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.

University Of Maryland St. Joseph Medical Group, LLC (NPI 1770836785)

University Of Maryland St. Joseph Medical Group, LLC is a general practice physician provider located in Towson, Maryland. This profile covers 0 Medicare and 82 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	University Of Maryland St. Joseph Medical Group, LLC
Address	7505 Osler Dr Suite 402
City	Towson
State	MD
ZIP	21204
Taxonomy	General Practice Physician
NPI Enumerated	October 16, 2012

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	17,930	$70	$1.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	14,330	$60	$873.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	16,080	$30	$482.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	2,750	$130	$343.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	5,520	$60	$342.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,810	$110	$295.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,170	$100	$225.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,500	$50	$220.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,280	$100	$219.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,570	$40	$157.3K

Showing 1–10 of 82

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

University Of Maryland St. Joseph Medical Group, LLC — 4 of 25 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The 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.	95	150	1,540	$100	$1.2M
99283	The 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.	65	150	940	$70	$345.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	154	3,670	680	$90	$310K
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…	139	3,280	610	$80	$296.1K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	9	30	670	$130	$291.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	61	330	800	$110	$228.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	69	110	300	$90	$225.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	16	300	420	$50	$213.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	67	290	730	$100	$212.2K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	12	20	220	$250	$210.5K

Showing 1–10 of 82

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syed Sameer Nasir	TN	Hematology & Oncology Physician	$3.5M	$0
Ikumi Suzuki	MD	Medical Oncology Physician	$1.6M	$0
David Weng	MD	Medical Oncology Physician	$1.5M	$0
Paul Tortolani	MD	Orthopaedic Surgery Physician	$418.3K	$0
Michael Dabbah	MD	Orthopaedic Surgery of the Spine Physician	$417.7K	$0
Syed Zaidi	MD	Interventional Cardiology Physician	$400.5K	$0
Navid Mokhtari Amirmajdi	MD	Hematology & Oncology Physician	$390.9K	$0
Jeremy Pollock	MD	Cardiovascular Disease Physician	$355.9K	$0
Kara Cossis	MD	Physician Assistant	$336.6K	$0
Kenneth Crandall	MD	Neurological Surgery Physician	$298K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore County Public Schools	MD	Local Education Agency (LEA)	$0	$102.7M
Gilchrist Hospice Care Inc.	MD	Inpatient Hospice	$0	$60.7M
Sheppard Pratt Physicians, P.A.	MD	Psychiatry Physician	$0	$17.3M
Greater Baltimore Medical Center, Inc.	MD	General Practice Physician	$0	$9.4M
Mei Tang	MD	Medical Oncology Physician	$6.9M	$0
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6.8M
Sheppard Pratt Physicians PA	MD	Mental Health Counselor	$0	$5.7M
Baltimore County Deparment Of Health	MD	Public Health or Welfare Agency	$0	$5.2M
David Baranano	MD	Ophthalmology Physician	$4.2M	$0
Raymond Sjaarda	MD	Ophthalmology Physician	$4.2M	$0

University Of Maryland St. Joseph Medical Group, LLC — Billing Profile & Reimbursement Data

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University Of Maryland St. Joseph Medical Group, 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

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