Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › BALTIMORE › UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

NPI: 1477530624 · BALTIMORE, MD 21201 · Pediatrics Physician · NPI assigned 12/29/2005

$30.52M
Total Medicaid Paid
619,707
Total Claims
484,041
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNICHOLSON, PAUL (SENIOR VICE PRESIDENT - CHIEF FINAN)
NPI Enumeration Date12/29/2005

Related Entities

Other providers sharing the same authorized official: NICHOLSON, PAUL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 100,267 $5.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 154,751 129,235 $10.95M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 102,056 87,386 $8.30M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,952 8,391 $953K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,849 8,211 $939K
99232 Subsequent hospital care, per day, moderate complexity 20,549 6,311 $654K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,719 5,414 $612K
99215 Prolong outpt/office vis 7,042 5,778 $550K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,644 2,493 $538K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,577 7,748 $462K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,180 6,274 $432K
99233 Prolong inpt eval add15 m 12,280 4,211 $412K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,955 8,219 $392K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 86,185 63,413 $368K
99223 Prolong inpt eval add15 m 5,675 4,320 $346K
99244 Office or other outpatient consultation, moderate to high complexity 1,860 1,745 $320K
99238 Hospital discharge day management, 30 minutes or less 4,983 4,309 $308K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,531 2,274 $289K
99460 2,637 2,421 $227K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,036 3,548 $218K
99292 2,535 1,031 $158K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,781 3,039 $142K
90686 6,155 5,799 $135K
88307 2,026 1,640 $126K
99239 Hospital discharge day management, more than 30 minutes 1,818 1,657 $123K
90648 5,339 5,014 $118K
99222 Initial hospital care, per day, moderate complexity 2,829 2,341 $114K
90670 4,330 4,033 $99K
93000 4,791 4,325 $96K
99243 816 757 $95K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 768 713 $90K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 675 638 $86K
H1003 Prenatal care, at-risk enhanced service; education 8,438 6,281 $79K
99205 Prolong outpt/office vis 1,473 1,320 $70K
90723 2,957 2,774 $66K
99220 539 504 $63K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,765 1,481 $58K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,329 5,284 $57K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 930 442 $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) 2,117 1,927 $54K
96127 15,367 9,151 $54K
99221 1,717 1,353 $52K
93922 2,906 2,551 $51K
93880 2,100 1,868 $51K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 594 476 $42K
99217 885 834 $41K
99219 326 305 $40K
J0585 Injection, onabotulinumtoxina, 1 unit 76 35 $37K
93970 1,525 1,261 $36K
99464 526 481 $35K
90680 1,489 1,419 $34K
76801 413 349 $33K
99462 871 708 $32K
99497 1,875 1,203 $29K
90633 1,303 1,173 $28K
36415 Collection of venous blood by venipuncture 6,624 5,582 $26K
90677 994 947 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 575 340 $22K
81003 3,716 3,305 $22K
95251 747 673 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,185 1,368 $21K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 28 25 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,633 1,470 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 384 306 $19K
99442 1,240 1,026 $19K
90834 Psychotherapy, 45 minutes with patient 332 207 $18K
76819 Fetal biophysical profile; without non-stress testing 321 212 $18K
93015 335 300 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 200 156 $17K
95806 155 121 $17K
99284 Emergency department visit for the evaluation and management, high severity 157 150 $15K
90656 637 633 $14K
93971 660 542 $14K
83036 Hemoglobin; glycosylated (A1C) 460 416 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 226 173 $12K
90682 226 215 $12K
71046 Radiologic examination, chest; 2 views 1,955 1,688 $11K
99308 Subsequent nursing facility care, per day, straightforward 629 441 $10K
99385 77 69 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 155 113 $9K
99443 396 336 $9K
88738 1,910 1,849 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 712 476 $9K
96161 3,834 3,181 $9K
G0444 Annual depression screening, 5 to 15 minutes 349 312 $8K
99225 197 153 $8K
96367 356 109 $8K
94729 966 831 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 849 351 $8K
59025 Fetal non-stress test 275 236 $8K
81025 1,255 1,146 $7K
92567 403 390 $7K
95800 70 60 $7K
94060 795 694 $7K
90651 320 255 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 71 50 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 613 425 $6K
93923 243 231 $6K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,011 806 $6K
81002 1,975 1,878 $5K
76642 282 190 $5K
99496 24 24 $5K
G0008 Administration of influenza virus vaccine 692 617 $5K
83655 532 469 $5K
H1000 Prenatal care, at-risk assessment 139 124 $5K
69210 173 138 $5K
94727 677 560 $5K
99173 1,948 1,770 $5K
92557 137 132 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 55 52 $5K
64615 35 35 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 78 68 $4K
95816 72 66 $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) 170 106 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 72 67 $4K
87400 912 199 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 112 79 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 307 301 $4K
77067 Screening mammography, bilateral, including computer-aided detection 231 119 $4K
93016 263 257 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 71 62 $4K
93975 83 76 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 24 24 $4K
77063 Screening digital breast tomosynthesis, bilateral 266 140 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 74 39 $4K
71045 Radiologic examination, chest; single view 1,168 1,055 $3K
76937 146 111 $3K
93931 215 202 $3K
93228 174 150 $3K
99406 233 138 $3K
99459 156 142 $3K
76775 94 78 $3K
99254 20 18 $3K
94375 104 81 $3K
93018 263 257 $3K
95115 290 121 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 53 44 $2K
88304 208 177 $2K
31231 16 15 $2K
90662 235 192 $2K
90710 88 83 $2K
90696 87 82 $2K
82962 255 225 $2K
97597 329 225 $2K
99441 335 252 $2K
97803 69 53 $2K
90832 Psychotherapy, 30 minutes with patient 48 41 $2K
92504 75 69 $2K
90681 78 75 $2K
94664 103 90 $2K
77066 Tomosynthesis, mammo 43 41 $2K
93296 114 96 $2K
90734 73 69 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 48 26 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 89 55 $2K
90716 65 62 $1K
90674 67 60 $1K
90715 80 51 $1K
90707 52 51 $1K
73562 248 209 $1K
85018 605 509 $1K
90653 21 21 $1K
54150 15 14 $1K
85610 193 138 $1K
77062 43 41 $983.53
92587 39 37 $941.22
51798 91 86 $895.67
90673 60 59 $794.83
76830 Ultrasound, transvaginal 57 25 $793.50
81001 479 223 $744.45
77065 Tomosynthesis, mammo 25 25 $744.37
90961 154 129 $721.93
96401 185 87 $576.98
90647 31 25 $558.72
93978 15 14 $517.51
92551 52 30 $496.69
73630 95 79 $477.47
90756 13 13 $372.58
92552 16 14 $367.30
90619 15 15 $325.92
J2785 Injection, regadenoson, 0.1 mg 13 12 $325.42
36556 93 72 $319.42
90700 13 13 $302.64
90620 13 13 $302.64
93926 15 12 $266.98
31500 33 26 $262.53
73030 69 56 $253.62
73130 50 42 $218.48
72100 29 28 $205.25
93248 15 13 $190.38
73110 25 24 $135.38
93244 15 15 $126.70
73502 24 24 $100.21
73610 16 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 20 17 $87.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 171 150 $71.74
29581 16 12 $47.10
99024 691 475 $32.20
94760 45 33 $27.17
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 133 132 $0.00
G8482 Influenza immunization administered or previously received 88 87 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 86 85 $0.00
4004F 26 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 162 160 $0.00
3045F 12 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 101 100 $0.00
1036F 184 180 $0.00
36416 14 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 40 40 $0.00
G0009 Administration of pneumococcal vaccine 21 20 $0.00
3044F 12 12 $0.00
91320 12 12 $-23.40