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.

Total Health Care Inc (NPI 1972597425)

Field	Value
Entity Type	Organization
Organization	Total Health Care Inc
Address	1501 Division St
City	Baltimore
State	MD
ZIP	21217
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 9, 2005

Payer Source	Total Paid
Medicaid	$67.6M
Medicare	$0

Key Findings

TOTAL HEALTH CARE INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $67.6M in lifetime Medicaid revenue, indicating reliance on Medicaid as the primary payer for its billed services. This single-payer concentration should be a central consideration for network contracting and risk exposure analyses.

Revenue is highly concentrated in a small set of visit-based codes: the precomputed top three Medicaid codes (99213, T1015, 99214) account for 78.7% of the provider’s total Medicaid revenue. Specifically, 99213 generated $25.5M (37.6%), T1015 generated $21M (31.0%), and 99214 generated $6.8M (10.1%), which points to a business model driven by frequent ambulatory clinic encounters rather than specialty or procedural revenue lines.

The mix of top codes indicates a high-volume, primary care–centered FQHC operation: 99213 and 99214 are established patient E/M visits and T1015 is an all-inclusive clinic visit, a combination consistent with panel-based chronic care and routine outpatient management within an FQHC structure. This pattern suggests operational focus on longitudinal primary care, walk-in/clinic throughput, and bundled clinic services rather than procedure-driven specialties.

Competitive standing on core primary-care codes is strong within Maryland: 99213 ranks #7 of 3,275 providers in-state and is flagged as an extreme outlier, far above typical state volume, while 99214 ranks #31 of 3,673 providers and is described as notably above typical state volume. T1015 appears more typical in-state (rank #5 of 58 with a label of typical, unremarkable volume), but the combined ranking profile establishes this provider as a dominant high-volume primary-care clinic in the state for established visit codes.

Pediatric and preventive care contribute meaningfully to the service mix, with notable state-level volumes on well-patient codes: 99393 produced $1.7M (2.6%) and ranks in the 96th percentile, 99395 produced $1.1M (1.7%) and is an extreme outlier in the 99th percentile, and 99396 produced $712.4K (1.1%) and is also an extreme outlier. These patterns point to a substantial pediatric and preventive medicine panel, reinforcing the FQHC role of providing age-spanning primary care and immunizations.

Behavioral health and substance-use services are present but represent smaller revenue shares: H0005 generated $1.8M (2.7%) and is characterized as typical, unremarkable volume in-state, while H0004 and H0015 together add additional, smaller Medicaid revenue contributions. The presence of multiple H-codes indicates integrated counseling and outpatient SUD programming consistent with comprehensive FQHC services, though these lines are secondary to visit-based primary care revenue.

High-volume, low-dollar ancillary services and preventive testing (drug screens, point-of-care glucose testing, and vaccines) appear in the billing mix and underline throughput of routine primary-care workflows: 80305 (10K claims, $50.2K) ranks #7 of 189 and is notably above typical state volume, 82962 (6.6K claims, $33.1K) ranks #3 of 81 and is notably above typical state volume, and 90686 (7.3K claims, $36.5K) ranks in the 98th percentile. These volumes are consistent with a high-visit FQHC model performing screening, chronic disease monitoring, and immunizations at scale.

The provider is an established Federally Qualified Health Center with long tenure: the NPI was enumerated on 2005-09-09 (~21 years ago), which supports the interpretation that these billing patterns reflect a stable, community-oriented primary care operation rather than a recent entrant or specialty clinic. Longevity combined with FQHC taxonomy strengthens the expectation of sustained Medicaid-dependent, comprehensive outpatient services.

Medicaid: Complete Services Breakdown

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

131 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…	134,670	$190	$25.5M
T1015	Clinic visit/encounter, all-inclusive	112,750	$190	$21M
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…	40,180	$170	$6.8M
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,…	16,050	$190	$3M
H0005	Alcohol and/or drug services; group counseling by a clinician	9,490	$190	$1.8M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,250	$240	$1.7M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,090	$240	$1.5M
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…	5,710	$230	$1.3M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,990	$220	$1.1M
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…	4,530	$230	$1M

Showing 1–10 of 131

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

Total Health Care Inc — 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

131 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	60	380	$170	$4.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	235	400	4,360	$160	$1.5M
90834	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…	934	2,200	890	$110	$596.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	136	380	1,450	$60	$459K
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…	31	3,670	680	$90	$310K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	203	450	730	$110	$298.2K
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…	7	3,280	610	$80	$296.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	69	360	2,160	$50	$284.3K
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…	23	330	800	$110	$228.7K
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…	29	290	730	$100	$212.2K

Showing 1–10 of 131

Related Providers

Other providers that share a Tax Identification Number (TIN) with Total Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$56.6M
Marys Center For Maternal And Child Care Inc	DC	Federally Qualified Health Center (FQHC)	$0	$12.4M
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.2M
Mary's Center For Maternal And Child Care	DC	Dental Clinic/Center	$0	$6.3M
Ramani Reddy	MD	Infectious Disease Physician	$499.2K	$0
Yvette Williams	DC	General Practice Dentistry	$0	$339K
John Mcneil	MD	Infectious Disease Physician	$281.8K	$0
Mary's Center For Maternal & Child Care, Inc	DC	Specialist	$0	$167.1K
Anuj Gupta	MD	Interventional Cardiology Physician	$72.6K	$0
Derejew Tessema	DC	Dentist	$0	$66.6K

Nearby Providers

Other providers in the same ZIP code as Total Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maryland Community Health Initiatives, Inc.	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$20.1M
Emerge Baltimore Inc.	MD	Community/Behavioral Health Agency	$0	$17.6M
Americare Therapeutic Center, Inc.	MD	Community/Behavioral Health Agency	$0	$9.3M
Treyway Multi Treatment Services	MD	Addiction (Substance Use Disorder) Counselor	$0	$8.3M
Training Tomorrow's Leaders, Inc.	MD	Community/Behavioral Health Agency	$0	$4.6M
Above It All	MD	Community/Behavioral Health Agency	$0	$4.3M
Divine Mercy, Inc.	MD	Community/Behavioral Health Agency	$0	$4.3M

Total Health Care Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References