Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST. Mary's Hospital of ST. Mary's County INC.

ST. Mary's Hospital of ST. Mary's County INC. was paid $247K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoST. MARY'S HOSPITAL OF ST. MARY'S COUNTY INC.
LEONARDTOWN, MD 20650
33aNPI1306943824assigned 09/19/2006
33bProvider typeHospitalist Physician
28Total paid$247K
24GClaims3,388
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Hospitalist Physician providers in Maryland

Rank by total paid#20 of 39
Median peer was paid$247K
This provider vs. median1.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
20181,181$108K
20191,133$78K
2020789$46K
2021285$14K
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 29% 1,141 920 $72K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16% 278 81 $38K
99223 Prolong inpt eval add15 m 13% 432 388 $33K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 459 391 $30K
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 9.7% 258 226 $24K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.5% 181 90 $13K
99222 Initial hospital care, per day, moderate complexity 4.7% 205 185 $12K
99219 2.6% 49 47 $7K
99220 2.5% 82 78 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.4% 124 104 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.2% 123 39 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 18 14 $703.36
2 more codes
95819 <1% 14 $484.98
92134 <1% 24 $319.63

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 officialBRAAM, RICHARD (VICE PRESIDENT FOR FINANCE)