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.

M Medical Group, Inc. (NPI 1780056168)

M Medical Group, Inc. is a critical care medicine (internal medicine) physician provider located in Clinton, Maryland. This profile covers 0 Medicare and 25 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	M Medical Group, Inc.
Address	9106 Pine View Ln
City	Clinton
State	MD
ZIP	20735
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	October 26, 2015

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	160,640	$40	$6.3M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	93,290	$30	$3M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	15,820	$50	$854.1K
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…	11,970	$60	$718.3K
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…	1,680	$150	$254.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	3,320	$50	$156K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	3,750	$10	$33.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,930	$10	$27K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	560	$20	$10K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,290	$10	$7.7K

Showing 1–10 of 25

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

M Medical Group, Inc. — 4 of 22 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	250	960	$30	$246.7K
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…	30	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…	25	300	420	$50	$213.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	307	420	600	$40	$182.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	6	280	810	$20	$165.4K
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…	303	310	160	$80	$82.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	2	90	300	$40	$64.1K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	20	110	340	$50	$48.2K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	7	100	150	$40	$33.1K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	47	80	150	$40	$32K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kyongsook Kim	DC	Gerontology Nurse Practitioner	$158K	$716.2K
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Benjamin Frizner	MD	Internal Medicine Physician	$636.8K	$0
James Danner	VA	Family Medicine Physician	$526.1K	$1.9K
Adediwura Jolaoso	MD	Psychiatric/Mental Health Nurse Practitioner	$490.1K	$0
Arman Janloo	MD	Family Medicine Physician	$489.1K	$0
Ginette Ndingue	MD	Family Nurse Practitioner	$447.7K	$0
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Robert Mcneil	MD	Geriatric Medicine (Internal Medicine) Physician	$383.2K	$0
Geraldine Ambe Ambahe	MD	Family Nurse Practitioner	$291.8K	$51.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fescum Inc	MD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$36.3M
Medstar Southern Maryland Hospital Center Inc	MD	General Acute Care Hospital	$0	$18.4M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$7.6M
Deepnarayan Tiwarri	MD	Hematology & Oncology Physician	$2.6M	$0
Nicholas Demonaco	MD	Hematology & Oncology Physician	$1.7M	$0
Jun Sun	MD	Hematology & Oncology Physician	$1.6M	$0
Rita Gupta	MD	Hematology & Oncology Physician	$1.6M	$0
Jose Mendoza	MD	Hematology & Oncology Physician	$1.4M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Surgcenter Of Southern Maryland, LLC	MD	Ambulatory Surgical Clinic/Center	$807.5K	$25.5K

M Medical Group, Inc. — Billing Profile & Reimbursement Data

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M Medical Group, Inc. — 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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