Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CAPITAL CHILDREN'S HEALTHCARE

NPI: 1316484447 · UPPER MARLBORO, MD 20774 · Ambulatory Surgical Clinic/Center · NPI assigned 01/26/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 41899 with only 2 total codes billed. Highly concentrated billing profile.

$11.23M
Total Medicaid Paid
8,462
Total Claims
7,671
Beneficiaries
2
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHEELER, JEFFREY (CEO)
Parent OrganizationNEW CORE HEALTHCARE
NPI Enumeration Date01/26/2017

Related Entities

Other providers sharing the same authorized official: WHEELER, JEFFREY

ProviderCityStateTotal Paid
BALTIMORE SURGERY CENTER, LLC BALTIMORE MD $3.71M
SANDMAN, LLC UPPER MARLBORO MD $751K
SANDMAN, LLC BALTIMORE MD $426K
CCDC PROFESSIONALS, LLC BALTIMORE MD $301K
ADVANCED FOOT & ANKLE CARE, PLLC HURRICANE WV $111K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 493 $534K
2019 878 $952K
2020 1,286 $1.17M
2021 1,616 $1.78M
2022 1,464 $1.90M
2023 1,644 $2.81M
2024 1,081 $2.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 8,447 7,659 $11.21M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 15 12 $20K