Johns Hopkins University
Johns Hopkins University was paid $737K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 14% of everything it billed.
BALTIMORE, MD 21287
Next to other Gastroenterology Physician providers in Maryland
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 | 1,793 | $130K | |
| 2019 | 2,088 | $103K | |
| 2020 | 2,164 | $73K | |
| 2021 | 3,697 | $128K | |
| 2022 | 4,929 | $93K | |
| 2023 | 8,173 | $128K | |
| 2024incomplete | 6,133 | $80K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 2,101 | 2,001 | $105K |
| 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 | 14% | 2,890 | 2,780 | $105K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 2,293 | 987 | $101K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 2,035 | 1,287 | $58K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.3% | 1,819 | 1,754 | $46K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 5.7% | 1,471 | 950 | $42K |
| 1123F | 5.6% | 3,421 | 2,150 | $41K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 4.5% | 1,212 | 943 | $33K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.4% | 810 | 780 | $33K |
| 99254 | 3.9% | 195 | 189 | $29K | |
| 1124F | 3.9% | 1,771 | 1,331 | $29K | |
| 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 | 2.8% | 346 | 338 | $20K |
25 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.4% | 309 | $18K |
| 99253 | 1.6% | 131 | $12K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.4% | 190 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 655 | $9K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.2% | 93 | $9K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 505 | $9K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 362 | $8K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 365 | $8K |
| 99443 | <1% | 145 | $3K | |
| 99221 | <1% | 207 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 84 | $2K |
| 3008F | <1% | 43 | $1K | |
| 91065 | <1% | 17 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 125 | $873.99 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 44 | $669.14 |
| 99442 | <1% | 15 | $400.20 | |
| 1159F | <1% | 31 | $195.18 | |
| 43235 | <1% | 14 | $103.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,491 | $27.20 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 611 | $0.00 |
| 3074F | 0% | 86 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 90674 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 3078F | 0% | 54 | $0.00 |
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 |
|---|---|---|
| Johns Hopkins University | Baltimore, MD | $21.16M |
| Johns Hopkins University | Baltimore, MD | $15.24M |
| Johns Hopkins University | Baltimore, MD | $8.58M |
| Johns Hopkins University | Baltimore, MD | $6.20M |
| Johns Hopkins University | Baltimore, MD | $5.81M |
| Johns Hopkins University | Baltimore, MD | $4.92M |
| Johns Hopkins University | Baltimore, MD | $4.03M |
| Johns Hopkins University | Baltimore, MD | $3.82M |
| Johns Hopkins University | Baltimore, MD | $3.35M |
| Johns Hopkins University | Baltimore, MD | $2.47M |
| Johns Hopkins University | Baltimore, MD | $1.72M |
| Johns Hopkins University | Baltimore, MD | $1.69M |
| Johns Hopkins University | Baltimore, MD | $1.56M |
| Johns Hopkins University | Baltimore, MD | $1.52M |
| Johns Hopkins University | Baltimore, MD | $1.50M |
| Johns Hopkins University | Baltimore, MD | $1.45M |
| Johns Hopkins University | Baltimore, MD | $1.29M |
| Johns Hopkins University | Lutherville, MD | $1.06M |
| Johns Hopkins University | Baltimore, MD | $832K |
| Johns Hopkins University | Baltimore, MD | $821K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.