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.

Harcart Health Holdings, LLC (NPI 1912911215)

Harcart Health Holdings, LLC is a emergency medicine physician provider located in Rockville, Maryland. This profile covers 0 Medicare and 74 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	Harcart Health Holdings, LLC
Address	12220 Rockville Pike
City	Rockville
State	MD
ZIP	20852
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

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

74 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…	68,420	$50	$3.1M
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…	23,040	$30	$760.3K
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…	13,200	$50	$620.4K
99203	The provider sees a new 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 provider…	12,030	$40	$421.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	54,710	$1	$164.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,450	$30	$61.4K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	28,500	$1	$57K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	25,330	$1	$50.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,540	$30	$38.5K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	20,930	$1	$20.9K

Showing 1–10 of 74

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

Harcart Health Holdings, LLC — 12 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	17	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…	95	3,280	610	$80	$296.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	1,000	200	$120	$96.3K
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…	6	930	110	$100	$90.1K
99203	The provider sees a new 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 provider…	12	730	110	$70	$81.9K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	9	30	170	$30	$69.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	329	900	160	$60	$57.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	111	210	810	$10	$49.3K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…	4	10	100	$120	$46.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	163	400	150	$20	$43.7K

Showing 1–10 of 74

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Tran	VA	Family Medicine Physician	$124.9K	$0
Melissa Taylor	MD	Physician Assistant	$86K	$0
Mikel Hofmann	DC	Family Medicine Physician	$72.9K	$5K
Eric Crapster	MD	Surgical Physician Assistant	$67.3K	$0
Lori Pioli	MD	Emergency Medicine Physician	$43.8K	$0
Eberechukwu Nwaogu	MD	Family Nurse Practitioner	$12.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Atlantic Pemanente Medical Group	MD	Health Maintenance Organization	$0	$317.3M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17.5M
Montgomery County Maryland Government	MD	Local Education Agency (LEA)	$0	$12.6M
Reginald S Lourie Center For Infants & Young Children	MD	Clinic/Center	$0	$6.5M
Visionary Ophthalmology LLC	MD	Ophthalmology Physician	$0	$5.2M
Jewish Social Service Agency	MD	Community Based Hospice Care Agency	$0	$4.5M
Rockville Pediatric Dental LLC	MD	Pediatric Dentistry	$0	$4.4M
Behavioral Framework, LLC	MD	Community/Behavioral Health Agency	$0	$4.3M
Vinay Desai	MD	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
James Xu	MD	Hematology & Oncology Physician	$1.6M	$0

Harcart Health Holdings, LLC — Billing Profile & Reimbursement Data

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Harcart Health Holdings, 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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