Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST AGNES HEALTHCARE INC

NPI: 1144250176 · BALTIMORE, MD 21229 · Obstetrics & Gynecology Physician · NPI assigned 07/04/2006

$11.53M
Total Medicaid Paid
324,957
Total Claims
204,739
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGGINBOTHAM, WILLIAM (PRESIDENT/CEO)
Parent OrganizationST AGNES HEALTHCARE INC
NPI Enumeration Date07/04/2006

Related Entities

Other providers sharing the same authorized official: HIGGINBOTHAM, WILLIAM

ProviderCityStateTotal Paid
SETON MEDICAL GROUP, INC COLUMBIA MD $5.85M
ST. AGNES HEALTHCARE, INC. BALTIMORE MD $962K
ST. AGNES HEALTHCARE, INC. BALTIMORE MD $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 58,700 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,490 23,910 $1.55M
99284 Emergency department visit for the evaluation and management, high severity 20,794 13,363 $1.47M
99283 Emergency department visit for the evaluation and management, moderate severity 23,352 15,838 $1.03M
99232 Subsequent hospital care, per day, moderate complexity 27,159 7,048 $790K
99223 Prolong inpt eval add15 m 9,703 6,468 $605K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,125 2,234 $543K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,228 7,045 $526K
99233 Prolong inpt eval add15 m 15,476 4,530 $513K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,504 9,135 $484K
99215 Prolong outpt/office vis 7,953 5,447 $479K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,024 4,265 $393K
99239 Hospital discharge day management, more than 30 minutes 5,905 4,686 $268K
99220 3,224 2,578 $230K
93000 13,609 9,752 $209K
70450 Computed tomography, head or brain; without contrast material 8,273 6,338 $200K
99205 Prolong outpt/office vis 2,007 1,559 $140K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,522 1,905 $135K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,138 2,413 $130K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,531 2,936 $125K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,270 842 $122K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,533 2,223 $118K
76818 4,507 1,888 $116K
20610 3,724 2,367 $114K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 26,887 17,709 $106K
99222 Initial hospital care, per day, moderate complexity 2,679 2,110 $105K
71046 Radiologic examination, chest; 2 views 17,888 13,520 $97K
59514 803 458 $94K
93970 3,025 2,107 $69K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 565 468 $66K
99460 928 711 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,741 1,784 $58K
71045 Radiologic examination, chest; single view 16,692 10,559 $56K
99238 Hospital discharge day management, 30 minutes or less 1,204 1,042 $48K
93971 3,718 2,534 $46K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,791 2,427 $46K
71275 Computed tomographic angiography, chest, with contrast material 1,264 1,018 $44K
99217 1,417 1,240 $42K
71260 Computed tomography, thorax, diagnostic; with contrast material 614 559 $33K
97802 623 325 $28K
71250 754 680 $20K
72125 Computed tomography, cervical spine; without contrast material 564 485 $17K
93015 430 240 $13K
99292 205 98 $13K
99226 362 250 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 266 166 $11K
95913 74 47 $11K
93923 192 165 $9K
99479 Subsequent intensive care, per day, very low birth weight infant 151 28 $8K
70551 Magnetic resonance imaging, brain; without contrast material 320 299 $8K
99480 Subsequent intensive care, per day, low birth weight infant 139 28 $7K
99235 84 56 $7K
94729 311 203 $7K
73110 378 200 $7K
97804 589 251 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 416 313 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 340 132 $6K
73130 362 204 $5K
99225 213 122 $5K
59025 Fetal non-stress test 244 178 $4K
99245 55 27 $4K
46600 138 77 $4K
95819 131 100 $4K
94727 191 124 $4K
74021 509 389 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 113 108 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 233 145 $2K
93458 17 12 $2K
93296 187 128 $2K
93297 306 193 $2K
J2785 Injection, regadenoson, 0.1 mg 25 13 $2K
99464 34 26 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 125 82 $2K
43235 72 37 $2K
95251 58 39 $2K
93295 81 45 $2K
92557 43 41 $1K
93880 13 13 $1K
99219 13 12 $1K
36415 Collection of venous blood by venipuncture 1,134 714 $1K
95885 34 19 $1K
99218 19 12 $892.50
76801 33 28 $820.58
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 23 21 $705.46
99443 24 23 $677.59
99442 60 58 $635.51
69210 15 14 $614.74
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 30 25 $607.04
76775 111 103 $598.97
73564 75 25 $543.73
93016 30 29 $534.00
92567 33 31 $532.11
99417 Prolong home eval add 15m 37 12 $511.93
93018 30 29 $358.80
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 21 13 $357.49
74174 55 50 $345.76
94060 15 12 $340.06
76937 17 12 $270.85
93248 18 13 $213.18
73030 13 12 $187.05
73610 31 27 $162.65
99441 15 14 $143.13
93246 17 12 $125.65
73630 36 25 $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 27 27 $118.17
99000 351 258 $75.00
99497 13 12 $14.46
70544 12 12 $0.00