Upper Chesapeake Primary Care,llc

Upper Chesapeake Primary Care,llc was paid $480K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoUPPER CHESAPEAKE PRIMARY CARE,LLC
BEL AIR, MD 21014

33aNPI1093902793assigned 09/27/2007

33bProvider typeInternal Medicine Physician

28Total paid$480K

24GClaims6,849

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Maryland

Rank by total paid#86 of 501

Median peer was paid$77K

This provider vs. median6.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PRIOLO, MARCUS controls 16+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	448	$37K
2019	526	$25K
2020	794	$43K
2021	1,197	$79K
2022	1,542	$95K
2023	1,318	$105K
2024incomplete	1,024	$95K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	83%	5,278	4,713	$397K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	1,249	1,057	$70K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.3%	85	68	$11K
G0008	Administration of influenza virus vaccine	<1%	157	126	$829.77
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	18	12	$549.30
90686		<1%	13	13	$268.94
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	17	13	$74.40
90682		<1%	32	29	$69.03

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRIOLO, MARCUS (CFO)

Same official

Other billing entities under PRIOLO, MARCUS

Full network →

Provider	Location	Paid
Upper Chesapeake Medical Services, INC	Bel Air, MD	$2.91M
Harford Memorial Hospital, INC.	Havre De Grace, MD	$2.03M
Upper Chesapeake Medical Center, INC.	Bel Air, MD	$1.57M
Harford Primary Care LLC	Bel Air, MD	$880K
Upper Chesapeake Cardiology, LLC	Bel Air, MD	$565K
Upper Chesapeake Womens Care, LLC	Bel Air, MD	$459K
Upper Chesapeake Medical Services, INC.	Aberdeen, MD	$363K
Upper Chesapeake Hematology and Oncology Services, LLC	Bel Air, MD	$184K
Harford Crisis Center, INC.	Bel Air, MD	$116K
Upper Chesapeake Endocrinology Associates, LLC	Aberdeen, MD	$106K
Upper Chesapeake Orthopedics, LLC	Bel Air, MD	$75K
Upper Chesapeake Surgical Associates, LLC	Bel Air, MD	$53K
Upper Chesapeake Critical Care Associates, LLC	Bel Air, MD	$52K
Harford Crisis Center, INC.	Bel Air, MD	$37K
Upper Chesapeake Radiation Oncology, LLC	Aberdeen, MD	$11K
Upper Chesapeake Medical Center, INC.	Aberdeen, MD	$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.