Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DC › Washington › NPI 1427145176
Clinic

Medstar - Georgetown Medical Center, INC.

Medstar - Georgetown Medical Center, INC. was paid $45.62M by Medicaid between Jan 2018 and Dec 2024, across 328 billing codes. Its largest line is 99283, emergency room visit (moderate) — 9.7% of everything it billed.

33Billing provider infoMEDSTAR - GEORGETOWN MEDICAL CENTER, INC.
WASHINGTON, DC 20007
33aNPI1427145176assigned 10/06/2006
28Total paid$45.62M
24GClaims775,622
24DCodes billed328
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in District of Columbia

Rank by total paid#2 of 22
Median peer was paid$2.28M
This provider vs. median20×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018106,298$3.48M
2019120,603$4.46M
2020101,882$3.74M
2021133,495$6.37M
2022127,382$10.23M
2023102,347$9.45M
2024incomplete83,615$7.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.7% 19,043 16,788 $4.43M
96361 Intravenous infusion, hydration; each additional hour 9.3% 7,854 6,417 $4.27M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7.9% 19,297 7,350 $3.62M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.5% 11,992 10,902 $2.97M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 12,511 11,240 $2.55M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.0% 11,773 9,363 $2.29M
70450 Computed tomography, head or brain; without contrast material 2.8% 4,930 4,472 $1.28M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.5% 1,728 1,561 $1.16M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.5% 17,422 13,695 $1.14M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 5,498 4,132 $1.02M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 5,029 4,581 $1.01M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2.1% 12,463 4,645 $976K
316 more codes
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.1% 1,230 $942K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 2,199 $864K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.9% 7,522 $861K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.9% 7,470 $847K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.7% 3,304 $769K
96415 1.3% 1,757 $601K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 2,933 $565K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.2% 4,743 $553K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.2% 2,420 $541K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.2% 1,408 $539K
99213 Doctor's office visit, returning patient (routine) 1.2% 3,169 $534K
99214 Doctor's office visit, returning patient (more involved) 1.1% 2,908 $514K
29581 1.1% 3,526 $489K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.0% 2,186 $463K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,597 $442K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 897 $434K
74183 <1% 1,215 $423K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,257 $413K
G0378 Hospital observation service, per hour <1% 5,703 $371K
97161 <1% 1,496 $337K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,417 $330K
97162 <1% 1,509 $326K
96367 <1% 2,129 $317K
76642 <1% 1,785 $302K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 289 $279K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 626 $276K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,206 $275K
76830 Ultrasound, transvaginal <1% 2,242 $241K
97597 <1% 1,448 $204K
78815 Positron emission tomography (PET) for limited area imaging <1% 140 $204K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 995 $199K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,830 $196K
80053 Comprehensive metabolic panel <1% 27,185 $169K
73562 <1% 3,609 $147K
11043 <1% 334 $144K
93971 <1% 1,278 $137K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 738 $125K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,685 $124K
71046 Radiologic examination, chest; 2 views <1% 6,688 $122K
59025 Fetal non-stress test <1% 382 $120K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,235 $120K
71250 <1% 1,495 $118K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 91 $114K
97165 <1% 835 $114K
73564 <1% 939 $89K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 570 $81K
73502 <1% 2,004 $79K
72100 <1% 1,882 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,769 $77K
J0485 Injection, belatacept, 1 mg <1% 128 $75K
93970 <1% 428 $73K
72141 <1% 368 $71K
80048 Basic metabolic panel (calcium, ionized) <1% 26,358 $71K
73030 <1% 2,206 $70K
86832 <1% 1,083 $64K
72040 <1% 1,416 $63K
93976 <1% 627 $59K
J1453 Injection, fosaprepitant, 1 mg <1% 434 $58K
87497 <1% 3,937 $52K
93975 <1% 253 $51K
77062 <1% 770 $51K
73630 <1% 3,112 $50K
97163 <1% 280 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,803 $48K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,886 $48K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,291 $47K
70496 <1% 120 $46K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 52,745 $46K
86833 <1% 1,085 $40K
99203 Doctor's office visit, new patient (routine) <1% 222 $39K
97116 <1% 516 $38K
76536 <1% 253 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 259 $37K
72197 <1% 56 $34K
80197 <1% 5,617 $33K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 625 $31K
76775 <1% 256 $31K
77066 Tomosynthesis, mammo <1% 1,436 $30K
J2505 Injection, pegfilgrastim, 6 mg <1% 20 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,567 $30K
73610 <1% 2,525 $27K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 38 $24K
87799 <1% 3,234 $23K
71045 Radiologic examination, chest; single view <1% 5,298 $22K
86834 <1% 365 $22K
99215 Doctor's office visit, returning patient (complex) <1% 126 $22K
73130 <1% 1,267 $21K
72125 Computed tomography, cervical spine; without contrast material <1% 614 $21K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,702 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,236 $20K
43235 <1% 44 $20K
70486 <1% 271 $19K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 166 $18K
70551 Magnetic resonance imaging, brain; without contrast material <1% 87 $18K
96375 Therapeutic injection; each additional sequential IV push <1% 11,653 $18K
73110 <1% 1,017 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 32 $15K
20550 <1% 61 $14K
80076 <1% 7,305 $14K
70491 <1% 93 $14K
96402 <1% 350 $13K
83735 <1% 13,921 $12K
C1769 Guide wire <1% 1,946 $12K
93017 <1% 129 $11K
82248 <1% 2,916 $11K
88341 <1% 376 $11K
80047 <1% 1,649 $11K
83880 <1% 2,345 $10K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 172 $10K
86850 <1% 4,589 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 31 $9K
73560 <1% 131 $9K
85610 <1% 9,701 $9K
86923 <1% 131 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 43 $8K
86900 <1% 5,150 $8K
95886 <1% 47 $8K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 249 $8K
96376 <1% 4,048 $8K
95811 <1% 27 $8K
84484 <1% 8,245 $7K
86835 <1% 366 $7K
36415 Collection of venous blood by venipuncture <1% 20,585 $7K
P9016 Red blood cells, leukocytes reduced, each unit <1% 36 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,261 $6K
84100 <1% 9,939 $5K
82728 <1% 1,884 $5K
77065 Tomosynthesis, mammo <1% 111 $5K
81001 <1% 14,983 $5K
97035 <1% 44 $5K
90715 <1% 186 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 557 $4K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 162 $4K
87581 <1% 871 $4K
82962 <1% 12,121 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,825 $4K
88307 <1% 172 $4K
85379 <1% 1,142 $4K
J2704 Injection, propofol, 10 mg <1% 10,856 $4K
86828 <1% 364 $4K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,521 $3K
96523 <1% 88 $3K
73590 <1% 306 $3K
84443 Thyroid stimulating hormone (TSH) <1% 4,553 $3K
86901 <1% 5,149 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 412 $3K
87040 <1% 519 $3K
97166 <1% 17 $3K
73620 <1% 226 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 959 $3K
95913 <1% 28 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,715 $3K
83605 <1% 2,865 $3K
88342 <1% 938 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,300 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 528 $3K
72110 <1% 63 $3K
83690 <1% 7,275 $3K
99204 Doctor's office visit, new patient (more involved) <1% 12 $2K
82570 <1% 4,145 $2K
97535 Self-care/home management training, each 15 minutes <1% 27 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 188 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 528 $2K
87486 <1% 624 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,129 $2K
83615 <1% 2,754 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 3,340 $2K
84702 <1% 1,904 $2K
73140 <1% 152 $2K
87070 <1% 1,862 $2K
83970 <1% 472 $2K
85027 <1% 1,120 $2K
C9399 Unclassified drugs or biologicals <1% 1,780 $2K
C1776 Joint device (implantable) <1% 13 $2K
82977 <1% 365 $2K
83550 <1% 1,264 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,944 $1K
77073 <1% 45 $1K
70498 <1% 31 $1K
77061 <1% 15 $1K
83540 <1% 1,357 $1K
83520 <1% 205 $1K
76937 <1% 36 $1K
88304 <1% 196 $1K
74018 <1% 79 $1K
76801 <1% 182 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 8,431 $1K
82607 <1% 1,300 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 682 $1K
84156 <1% 3,396 $1K
88185 <1% 48 $1K
85730 <1% 2,449 $1K
84439 <1% 1,199 $906.30
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,710 $891.54
90686 <1% 101 $857.95
87077 <1% 1,570 $835.96
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,240 $811.77
87340 <1% 541 $788.65
82803 <1% 2,422 $781.02
82784 <1% 521 $779.84
73080 <1% 29 $777.38
80061 Lipid panel <1% 1,044 $752.20
86140 <1% 1,873 $751.81
C1758 Catheter, ureteral <1% 61 $750.06
80320 <1% 639 $721.67
81025 <1% 3,584 $709.59
87522 Neg quan hep c or qual rna <1% 145 $698.40
86592 <1% 602 $688.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 583 $593.84
84550 <1% 2,356 $574.68
85045 <1% 765 $526.53
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,499 $524.34
96417 <1% 1,202 $476.95
Q3014 Telehealth originating site facility fee <1% 66 $458.96
88360 <1% 14 $444.82
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 214 $444.67
J0690 Injection, cefazolin sodium, 500 mg <1% 1,898 $406.51
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 420 $392.03
82105 <1% 93 $383.62
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 887 $364.83
88184 <1% 32 $340.42
85014 <1% 2,717 $338.89
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,011 $326.21
77300 <1% 21 $326.09
76000 <1% 41 $317.00
84703 <1% 1,511 $293.95
82150 <1% 191 $269.78
82378 <1% 314 $255.26
87075 <1% 382 $237.90
83883 <1% 65 $234.41
87186 <1% 1,491 $233.51
82550 <1% 737 $232.74
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,707 $230.74
82746 <1% 579 $228.35
86334 <1% 79 $186.12
87205 <1% 879 $184.33
73552 <1% 12 $177.40
87428 <1% 209 $159.00
88142 <1% 19 $151.02
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 361 $147.72
84165 <1% 303 $145.71
85652 <1% 785 $141.71
81003 <1% 1,192 $135.60
82330 <1% 512 $125.51
82077 <1% 1,050 $108.90
82043 <1% 611 $95.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 9,076 $92.85
85651 <1% 640 $89.83
86481 <1% 14 $87.90
J3490 Unclassified drugs <1% 4,868 $86.80
J0780 Injection, prochlorperazine, up to 10 mg <1% 84 $83.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 286 $70.77
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 84 $55.70
J1170 Injection, hydromorphone, up to 4 mg <1% 2,905 $53.57
81002 <1% 486 $52.46
86704 <1% 37 $49.16
J3489 Injection, zoledronic acid, 1 mg <1% 12 $44.62
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,977 $43.46
G0008 Administration of influenza virus vaccine <1% 104 $42.40
86317 <1% 36 $39.98
82565 <1% 213 $39.77
99220 <1% 14 $33.18
84153 <1% 42 $31.27
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,712 $31.02
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,278 $28.89
J3475 Injection, magnesium sulfate, per 500 mg <1% 633 $25.47
J1650 Injection, enoxaparin sodium, 10 mg <1% 611 $24.95
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 1,763 $24.55
82947 <1% 386 $20.58
82375 <1% 449 $16.70
J1644 Injection, heparin sodium, per 1000 units <1% 3,011 $15.46
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 233 $11.19
J7030 Infusion, normal saline solution , 1000 cc <1% 690 $9.68
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 502 $8.74
J2060 Injection, lorazepam, 2 mg <1% 423 $7.76
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 348 $5.98
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,165 $5.81
J1790 Injection, droperidol, up to 5 mg <1% 1,072 $4.87
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 641 $4.56
84295 <1% 353 $3.50
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 99 $2.01
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 95 $0.90
J0360 Injection, hydralazine hcl, up to 20 mg <1% 399 $0.87
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 63 $0.52
J2550 Injection, promethazine hcl, up to 50 mg <1% 15 $0.26
J1940 Injection, furosemide, up to 20 mg <1% 16 $0.26
84403 0% 24 $0.00
C1729 Catheter, drainage 0% 380 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 21 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 434 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 155 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 236 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 244 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 25 $0.00
0272 0% 178 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 30 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 63 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 39 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 26 $0.00
88313 0% 15 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 215 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 80 $0.00
0370 0% 121 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 32 $0.00
0710 0% 134 $0.00
0250 0% 594 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 41 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 43 $0.00
94760 0% 17 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 16 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 32 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 13 $0.00
84132 0% 29 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 30 $0.00
J7999 Compounded drug, not otherwise classified 0% 48 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 79 $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 officialHO, DAVID (VP OF FINANCE)
Same official

Other billing entities under HO, DAVID

Full network →
ProviderLocationPaid
Modern Family Medicine Main Line LLCBryn Mawr, PA$99K
David S Ho MD PAHouston, TX$35K
Lexington Optical ExpressNew York, NY$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.