Physician
Mace Medical LLC
Mace Medical LLC was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoMACE MEDICAL LLC
ESSEX, MD 21221
ESSEX, MD 21221
33aNPI1114374360assigned 05/18/2016
33bProvider typeInternal Medicine Physician
28Total paid$1.55M
24GClaims40,208
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#28 of 501
Median peer was paid$77K
This provider vs. median20×
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 LEE, JOHN controls 20+ 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 | 1,594 | $72K | |
| 2019 | 1,724 | $57K | |
| 2020 | 5,345 | $213K | |
| 2021 | 7,831 | $286K | |
| 2022 | 8,882 | $334K | |
| 2023 | 7,893 | $316K | |
| 2024incomplete | 6,939 | $268K |
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 | 76% | 14,997 | 12,870 | $1.18M |
| 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% | 3,922 | 3,468 | $227K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 5.0% | 13,228 | 11,357 | $77K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,030 | 908 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 406 | 370 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,634 | 1,525 | $9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 430 | 266 | $6K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 835 | 745 | $5K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 873 | 787 | $5K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,506 | 1,363 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 357 | 285 | $3K |
| 93000 | <1% | 171 | 144 | $2K |
19 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 41 | $2K |
| 90756 | <1% | 199 | $2K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 125 | $868.81 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 80 | $616.92 |
| G8482 | Influenza immunization administered or previously received | <1% | 42 | $477.57 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $147.45 |
| 99497 | <1% | 43 | $86.97 | |
| 3074F | <1% | 16 | $80.00 | |
| 3017F | 0% | 29 | $0.00 | |
| 1036F | 0% | 74 | $0.00 | |
| 1123F | 0% | 17 | $0.00 | |
| 1111F | 0% | 16 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 13 | $0.00 |
| 90688 | 0% | 17 | $0.00 | |
| 4040F | 0% | 29 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 24 | $0.00 |
| 3078F | 0% | 14 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 16 | $0.00 |
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 officialLEE, JOHN (PHYSICIAN)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.