Physician
Crofton Medical Group, LLC
Crofton Medical Group, LLC was paid $226K by Medicaid between Aug 2019 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoCROFTON MEDICAL GROUP, LLC
CROFTON, MD 21114
CROFTON, MD 21114
33aNPI1457308090assigned 05/28/2006
33bProvider typeInternal Medicine Physician
28Total paid$226K
24GClaims7,280
24DCodes billed15
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#152 of 501
Median peer was paid$77K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 24 | $-16.46 | |
| 2020 | 1,218 | $58K | |
| 2021 | 1,907 | $44K | |
| 2022 | 1,503 | $51K | |
| 2023 | 1,859 | $44K | |
| 2024incomplete | 769 | $30K |
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 | 51% | 1,136 | 948 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,228 | 1,004 | $94K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.6% | 83 | 80 | $10K |
| 96127 | 1.6% | 860 | 726 | $4K | |
| 3008F | <1% | 1,114 | 993 | $700.00 | |
| 93000 | <1% | 40 | 37 | $633.54 | |
| 3074F | <1% | 497 | 448 | $245.00 | |
| 3079F | 0% | 95 | 91 | $0.00 | |
| 4010F | 0% | 49 | 45 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | 16 | $0.00 |
| 1126F | 0% | 27 | 26 | $0.00 | |
| 1160F | 0% | 967 | 848 | $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 officialNUSAIREE, MIRZA (PRESIDENT)