NP / PA
Luminis Health Medical Group, LLC
Luminis Health Medical Group, LLC was paid $2.14M by Medicaid between Oct 2018 and Sep 2022, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoLUMINIS HEALTH MEDICAL GROUP, LLC
EASTON, MD 21601
EASTON, MD 21601
33aNPI1407227598assigned 10/14/2015
33bProvider typeAdvanced Practice Midwife
28Total paid$2.14M
24GClaims40,609
24DCodes billed26
24AFirst – last monthOct 2018 – Sep 2022
Compared with peers
Next to other Advanced Practice Midwife providers in Maryland
Rank by total paid#1 of 7
Median peer was paid$12K
This provider vs. median184×
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
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 | 33 | $2K | |
| 2019 | 82 | $3K | |
| 2020 | 15,896 | $854K | |
| 2021 | 15,415 | $804K | |
| 2022 | 9,183 | $480K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 15,264 | 12,822 | $1.04M |
| 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 | 17% | 3,069 | 2,588 | $374K |
| 76830 | Ultrasound, transvaginal | 6.0% | 1,291 | 1,195 | $128K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 5.4% | 1,569 | 1,200 | $115K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.2% | 960 | 850 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 1,678 | 1,359 | $86K |
| H1003 | Prenatal care, at-risk enhanced service; education | 3.9% | 9,649 | 7,727 | $84K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 426 | 309 | $36K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 228 | 223 | $28K |
| 76801 | 1.0% | 199 | 179 | $21K | |
| 76813 | <1% | 200 | 180 | $21K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 271 | 217 | $21K |
14 more codes
| 76818 | <1% | 170 | $19K | |
| 59410 | <1% | 16 | $18K | |
| 76820 | <1% | 251 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 103 | $10K |
| 59025 | Fetal non-stress test | <1% | 328 | $9K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 90 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,266 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 126 | $2K |
| 99219 | <1% | 45 | $2K | |
| 81025 | <1% | 214 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $162.96 |
| 99072 | <1% | 1,136 | $6.57 | |
| 99453 | 0% | 24 | $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.
From NPPES
Who's on the registration
Authorized officialCLARKE, STEPHEN (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Luminis Health Medical Group, LLC | Easton, MD | $90K |
| Luminis Health Medical Group, LLC | Annapolis, MD | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.