Physician
University of Maryland Community Medical Group, INC.
University of Maryland Community Medical Group, INC. was paid $30.52M by Medicaid between Jan 2018 and Dec 2024, across 211 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
33aNPI1477530624assigned 12/29/2005
33bProvider typePediatrics Physician
28Total paid$30.52M
24GClaims619,707
24DCodes billed211
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#1 of 306
Median peer was paid$206K
This provider vs. median148×
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 | 32,404 | $2.05M | |
| 2019 | 27,663 | $1.11M | |
| 2020 | 103,596 | $4.24M | |
| 2021 | 102,140 | $4.75M | |
| 2022 | 128,018 | $6.12M | |
| 2023 | 125,619 | $6.61M | |
| 2024incomplete | 100,267 | $5.66M |
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 | 36% | 154,751 | 129,235 | $10.95M |
| 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 | 27% | 102,056 | 87,386 | $8.30M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 8,952 | 8,391 | $953K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 9,849 | 8,211 | $939K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 20,549 | 6,311 | $654K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 5,719 | 5,414 | $612K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 7,042 | 5,778 | $550K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.8% | 8,644 | 2,493 | $538K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 8,577 | 7,748 | $462K |
| 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 | 1.4% | 7,180 | 6,274 | $432K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 12,280 | 4,211 | $412K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 10,955 | 8,219 | $392K |
199 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 86,185 | $368K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 5,675 | $346K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.0% | 1,860 | $320K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0% | 4,983 | $308K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,531 | $289K |
| 99460 | <1% | 2,637 | $227K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,036 | $218K |
| 99292 | <1% | 2,535 | $158K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 3,781 | $142K |
| 90686 | <1% | 6,155 | $135K | |
| 88307 | <1% | 2,026 | $126K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,818 | $123K |
| 90648 | <1% | 5,339 | $118K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,829 | $114K |
| 90670 | <1% | 4,330 | $99K | |
| 93000 | <1% | 4,791 | $96K | |
| 99243 | <1% | 816 | $95K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 768 | $90K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 675 | $86K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 8,438 | $79K |
| 99205 | Prolong outpt/office vis | <1% | 1,473 | $70K |
| 90723 | <1% | 2,957 | $66K | |
| 99220 | <1% | 539 | $63K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,765 | $58K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,329 | $57K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 930 | $55K |
| 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% | 2,117 | $54K |
| 96127 | <1% | 15,367 | $54K | |
| 99221 | <1% | 1,717 | $52K | |
| 93922 | <1% | 2,906 | $51K | |
| 93880 | <1% | 2,100 | $51K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 594 | $42K |
| 99217 | <1% | 885 | $41K | |
| 99219 | <1% | 326 | $40K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 76 | $37K |
| 93970 | <1% | 1,525 | $36K | |
| 99464 | <1% | 526 | $35K | |
| 90680 | <1% | 1,489 | $34K | |
| 76801 | <1% | 413 | $33K | |
| 99462 | <1% | 871 | $32K | |
| 99497 | <1% | 1,875 | $29K | |
| 90633 | <1% | 1,303 | $28K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,624 | $26K |
| 90677 | <1% | 994 | $22K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 575 | $22K |
| 81003 | <1% | 3,716 | $22K | |
| 95251 | <1% | 747 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,185 | $21K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 28 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,633 | $20K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 384 | $19K |
| 99442 | <1% | 1,240 | $19K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 332 | $18K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 321 | $18K |
| 93015 | <1% | 335 | $17K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 200 | $17K |
| 95806 | <1% | 155 | $17K | |
| 99284 | Emergency room visit (serious) | <1% | 157 | $15K |
| 90656 | <1% | 637 | $14K | |
| 93971 | <1% | 660 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 460 | $12K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 226 | $12K |
| 90682 | <1% | 226 | $12K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,955 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 629 | $10K |
| 99385 | <1% | 77 | $10K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 155 | $9K |
| 99443 | <1% | 396 | $9K | |
| 88738 | <1% | 1,910 | $9K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 712 | $9K |
| 96161 | <1% | 3,834 | $9K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 349 | $8K |
| 99225 | <1% | 197 | $8K | |
| 96367 | <1% | 356 | $8K | |
| 94729 | <1% | 966 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 849 | $8K |
| 59025 | Fetal non-stress test | <1% | 275 | $8K |
| 81025 | <1% | 1,255 | $7K | |
| 92567 | <1% | 403 | $7K | |
| 95800 | <1% | 70 | $7K | |
| 94060 | <1% | 795 | $7K | |
| 90651 | <1% | 320 | $7K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 71 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 613 | $6K |
| 93923 | <1% | 243 | $6K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,011 | $6K |
| 81002 | <1% | 1,975 | $5K | |
| 76642 | <1% | 282 | $5K | |
| 99496 | <1% | 24 | $5K | |
| G0008 | Administration of influenza virus vaccine | <1% | 692 | $5K |
| 83655 | <1% | 532 | $5K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 139 | $5K |
| 69210 | <1% | 173 | $5K | |
| 94727 | <1% | 677 | $5K | |
| 99173 | <1% | 1,948 | $5K | |
| 92557 | <1% | 137 | $5K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 55 | $5K |
| 64615 | <1% | 35 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $4K |
| 95816 | <1% | 72 | $4K | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 170 | $4K |
| 99283 | Emergency room visit (moderate) | <1% | 72 | $4K |
| 87400 | <1% | 912 | $4K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 112 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 307 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 231 | $4K |
| 93016 | <1% | 263 | $4K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 71 | $4K |
| 93975 | <1% | 83 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 24 | $4K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 266 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 74 | $4K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,168 | $3K |
| 76937 | <1% | 146 | $3K | |
| 93931 | <1% | 215 | $3K | |
| 93228 | <1% | 174 | $3K | |
| 99406 | <1% | 233 | $3K | |
| 99459 | <1% | 156 | $3K | |
| 76775 | <1% | 94 | $3K | |
| 99254 | <1% | 20 | $3K | |
| 94375 | <1% | 104 | $3K | |
| 93018 | <1% | 263 | $3K | |
| 95115 | <1% | 290 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | $2K |
| 88304 | <1% | 208 | $2K | |
| 31231 | <1% | 16 | $2K | |
| 90662 | <1% | 235 | $2K | |
| 90710 | <1% | 88 | $2K | |
| 90696 | <1% | 87 | $2K | |
| 82962 | <1% | 255 | $2K | |
| 97597 | <1% | 329 | $2K | |
| 99441 | <1% | 335 | $2K | |
| 97803 | <1% | 69 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 48 | $2K |
| 92504 | <1% | 75 | $2K | |
| 90681 | <1% | 78 | $2K | |
| 94664 | <1% | 103 | $2K | |
| 77066 | Tomosynthesis, mammo | <1% | 43 | $2K |
| 93296 | <1% | 114 | $2K | |
| 90734 | <1% | 73 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 89 | $2K |
| 90716 | <1% | 65 | $1K | |
| 90674 | <1% | 67 | $1K | |
| 90715 | <1% | 80 | $1K | |
| 90707 | <1% | 52 | $1K | |
| 73562 | <1% | 248 | $1K | |
| 85018 | <1% | 605 | $1K | |
| 90653 | <1% | 21 | $1K | |
| 54150 | <1% | 15 | $1K | |
| 85610 | <1% | 193 | $1K | |
| 77062 | <1% | 43 | $983.53 | |
| 92587 | <1% | 39 | $941.22 | |
| 51798 | <1% | 91 | $895.67 | |
| 90673 | <1% | 60 | $794.83 | |
| 76830 | Ultrasound, transvaginal | <1% | 57 | $793.50 |
| 81001 | <1% | 479 | $744.45 | |
| 77065 | Tomosynthesis, mammo | <1% | 25 | $744.37 |
| 90961 | <1% | 154 | $721.93 | |
| 96401 | <1% | 185 | $576.98 | |
| 90647 | <1% | 31 | $558.72 | |
| 93978 | <1% | 15 | $517.51 | |
| 92551 | <1% | 52 | $496.69 | |
| 73630 | <1% | 95 | $477.47 | |
| 90756 | <1% | 13 | $372.58 | |
| 92552 | <1% | 16 | $367.30 | |
| 90619 | <1% | 15 | $325.92 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 13 | $325.42 |
| 36556 | <1% | 93 | $319.42 | |
| 90700 | <1% | 13 | $302.64 | |
| 90620 | <1% | 13 | $302.64 | |
| 93926 | <1% | 15 | $266.98 | |
| 31500 | <1% | 33 | $262.53 | |
| 73030 | <1% | 69 | $253.62 | |
| 73130 | <1% | 50 | $218.48 | |
| 72100 | <1% | 29 | $205.25 | |
| 93248 | <1% | 15 | $190.38 | |
| 73110 | <1% | 25 | $135.38 | |
| 93244 | <1% | 15 | $126.70 | |
| 73502 | <1% | 24 | $100.21 | |
| 73610 | <1% | 16 | $89.40 | |
| 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 | <1% | 20 | $87.83 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 171 | $71.74 |
| 29581 | <1% | 16 | $47.10 | |
| 99024 | <1% | 691 | $32.20 | |
| 94760 | <1% | 45 | $27.17 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 133 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 88 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 86 | $0.00 |
| 4004F | 0% | 26 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 162 | $0.00 |
| 3045F | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 101 | $0.00 |
| 1036F | 0% | 184 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 40 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 21 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| 91320 | 0% | 12 | $-23.40 |
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 officialNICHOLSON, PAUL (SENIOR VICE PRESIDENT - CHIEF FINAN)
| Provider | Location | Paid |
|---|---|---|
| University of Maryland Community Medical Group, INC. | Glen Burnie, MD | $719K |
| University of Maryland ST. Joseph Orthopaedics, LLC | Towson, MD | $466K |
| University of Maryland Medical Regional Professional Services, LLC | Towson, MD | $20K |
| University of Maryland Community Medical Group, INC. | Glen Burnie, MD | $188.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.