Physician
Specialty Physicians of Garrett County, LLC
Specialty Physicians of Garrett County, LLC was paid $993K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoSPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
OAKLAND, MD 21550
OAKLAND, MD 21550
33aNPI1265819866assigned 05/04/2015
33bProvider typeObstetrics & Gynecology Physician
28Total paid$993K
24GClaims20,392
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maryland
Rank by total paid#15 of 85
Median peer was paid$69K
This provider vs. median14×
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 | 786 | $45K | |
| 2019 | 521 | $15K | |
| 2020 | 2,072 | $94K | |
| 2021 | 3,141 | $134K | |
| 2022 | 2,625 | $96K | |
| 2023 | 2,319 | $88K | |
| 2024incomplete | 8,928 | $522K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 10,032 | 8,606 | $588K |
| 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 | 20% | 2,781 | 2,482 | $203K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 831 | 789 | $64K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.8% | 3,206 | 2,847 | $58K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.2% | 94 | 87 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 218 | 202 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | 70 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 222 | 211 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 173 | 144 | $7K |
| 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 | <1% | 57 | 49 | $5K |
| 99306 | Prolong nursin fac eval 15m | <1% | 25 | 19 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 140 | 131 | $4K |
20 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 620 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,009 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 138 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 34 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $2K |
| 99305 | <1% | 16 | $2K | |
| 99307 | <1% | 230 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 74 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 33 | $866.16 |
| 81025 | <1% | 110 | $728.90 | |
| 87430 | <1% | 40 | $534.40 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 14 | $441.00 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 58 | $284.28 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $281.20 |
| 11721 | <1% | 24 | $258.98 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $205.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $197.10 |
| 99000 | <1% | 50 | $105.38 | |
| 94727 | <1% | 14 | $105.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $32.09 |
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 officialLIPSCOMB, TRACY (SVP OF FINANCE & CFO)
| Provider | Location | Paid |
|---|---|---|
| Professional Emergency Physician Services, LLC | Oakland, MD | $1.36M |
| Garrett County Memorial Hospital | Oakland, MD | $819K |
| Specialty Physicians of Garrett County, LLC | Oakland, MD | $278K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.