Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Bel Air › NPI 1275843013
Physician

Upper Chesapeake Womens Care, LLC

Upper Chesapeake Womens Care, LLC was paid $459K by Medicaid between Jan 2020 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoUPPER CHESAPEAKE WOMENS CARE, LLC
BEL AIR, MD 21014
33aNPI1275843013assigned 10/14/2010
33bProvider typeObstetrics & Gynecology Physician
28Total paid$459K
24GClaims7,999
24DCodes billed9
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Maryland

Rank by total paid#24 of 85
Median peer was paid$69K
This provider vs. median6.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PRIOLO, MARCUS controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20201,818$82K
20211,515$89K
20221,180$84K
20232,023$120K
2024incomplete1,463$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92% 5,100 4,137 $423K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.2% 127 122 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 236 204 $10K
81003 <1% 2,376 1,953 $4K
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 <1% 27 24 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 85 49 $2K
99385 <1% 13 13 $2K
59025 Fetal non-stress test <1% 23 12 $606.74
99024 0% 12 12 $0.00

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 officialPRIOLO, MARCUS (CFO)
Parent organizationUPPER CHESAPEAKE MEDICAL SERVICES, INC.
Same official

Other billing entities under PRIOLO, MARCUS

Full network →
ProviderLocationPaid
Upper Chesapeake Medical Services, INCBel 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 LLCBel Air, MD$880K
Upper Chesapeake Cardiology, LLCBel Air, MD$565K
Upper Chesapeake Primary Care,llcBel Air, MD$480K
Upper Chesapeake Medical Services, INC.Aberdeen, MD$363K
Upper Chesapeake Hematology and Oncology Services, LLCBel Air, MD$184K
Harford Crisis Center, INC.Bel Air, MD$116K
Upper Chesapeake Endocrinology Associates, LLCAberdeen, MD$106K
Upper Chesapeake Orthopedics, LLCBel Air, MD$75K
Upper Chesapeake Surgical Associates, LLCBel Air, MD$53K
Upper Chesapeake Critical Care Associates, LLCBel Air, MD$52K
Harford Crisis Center, INC.Bel Air, MD$37K
Upper Chesapeake Radiation Oncology, LLCAberdeen, MD$11K
Upper Chesapeake Medical Center, INC.Aberdeen, MD$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.