Medicaid Provider Spending

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

HARFORD PRIMARY CARE LLC

NPI: 1194797670 · BEL AIR, MD 21014 · Family Medicine Physician · NPI assigned 02/07/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRIOLO, MARCUS controls 16+ related entities in our dataset. Read more

$880K
Total Medicaid Paid
15,344
Total Claims
12,245
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIOLO, MARCUS (CFO)
NPI Enumeration Date02/07/2006

Related Entities

Other providers sharing the same authorized official: PRIOLO, MARCUS

ProviderCityStateTotal Paid
UPPER CHESAPEAKE MEDICAL SERVICES, INC BEL AIR MD $2.91M
HARFORD MEMORIAL HOSPITAL, INC. HAVRE DE GRACE MD $2.03M
UPPER CHESAPEAKE MEDICAL CENTER, INC. BEL AIR MD $1.57M
UPPER CHESAPEAKE CARDIOLOGY, LLC BEL AIR MD $565K
UPPER CHESAPEAKE PRIMARY CARE,LLC BEL AIR MD $480K
UPPER CHESAPEAKE WOMENS CARE, LLC BEL AIR MD $459K
UPPER CHESAPEAKE MEDICAL SERVICES, INC. ABERDEEN MD $363K
UPPER CHESAPEAKE HEMATOLOGY AND ONCOLOGY SERVICES, LLC BEL AIR MD $184K
HARFORD CRISIS CENTER, INC. BEL AIR MD $116K
UPPER CHESAPEAKE ENDOCRINOLOGY ASSOCIATES, LLC ABERDEEN MD $106K
UPPER CHESAPEAKE ORTHOPEDICS, LLC BEL AIR MD $75K
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC BEL AIR MD $53K
UPPER CHESAPEAKE CRITICAL CARE ASSOCIATES, LLC BEL AIR MD $52K
HARFORD CRISIS CENTER, INC. BEL AIR MD $37K
UPPER CHESAPEAKE RADIATION ONCOLOGY, LLC ABERDEEN MD $11K
UPPER CHESAPEAKE MEDICAL CENTER, INC. ABERDEEN MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,039 $207K
2019 2,836 $133K
2020 1,612 $35K
2021 1,841 $57K
2022 1,937 $106K
2023 2,313 $186K
2024 1,766 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,167 7,171 $598K
99308 Subsequent nursing facility care, per day, straightforward 4,665 2,977 $198K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,290 1,122 $47K
99309 Subsequent nursing facility care, per day, low to moderate complexity 292 166 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 64 40 $7K
36415 Collection of venous blood by venipuncture 476 425 $6K
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) 111 104 $4K
99307 65 49 $1K
90662 13 13 $637.39
80053 Comprehensive metabolic panel 28 28 $290.36
90686 12 12 $228.36
G0008 Administration of influenza virus vaccine 107 87 $85.86
99305 15 13 $55.96
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39 38 $53.34