Medicaid Provider Spending

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

UPPER CHESAPEAKE WOMENS CARE, LLC

NPI: 1275843013 · BEL AIR, MD 21014 · Obstetrics & Gynecology Physician · NPI assigned 10/14/2010

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

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

$459K
Total Medicaid Paid
7,999
Total Claims
6,526
Beneficiaries
9
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPRIOLO, MARCUS (CFO)
Parent OrganizationUPPER CHESAPEAKE MEDICAL SERVICES, INC.
NPI Enumeration Date10/14/2010

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
HARFORD PRIMARY CARE LLC BEL AIR MD $880K
UPPER CHESAPEAKE CARDIOLOGY, LLC BEL AIR MD $565K
UPPER CHESAPEAKE PRIMARY CARE,LLC BEL AIR MD $480K
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
2020 1,818 $82K
2021 1,515 $89K
2022 1,180 $84K
2023 2,023 $120K
2024 1,463 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,100 4,137 $423K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 127 122 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 236 204 $10K
81003 2,376 1,953 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 24 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 85 49 $2K
99385 13 13 $2K
59025 Fetal non-stress test 23 12 $606.74
99024 12 12 $0.00