LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC

NPI: 1194170027 · RANDALLSTOWN, MD 21133 · Pediatric Adolescent Medicine Physician · NPI assigned 04/28/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official WRIGHT-SISK, MARY controls 20+ related entities in our dataset. Read more

$668K

Total Medicaid Paid

18,573

Total Claims

16,030

Beneficiaries

Codes Billed

2020-01

First Month

2021-06

Last Month

Provider Details

Authorized Official	WRIGHT-SISK, MARY (DIRECTOR)
Parent Organization	LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
NPI Enumeration Date	04/28/2016

Other providers sharing the same authorized official: WRIGHT-SISK, MARY

Provider	City	State	Total Paid
LIFEBRIDGE COMMUNITY PHYSICIANS, INC	RANDALLSTOWN	MD	$13.24M
LIFEBRIDGE COMMUNITY PEDIATRICS, LLC	TOWSON	MD	$4.92M
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC	PIKESVILLE	MD	$1.98M
LIFEBRIDGE COMMUNITY PHYSICIANS INC	BALTIMORE	MD	$1.48M
LIFEBRIDGE COMMUNITY PHYSICIANS	RANDALLSTOWN	MD	$1.40M
LIFEBRIDGE COMMUNITY PHYSICIANS, INC	EDGEWOOD	MD	$1.08M
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.	ELDERSBURG	MD	$1.04M
LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC	HAMPSTEAD	MD	$1.01M
LIFEBRIDGE COMMUNITY PULMONOLOGY, LLC	PIKESVILLE	MD	$769K
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC	GLEN BURNIE	MD	$722K
LIFEBRIDGE COMMUNITY PHYSICIANS INC	RANDALLSTOWN	MD	$705K
LIFEBRIDGE COMMUNITY PHYSICIANS INC	BALTIMORE	MD	$659K
LIFEBRIDGE COMMUNITY PHYSICIANS, INC	TIMONIUM	MD	$642K
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II, LLC	LUTHERVILLE	MD	$551K
LIFEBRIDGE COMMUNITY PHYSICIANS, INC	LUTHERVILLE	MD	$423K
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.	RANDALLSTOWN	MD	$345K
LIFEBRIDGE COMMUNITY PHYSICIANS, INC	WESTMINSTER	MD	$283K
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.	COLUMBIA	MD	$249K
LIFEBRIDGE COMMUNITY PHYSICIANS	FOREST HILL	MD	$206K
CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC	BEL AIR	MD	$187K

Year	Claims	Total Paid
2020	12,981	$449K
2021	5,592	$218K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,264	1,832	$136K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1,132	1,047	$113K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1,096	899	$94K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	756	688	$75K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	607	565	$66K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	435	267	$27K
90670		841	729	$23K
90686		899	832	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	428	380	$18K
90648		874	751	$17K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1,637	1,422	$14K
92551		1,493	1,319	$13K
90723		598	503	$13K
90680		417	354	$9K
90633		348	328	$8K
90710		227	217	$5K
96127		1,212	1,115	$5K
W7000		721	670	$3K
99173		1,343	1,189	$3K
99381		19	17	$2K
96161		741	611	$2K
90651		81	77	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	210	100	$1K
90734		39	37	$861.36
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	127	56	$633.84
90700		28	25	$566.66