Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CALVERTHEALTH MEDICAL GROUP, LLC

NPI: 1386871390 · PRINCE FREDERICK, MD 20678 · Wound Care Registered Nurse · NPI assigned 06/17/2009

$3.26M
Total Medicaid Paid
51,717
Total Claims
42,199
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEITHAUS, CAROLYN (CFO)
Parent OrganizationCALVERT HEALTH SYSTEM, INC
NPI Enumeration Date06/17/2009

Related Entities

Other providers sharing the same authorized official: HEITHAUS, CAROLYN

ProviderCityStateTotal Paid
CALVERTHEALTH MEDICAL CENTER, INC. PRINCE FREDERICK MD $921K
CHMG CORELIFE, LLC WALDORF MD $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,653 $469K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,036 15,480 $1.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,759 17,090 $1.41M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,794 1,969 $131K
99215 Prolong outpt/office vis 686 526 $47K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 236 226 $27K
81002 6,401 4,467 $16K
90686 538 466 $10K
96127 615 550 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 38 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 194 177 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $2K
36415 Collection of venous blood by venipuncture 636 543 $1K
G0444 Annual depression screening, 5 to 15 minutes 41 39 $1K
0012A 28 26 $949.66
90688 41 41 $656.96
90662 12 12 $588.36
0011A 13 13 $520.00
59025 Fetal non-stress test 18 13 $418.81
W7021 40 38 $412.83
H1003 Prenatal care, at-risk enhanced service; education 34 25 $301.90
90656 20 17 $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 68 57 $289.88
G0008 Administration of influenza virus vaccine 274 245 $237.05
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 12 $226.60
99442 29 14 $209.63
96160 16 12 $28.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $12.49
G8510 Screening for depression is documented as negative, a follow-up plan is not required 63 53 $1.80
91301 30 26 $0.10