Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › BALTIMORE › UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

NPI: 1528163912 · BALTIMORE, MD 21201 · Children's Hospital · NPI assigned 09/13/2006

$25.69M
Total Medicaid Paid
264,093
Total Claims
213,784
Beneficiaries
95
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURR, MARGIE (DIRECTOR OF PROFESSIONAL FEES)
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: BURR, MARGIE

ProviderCityStateTotal Paid
UNIVERSITY OF MARYLAND PEDIATRICS ASSOC PA BALTIMORE MD $1.01M
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA BALTIMORE MD $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,565 $140K
2019 1,025 $74K
2020 44,122 $3.99M
2021 49,469 $4.61M
2022 53,596 $5.54M
2023 61,891 $6.16M
2024 52,425 $5.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 28,092 26,761 $3.35M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 8,147 2,204 $3.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,016 26,290 $3.30M
99215 Prolong outpt/office vis 14,937 13,942 $2.53M
99479 Subsequent intensive care, per day, very low birth weight infant 12,483 3,190 $1.59M
99232 Subsequent hospital care, per day, moderate complexity 16,292 7,656 $1.17M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,024 13,164 $980K
99283 Emergency department visit for the evaluation and management, moderate severity 11,667 11,085 $957K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,691 10,391 $862K
99233 Prolong inpt eval add15 m 7,257 2,364 $725K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,605 399 $670K
99480 Subsequent intensive care, per day, low birth weight infant 5,144 1,527 $629K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,968 7,088 $613K
99244 Office or other outpatient consultation, moderate to high complexity 3,075 2,928 $567K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,086 5,704 $503K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,686 8,396 $495K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,378 3,151 $364K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,312 4,189 $351K
93320 12,107 10,447 $265K
99460 2,454 2,352 $245K
99238 Hospital discharge day management, 30 minutes or less 2,461 2,374 $195K
99468 176 161 $173K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 944 884 $158K
99222 Initial hospital care, per day, moderate complexity 1,070 1,003 $149K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,595 1,566 $146K
99462 2,770 1,930 $124K
99245 501 472 $114K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,782 10,108 $113K
99205 Prolong outpt/office vis 527 476 $110K
99464 1,354 1,269 $101K
93325 13,432 11,505 $100K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 6,312 5,328 $78K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 499 472 $77K
99254 379 356 $63K
99417 Prolong home eval add 15m 992 864 $50K
99255 232 212 $46K
99383 308 282 $38K
93000 2,269 2,133 $36K
95720 169 97 $34K
90677 184 167 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity 570 281 $26K
99384 184 167 $25K
99157 112 102 $20K
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) 979 909 $16K
96127 2,713 2,597 $15K
99221 146 144 $15K
99382 128 117 $14K
99243 131 121 $13K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 417 388 $11K
90651 102 100 $10K
90670 157 148 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 93 89 $9K
92552 271 256 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31 14 $7K
99253 54 52 $6K
99381 48 45 $6K
99477 13 13 $5K
90658 223 220 $5K
99239 Hospital discharge day management, more than 30 minutes 42 42 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 76 73 $3K
93227 155 151 $3K
90686 141 138 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 26 $3K
90723 73 67 $2K
99155 29 24 $2K
93244 121 111 $2K
94010 203 193 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 45 44 $2K
90647 83 74 $2K
90656 77 73 $2K
90633 76 67 $2K
99418 Prolong nursin fac eval 15m 18 14 $2K
92587 82 80 $2K
99252 20 20 $2K
94060 165 133 $2K
95251 38 38 $1K
81003 680 649 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 85 81 $1K
36415 Collection of venous blood by venipuncture 217 213 $988.13
90698 28 27 $928.83
95813 14 14 $894.95
90619 13 13 $853.72
95012 134 131 $834.08
94664 39 39 $653.37
99173 226 215 $610.85
90680 13 13 $374.20
D1206 Topical application of fluoride varnish 14 14 $350.00
90688 21 13 $328.98
90707 17 14 $303.80
90716 17 14 $303.80
93321 33 31 $288.20
96161 184 156 $284.74
90657 13 13 $217.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $185.46
36416 113 104 $185.18