Medstar Georgetown Medical Center, INC
Medstar Georgetown Medical Center, INC was paid $925K by Medicaid between Jan 2018 and Jan 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 79% of everything it billed.
WASHINGTON, DC 20007
Next to other Internal Medicine Physician providers in District of Columbia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,936 | $321K | |
| 2019 | 6,019 | $426K | |
| 2020 | 2,085 | $153K | |
| 2021 | 445 | $15K | |
| 2022 | 190 | $6K | |
| 2023 | 20 | $989.32 | |
| 2024incomplete | 17 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 79% | 8,654 | 7,217 | $729K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 1,722 | 1,385 | $110K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 1,051 | 892 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 444 | 267 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 323 | 112 | $12K |
| 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 | 1.2% | 298 | 238 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 136 | 27 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 59 | 48 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 25 | 24 | $651.68 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| WHC Physician Group LLC | Washington, DC | $93.89M |
| Medstar Medical Group II LLC | Baltimore, MD | $91.62M |
| Medstar Urgent Care LLC | Baltimore, MD | $49.08M |
| MGMC, LLC | Washington, DC | $18.08M |
| Medstar Franklin Square Physicians LLC | Baltimore, MD | $15.78M |
| Medstar Medical Group II | Baltimore, MD | $6.39M |
| Medstar Heart Institute LLC | Washington, DC | $4.73M |
| Medstar Harbor Hospital Physicians LLC | Baltimore, MD | $3.85M |
| Washington Hospital Center Corp | Washington, DC | $3.66M |
| Medstar Union Memorial Physicians LLC | Baltimore, MD | $3.43M |
| Medstar Medical Group Anesthesiology LLC | Baltimore, MD | $3.37M |
| WHC Physician Group LLC | Washington, DC | $2.71M |
| Bay Life Services Corporation | Baltimore, MD | $2.22M |
| Medstar Good Samaritan Physicians LLC | Baltimore, MD | $1.46M |
| Medstar Total Elder Care LLC | Washington, DC | $1.19M |
| Washington Hospital Center Corp | Washington, DC | $527K |
| Medstar Medical Group II LLC | Olney, MD | $130K |
| Medstar Urgent Care, LLC | Waldorf, MD | $52K |
| Medstar Medical Group II LLC | Brandywine, MD | $48K |
| Medstar Urgent Care, LLC | Hyattsville, MD | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.