-cost biologic/immune therapies, while S9342 (home therapy per diem) generated $3.5M on 18.1K claims and 99601 (home infusion visit) shows 14.1K claims. The presence of large enteral and respiratory lines (e.g., B4161, B4160, E1390, E0601) suggests the business bundles specialty drug infusion with durable medical equipment and per-diem care services.

    The provider is a leading statewide supplier for several specialty infusion codes: Q5104 ranks #1 of 2 providers in-state (100th percentile; typical volume), J2357 ranks #1 of 3 providers in-state (100th percentile; typical volume), and J1559 is reported as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), indicating either sole reporting for that immunoglobulin product or lack of comparable peer data. These rankings support characterization as a major Medicaid supplier of these specific biologics within Maryland.

    JOHNS HOPKINS PHARMAQUIP shows elevated statewide market share for multiple DME and respiratory items: E1390 (37.8K claims, $4.5M) ranks #3 of 39 providers in-state (95th percentile; notably above typical state volume), A4554 (29K claims, $1.2M) ranks #3 of 46 (96th percentile; notably above typical volume), and E0562 ranks #1 of 34 providers (100th percentile; extreme outlier). Those claim counts and percentile positions indicate the provider is a major distributor of oxygen and PAP-related supplies in Maryland.

    Unit payment levels highlight that high-cost specialty drugs drive revenue: average paid per claim for Q5104 is $4937, for J2357 $4579, and for J1559 $4452, contrasted with lower per-claim payments for high-volume DME items such as E1390 ($118 avg) and A4554 ($40 avg). This mix implies the organization’s revenue is disproportionately sensitive to specialty drug dispensing and reimbursement for biologics.

    Operational intensity in home-based care is visible in both claims and revenue for per-visit and per-diem home therapy codes: S9342 produced $3.5M on 18.1K claims and 99601 accounted for $976.2K on 14.1K claims, signaling substantial in-home staffing, logistics, and care-coordination activity consistent with a Home Infusion Therapy Pharmacy taxonomy. These volumes suggest established operational capacity to manage frequent home visits and daily therapy coordination.

    The provider’s NPI was enumerated 2006-11-08 (~20 years ago), giving it long tenure in the market; combined with $81.8M in Medicaid revenue and multiple #1 or top-percentile in-state rankings across specialty infusion and DME codes, this tenure supports its profile as an established, high-volume Medicaid-focused home infusion and DME supplier in Maryland.

    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.

    188 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg2,460$4,940$12.1M
    J2357Injection, omalizumab, 5 mg2,610$4,580$12M
    J1559Injection, immune globulin (hizentra), 100 mg2,180$4,450$9.7M
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate37,850$120$4.5M
    S9342Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…18,070$200$3.5M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…5,700$440$2.5M
    A4353Intermittent urinary catheter, with insertion supplies2,470$990$2.5M
    J0585Injection, onabotulinumtoxina, 1 unit1,770$1,260$2.2M
    E0601Continuous positive airway pressure (CPAP) device11,060$180$2M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each8,490$140$1.2M

    Showing 1–10 of 188

    • More pages

    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

    188 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1559Injection, immune globulin (hizentra), 100 mg1102,180$4,450$9.7M
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg1101,330$4,730$6.3M
    J2357Injection, omalizumab, 5 mg110210$4,330$4.2M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)310990$650$1.7M
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…3101,030$450$1.1M
    S8189Tracheostomy supply, not otherwise classified3104,540$70$1.1M
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…3102,760$360$1M
    A4353Intermittent urinary catheter, with insertion supplies110760$860$980.7K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape7301,500$150$899.7K
    A4624Tracheal suction catheter, any type other than closed system, each3101,090$330$897K

    Showing 1–10 of 188

    • More pages

    Nearby Providers

    Other providers in the same ZIP code as Johns Hopkins Pharmaquip Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore Medical System IncMDFederally Qualified Health Center (FQHC)$0$121.2M
    Medi-rents & Sales, Inc.MDOxygen Equipment & Supplies (DME)$0$85.8M
    Johns Hopkins Pediatrics At Home, Inc.MDDurable Medical Equipment & Medical Supplies$0$45.6M
    Johns Hopkins Home Care Group, IncMDCase Management Agency$0$43M
    Community Wellness Outpatient Mental Health Center LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$27.6M
    Key Point Health Services, IncMDMental Illness Community Based Residential Treatment Facility$0$19.2M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$18.8M
    Eastern Avenue Health Solutions Inc.MDMethadone Clinic$340.5K$16.6M
    Community Wellness Psychiatric Rehabilitation Program LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$13.9M
    Dynamic Health Care LLCMDMental Health Counselor$0$9.3M

    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
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Johns Hopkins Pharmaquip Inc — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland