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    OpenPayerNPI Medicare & MedicaidDimensions Health Corporation
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    Dimensions Health Corporation — Billing Profile & Reimbursement Data

    NPI 1720099286 · Upper Marlboro, MD · General Acute Care Hospital

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    Dimensions Health Corporation is a general acute care hospital provider located in Upper Marlboro, Maryland. This profile covers 0 Medicare and 139 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
    OrganizationDimensions Health Corporation
    Address901 Harry S Truman Dr N
    CityUpper Marlboro
    StateMD
    ZIP20774
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$29.6M
    Medicare$0

    Key Findings

    DIMENSIONS HEALTH CORPORATION reports no Medicare billing on file and $29.6M in lifetime Medicaid revenue, making its billing profile effectively Medicaid-centric. This single-payer concentration should be front-of-mind for analysts assessing reimbursement exposure and growth opportunities, since there is no parallel Medicare revenue stream reported to diversify payment risk.

    Revenue is heavily concentrated in a small set of emergency and observation codes: the provider’s top three Medicaid codes (99284, 99283, 99285) account for 61.7% of its total Medicaid revenue. Those three codes individually generated $7.1M (26.0%), $5.1M (18.6%), and $4.7M (17.2%) respectively, indicating that a majority of Medicaid dollars flow from ED evaluation-and-management services.

    The code mix and claim volumes indicate a dominant emergency department and observation-service operational focus. High-volume ED codes include 99281 (23.4K claims, $2.5M revenue) and 99283 (19.7K claims, $5.1M revenue), while hospital observation services are also material (G0378: 4.6K claims, $3.7M revenue and 13.6% of Medicaid revenue), together pointing to sustained ED throughput and downstream observation utilization.

    State-level competitive standing is strong for several ED-related codes: 99283 ranks #6 of 147 providers in-state (97th percentile), while 99284 and 99285 each rank in the 90th percentile (99284: #16 of 153; 99285: #16 of 146). These percentiles show the provider is a major regional participant on lower- and higher-intensity ED visits, with particularly elevated activity on 99283 compared with in-state peers.

    There are clear statistical outliers in particular service lines. The provider ranks #1 of 58 in-state on 99281 (100th percentile; labeled an "extreme outlier, far above typical state volume for this code") and #1 of 44 on G0378 (100th percentile; "notably above typical state volume for this code"), signaling unusually high volumes of the lowest-acuity ED visits and of observation-hour billing relative to other Maryland providers.

    Ancillary services (labs and imaging) support the ED-driven profile but generate modest shares of total Medicaid revenue. Examples in the top 25 include 80053 (18K claims, $360.7K revenue, 1.3%), 85025 (24.4K claims, $341.5K revenue, 1.3%), 71046 (4.9K claims, $301.5K revenue, 1.1%), and 70450 (5.2K claims, $193.8K revenue, 0.7%); these appear at percentiles generally in the 80s–90s and are consistent with a general acute care hospital supporting high ED volumes.

    The provider has an established operational history, with NPI enumeration dated 2006-08-10 (~20 years ago), which suggests a long-tenured local presence. Given the combination of long tenure and an ED/observation-dominant revenue mix, payer and provider analysts should treat this entity as a mature, Medicaid-focused acute care hospital whose financial performance will be sensitive to state Medicaid reimbursement changes and ED utilization management initiatives.

    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.

    139 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.17,000$420$7.1M
    99283The 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.19,670$260$5.1M
    99285The 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.8,320$560$4.7M
    G0378Hospital observation service, per hour4,640$800$3.7M
    99281The provider sees a patient for the lowest level emergency department visit.23,390$110$2.5M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.2,480$170$432.2K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.2,640$140$379.6K
    80053The 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.18,040$20$360.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…24,390$10$341.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3,120$100$324.6K

    Showing 1–10 of 139

    • 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

    139 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.161501,540$100$1.2M
    99285The 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.16150760$130$964.3K
    G0378Hospital observation service, per hour1401,330$510$824.7K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3760780$80$613.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.49160980$50$387.6K
    A4606Oxygen probe for use with oximeter device, replacement510680$90$347.4K
    99283The 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.6150940$70$345.1K
    87636The 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…960250$100$299.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1750660$30$289.2K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1950640$30$284.4K

    Showing 1–10 of 139

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dimensions Health Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryland General Hospital, Inc.MDMethadone Clinic$441.6K$7.1M
    Shore Health System, IncMDGeneral Acute Care Hospital$0$5.3M
    Shore Health System IncMDRadiology Clinic/Center$1.9M$1.1M
    Gopalakrishnan SrinivasanMDCardiovascular Disease Physician$1.7M$0
    Michael BalloMDAnatomic Pathology & Clinical Pathology Physician$1.1M$0
    Vivek NagMDCardiovascular Disease Physician$1.1M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Young KwokMDRadiation Oncology Physician$1M$0
    Shore Health System, Inc.MDAmbulatory Surgical Clinic/Center$991.9K$0
    Richard OderoMDDiagnostic Radiology Physician$887.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Dimensions Health Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Qci Behavioral Health Consulting Group, LLCMDMental Health Counselor$0$18.8M
    Prince George's County MarylandMDLand Ambulance$6.2M$7.8M
    Capital Children's HealthcareMDAmbulatory Surgical Clinic/Center$0$11.2M
    We Care Adult Services, Inc.MDAdult Day Care Clinic/Center$0$9.2M
    Ccdc Professionals, LLCMDDentist$0$8.4M
    Center For Therapeutic Concepts IncMDCommunity/Behavioral Health Agency$0$6.5M
    United Counseling And Support Services LLCMDCommunity/Behavioral Health Agency$0$5.8M
    Affordable Behavioral ConsultantsMDSubstance Use Disorder Rehabilitation Clinic/Center$0$4.8M
    Green States Anesthesia PLLCMDDental Anesthesiology$0$4.8M
    Community Counseling & Mentoring Services, IncMDClinic/Center$0$4.7M

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Dimensions Health Corporation — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland