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.

Baltimore City Schools (NPI 1740586205)

Field	Value
Entity Type	Organization
Organization	Baltimore City Schools
Address	200 E North Ave
City	Baltimore
State	MD
ZIP	21202
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 1, 2011

Payer Source	Total Paid
Medicaid	$95.8M
Medicare	$0

Key Findings

BALTIMORE CITY SCHOOLS is effectively a single-payer Medicaid billing entity: there is no Medicare revenue on file while lifetime Medicaid revenue totals $95.8M, indicating Medicaid is the sole recorded payer source and primary financial driver for clinical services and school-based care. The provider’s NPI has been enumerated since 2011-02-01 (~15 years), showing more than a decade of billing history under the current enrollment.

Revenue concentration is highly concentrated in a few Medicaid codes: the precomputed top three Medicaid codes account for 80.7% of total Medicaid revenue, signaling dependence on a small set of service lines to generate the bulk of $95.8M in Medicaid receipts. Analysts should treat changes to reimbursement or utilization in those codes as material to the provider’s overall revenue.

T2022 is the single largest revenue source for this provider by a wide margin: 446K claims at $116 avg paid/claim produced $51.7M, representing 54.0% of the provider’s total Medicaid revenue. The code is a service-line signal for ongoing monthly case management activity, implying that the organization operates substantial recurring care-management or coordination programs within the school population.

T1023 is the second major revenue driver and an extreme statewide outlier: 95.1K claims at $185 avg paid/claim yielded $17.6M (18.4% of Medicaid revenue) and ranks #1 in-state (100th percentile). This pattern indicates a heavy institutional focus on program screening and enrollment/eligibility assessment encounters, consistent with school-based assessments or referrals and a systematic, high-volume workflow for determining program appropriateness.

92508 and related therapy codes show unusually large volume consistent with school-based group therapy services: 92508 generated 400.7K claims at $20 avg paid/claim for $8M (8.4% of Medicaid revenue) and ranks #2 in-state (98th percentile), while 92507, 90832, 90853, 97150 and 97530 also appear among top codes with rank percentiles at or near the top of statewide peers. Together these codes indicate a substantial operational emphasis on speech, hearing, group psychotherapy, physical/occupational therapy and related school-based therapeutic services delivered in both group and individual formats.

Competitive standing in Maryland for multiple codes is dominant: several top codes rank at or near #1 statewide (T1023 #1 of 61, 90832 #1 of 610, 96152 #1 of 6, 92523 #1 of 60) or are extreme outliers in the 98th–100th percentile (T2022, 92508, 97530, 90853, 97150). This positions BALTIMORE CITY SCHOOLS as a major statewide provider of school-based case management, screening, speech/hearing, therapy, and behavioral health visits.

While several high-revenue codes are extreme outliers, some specialty assessment codes show typical volumes: codes like 96159, 96158, W9323, T2003 and a range of lower-revenue CPTs rank in mid-to-lower percentiles or among few providers in-state, suggesting the provider’s dominance is concentrated in a handful of programmatic services rather than across every pediatric or therapy code. Analysts should consider which specific program mixes (case management, screening, group therapy, speech/hearing) drive margin and capacity.

Given the mix of continuous monthly services (T2022) and high volumes of encounter-based screenings and group therapies, the business model appears operationally oriented toward recurring school-based care coordination plus high-throughput screening and therapy workflows. This has implications for staffing, IT and documentation needs, and sensitivity to policy or rate changes affecting monthly case management and screening codes.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	446,020	$120	$51.7M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	95,110	$190	$17.6M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	400,740	$20	$8M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	167,960	$30	$4.7M
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	10,670	$290	$3.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	71,550	$40	$2.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	71,650	$30	$2.4M
96152	N/A	19,340	$130	$2.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	35,020	$20	$735.5K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	46,470	$10	$604.1K

Showing 1–10 of 23

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

Baltimore City Schools — 12 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	2	70	5,520	$140	$5.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	60	3,550	$250	$2.6M
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	4	10	10,670	$290	$2.4M
96152	N/A	1	10	6,540	$120	$1.2M
W9323	N/A	8	10	4,720	$140	$961.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	2	70	3,490	$20	$953.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	7	220	2,530	$60	$618.3K
T2003	Non-emergency transportation; encounter/trip	7	30	9,520	$30	$589.2K
W9324	N/A	8	10	320	$260	$268.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7	480	740	$50	$220.2K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Baltimore City Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayor And City Council Of Baltimore	MD	Land Ambulance	$6.3M	$38M
Health Care For The Homeless, Inc	MD	Federally Qualified Health Center (FQHC)	$0	$26.8M
Maryland Family Care, Inc.	MD	Family Medicine Physician	$0	$24.6M
Hope Resource Center, LLC	MD	Community/Behavioral Health Agency	$0	$18.1M
Pha Healthcare LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18M
St Paul Place Specialists, Inc.	MD	Dermatology Physician	$0	$13.3M
Lighthouse Behavioral Health Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$11.5M
Emergency Physicians Spps	MD	Emergency Medicine Physician	$0	$9.8M
Heavens Place-outpatient Detox & Recovery Center	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
S K Pesis Dds, Big Smiles Maryland, PC	MD	Dentist	$0	$6.9M

Baltimore City Schools — Billing Profile & Reimbursement Data

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Baltimore City Schools — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References