Middle River Healthcare

Middle River Healthcare was paid $75K by Medicaid between Sep 2022 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoMIDDLE RIVER HEALTHCARE
ESSEX, MD 21221

33aNPI1114682432assigned 11/02/2021

33bProvider typeFamily Nurse Practitioner

28Total paid$75K

24GClaims1,240

24DCodes billed10

24AFirst – last monthSep 2022 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Maryland

Rank by total paid#65 of 195

Median peer was paid$25K

This provider vs. median3.0×

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.

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
2022	120	$3K
2023	351	$22K
2024incomplete	769	$49K

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	52%	308	279	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	347	282	$28K
93000		2.7%	176	158	$2K
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	2.4%	16	13	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.2%	13	12	$2K
99385		1.7%	18	12	$1K
36415	Collection of venous blood by venipuncture	<1%	244	222	$463.55
96127		<1%	76	71	$297.69
99401		<1%	15	12	$131.47
99000		<1%	27	19	$10.50

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 officialKARPEH, JATU (OWNER)