Calverthealth Medical Group, LLC
Calverthealth Medical Group, LLC was paid $3.26M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCALVERTHEALTH MEDICAL GROUP, LLC
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
33aNPI1386871390assigned 06/17/2009
33bProvider typeWound Care Registered Nurse
28Total paid$3.26M
24GClaims51,717
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,174 | $189K | |
| 2019 | 1,719 | $113K | |
| 2020 | 10,209 | $482K | |
| 2021 | 10,570 | $595K | |
| 2022 | 10,211 | $681K | |
| 2023 | 10,181 | $734K | |
| 2024incomplete | 6,653 | $469K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 18,036 | 15,480 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 20,759 | 17,090 | $1.41M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 2,794 | 1,969 | $131K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 686 | 526 | $47K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 236 | 226 | $27K |
| 81002 | <1% | 6,401 | 4,467 | $16K | |
| 90686 | <1% | 538 | 466 | $10K | |
| 96127 | <1% | 615 | 550 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 48 | 38 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | 177 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | 12 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 636 | 543 | $1K |
17 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 41 | $1K |
| 0012A | <1% | 28 | $949.66 | |
| 90688 | <1% | 41 | $656.96 | |
| 90662 | <1% | 12 | $588.36 | |
| 0011A | <1% | 13 | $520.00 | |
| 59025 | Fetal non-stress test | <1% | 18 | $418.81 |
| W7021 | <1% | 40 | $412.83 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 34 | $301.90 |
| 90656 | <1% | 20 | $290.92 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 68 | $289.88 |
| G0008 | Administration of influenza virus vaccine | <1% | 274 | $237.05 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $226.60 |
| 99442 | <1% | 29 | $209.63 | |
| 96160 | <1% | 16 | $28.54 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $12.49 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 63 | $1.80 |
| 91301 | <1% | 30 | $0.10 |
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 officialHEITHAUS, CAROLYN (CFO)
Parent organizationCALVERT HEALTH SYSTEM, INC
| Provider | Location | Paid |
|---|---|---|
| Calverthealth Medical Center, INC. | Prince Frederick, MD | $921K |
| CHMG Corelife, LLC | Waldorf, MD | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.