Physician
ST Agnes Healthcare INC
ST Agnes Healthcare INC was paid $11.53M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
33Billing provider infoST AGNES HEALTHCARE INC
BALTIMORE, MD 21229
BALTIMORE, MD 21229
33aNPI1144250176assigned 07/04/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$11.53M
24GClaims324,957
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maryland
Rank by total paid#3 of 85
Median peer was paid$69K
This provider vs. median167×
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 | |
|---|---|---|---|
| 2018 | 19,134 | $1.27M | |
| 2019 | 17,073 | $787K | |
| 2020 | 28,868 | $1.20M | |
| 2021 | 49,993 | $1.61M | |
| 2022 | 70,151 | $2.31M | |
| 2023 | 81,038 | $2.70M | |
| 2024incomplete | 58,700 | $1.65M |
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 | 13% | 34,490 | 23,910 | $1.55M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 20,794 | 13,363 | $1.47M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.9% | 23,352 | 15,838 | $1.03M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 27,159 | 7,048 | $790K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 9,703 | 6,468 | $605K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.7% | 7,125 | 2,234 | $543K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.6% | 9,228 | 7,045 | $526K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 15,476 | 4,530 | $513K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 12,504 | 9,135 | $484K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 7,953 | 5,447 | $479K |
| 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 | 3.4% | 6,024 | 4,265 | $393K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.3% | 5,905 | 4,686 | $268K |
95 more codes
| 99220 | 2.0% | 3,224 | $230K | |
| 93000 | 1.8% | 13,609 | $209K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.7% | 8,273 | $200K |
| 99205 | Prolong outpt/office vis | 1.2% | 2,007 | $140K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 2,522 | $135K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.1% | 3,138 | $130K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 4,531 | $125K |
| 99285 | Emergency room visit (most serious) | 1.1% | 1,270 | $122K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.0% | 2,533 | $118K |
| 76818 | 1.0% | 4,507 | $116K | |
| 20610 | <1% | 3,724 | $114K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 26,887 | $106K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,679 | $105K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17,888 | $97K |
| 59514 | <1% | 803 | $94K | |
| 93970 | <1% | 3,025 | $69K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 565 | $66K |
| 99460 | <1% | 928 | $66K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,741 | $58K |
| 71045 | Radiologic examination, chest; single view | <1% | 16,692 | $56K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,204 | $48K |
| 93971 | <1% | 3,718 | $46K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,791 | $46K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 1,264 | $44K |
| 99217 | <1% | 1,417 | $42K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 614 | $33K |
| 97802 | <1% | 623 | $28K | |
| 71250 | <1% | 754 | $20K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 564 | $17K |
| 93015 | <1% | 430 | $13K | |
| 99292 | <1% | 205 | $13K | |
| 99226 | <1% | 362 | $12K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 266 | $11K |
| 95913 | <1% | 74 | $11K | |
| 93923 | <1% | 192 | $9K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 151 | $8K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 320 | $8K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 139 | $7K |
| 99235 | <1% | 84 | $7K | |
| 94729 | <1% | 311 | $7K | |
| 73110 | <1% | 378 | $7K | |
| 97804 | <1% | 589 | $7K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 416 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 340 | $6K |
| 73130 | <1% | 362 | $5K | |
| 99225 | <1% | 213 | $5K | |
| 59025 | Fetal non-stress test | <1% | 244 | $4K |
| 99245 | <1% | 55 | $4K | |
| 46600 | <1% | 138 | $4K | |
| 95819 | <1% | 131 | $4K | |
| 94727 | <1% | 191 | $4K | |
| 74021 | <1% | 509 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 113 | $3K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 233 | $2K |
| 93458 | <1% | 17 | $2K | |
| 93296 | <1% | 187 | $2K | |
| 93297 | <1% | 306 | $2K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 25 | $2K |
| 99464 | <1% | 34 | $2K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 125 | $2K |
| 43235 | <1% | 72 | $2K | |
| 95251 | <1% | 58 | $2K | |
| 93295 | <1% | 81 | $2K | |
| 92557 | <1% | 43 | $1K | |
| 93880 | <1% | 13 | $1K | |
| 99219 | <1% | 13 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,134 | $1K |
| 95885 | <1% | 34 | $1K | |
| 99218 | <1% | 19 | $892.50 | |
| 76801 | <1% | 33 | $820.58 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 23 | $705.46 |
| 99443 | <1% | 24 | $677.59 | |
| 99442 | <1% | 60 | $635.51 | |
| 69210 | <1% | 15 | $614.74 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 30 | $607.04 |
| 76775 | <1% | 111 | $598.97 | |
| 73564 | <1% | 75 | $543.73 | |
| 93016 | <1% | 30 | $534.00 | |
| 92567 | <1% | 33 | $532.11 | |
| 99417 | Prolong home eval add 15m | <1% | 37 | $511.93 |
| 93018 | <1% | 30 | $358.80 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 21 | $357.49 |
| 74174 | <1% | 55 | $345.76 | |
| 94060 | <1% | 15 | $340.06 | |
| 76937 | <1% | 17 | $270.85 | |
| 93248 | <1% | 18 | $213.18 | |
| 73030 | <1% | 13 | $187.05 | |
| 73610 | <1% | 31 | $162.65 | |
| 99441 | <1% | 15 | $143.13 | |
| 93246 | <1% | 17 | $125.65 | |
| 73630 | <1% | 36 | $123.17 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 27 | $118.17 |
| 99000 | <1% | 351 | $75.00 | |
| 99497 | <1% | 13 | $14.46 | |
| 70544 | 0% | 12 | $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 officialHIGGINBOTHAM, WILLIAM (PRESIDENT/CEO)
Parent organizationST AGNES HEALTHCARE INC
| Provider | Location | Paid |
|---|---|---|
| Seton Medical Group, INC | Columbia, MD | $5.85M |
| ST. Agnes Healthcare, INC. | Baltimore, MD | $962K |
| ST. Agnes Healthcare, INC. | Baltimore, MD | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.