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.

Atlantic General Hospital Corporation (NPI 1871582171)

Atlantic General Hospital Corporation is a family medicine physician provider located in Berlin, Maryland. This profile covers 0 Medicare and 84 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	Atlantic General Hospital Corporation
Address	10026 Old Ocean City Blvd Ste 1
City	Berlin
State	MD
ZIP	21811
Taxonomy	Family Medicine Physician
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	29,480	$80	$2.4M
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…	24,800	$60	$1.6M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,040	$100	$206.2K
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…	1,500	$100	$144K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,100	$110	$123.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,500	$70	$110.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	2,790	$40	$103.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,870	$40	$71.1K
99204	The provider sees a new 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 provider…	900	$60	$52.1K
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…	520	$90	$47.7K

Showing 1–10 of 84

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

Atlantic General Hospital Corporation — 2 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	19	50	590	$90	$493.6K
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…	43	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…	86	3,280	610	$80	$296.1K
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…	109	330	800	$110	$228.7K
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…	91	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…	170	290	730	$100	$212.2K
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…	230	420	600	$40	$182.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	82	350	490	$110	$172.3K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	15	40	760	$40	$171.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	32	40	860	$110	$166.9K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rabindra Paul	MD	Infectious Disease Physician	$2.1M	$0
Curtis Asbury	DE	Dermatology Physician	$1.1M	$0
Sara Moghaddam	DE	Dermatology Physician	$1.1M	$0
David Chung	MD	Diagnostic Ultrasound Physician	$1.1M	$0
Osamuyimen Igbinosa	DC	Internal Medicine Physician	$278.3K	$641.7K
Mark Treuth	MD	Interventional Cardiology Physician	$905.6K	$0
Manoj Jain	MD	Radiation Oncology Physician	$695.5K	$0
Gerard Hogan	MD	Body Imaging Physician	$631.9K	$0
Daniel Cason	MD	Diagnostic Radiology Physician	$614.6K	$0
Stephan Pavlos	MD	Cardiovascular Disease Physician	$608.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Mansueti	MD	Radiation Oncology Physician	$960.8K	$0
Raymond Clifford	MD	Ophthalmology Physician	$893.6K	$0
Jessco LLC	MD	Ambulatory Surgical Clinic/Center	$886K	$0
David Wanalista	MD	Rheumatology Physician	$584.4K	$0
Wadid Zaky Salama	MD	Pain Medicine (Anesthesiology) Physician	$359.2K	$0
Christopher Galuardi	MD	Interventional Pain Medicine Physician	$320K	$0
Pennie Savage	MD	Family Nurse Practitioner	$261.3K	$0
Daniel Pascucci	MD	Sports Medicine (Family Medicine) Physician	$258.7K	$0
Charles Curran	MD	Physical Therapist	$256.7K	$0
Danielle Orr	MD	Family Medicine Physician	$253.5K	$0

Atlantic General Hospital Corporation — Billing Profile & Reimbursement Data

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Atlantic General Hospital Corporation — 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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