Medstar Heart Institute LLC
Medstar Heart Institute LLC was paid $4.73M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 31% of everything it billed.
WASHINGTON, DC 20010
Next to other Cardiovascular Disease Physician providers in District of Columbia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,248 | $413K | |
| 2019 | 20,291 | $291K | |
| 2020 | 18,739 | $330K | |
| 2021 | 33,511 | $486K | |
| 2022 | 34,006 | $712K | |
| 2023 | 42,542 | $931K | |
| 2024incomplete | 78,306 | $1.57M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 31% | 34,802 | 32,911 | $1.45M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 25,506 | 6,104 | $1.01M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 14% | 142,546 | 112,422 | $652K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 6,115 | 5,594 | $438K |
| 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 | 7.6% | 7,258 | 6,837 | $361K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 2,877 | 2,524 | $196K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.2% | 1,047 | 373 | $102K |
| 93970 | 2.1% | 4,083 | 3,770 | $100K | |
| 93750 | 1.5% | 4,505 | 1,115 | $72K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 2,487 | 2,360 | $67K |
| 93000 | <1% | 3,042 | 2,940 | $40K | |
| 93971 | <1% | 2,525 | 2,336 | $37K |
34 more codes
| 99152 | <1% | 488 | $27K | |
| 99245 | <1% | 73 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 584 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 435 | $14K |
| 93451 | <1% | 191 | $13K | |
| 93922 | <1% | 841 | $13K | |
| 76937 | <1% | 78 | $12K | |
| 93295 | <1% | 568 | $12K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 83 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 263 | $9K |
| 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% | 563 | $8K |
| 93016 | <1% | 799 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 43 | $6K |
| 93925 | <1% | 290 | $5K | |
| 93018 | <1% | 797 | $4K | |
| 93298 | <1% | 241 | $4K | |
| 93880 | <1% | 233 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 110 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 161 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 136 | $2K |
| 36902 | <1% | 52 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | $2K |
| 99253 | <1% | 18 | $2K | |
| 93926 | <1% | 224 | $1K | |
| 93307 | <1% | 93 | $1K | |
| 75561 | <1% | 13 | $1K | |
| 75710 | <1% | 87 | $1K | |
| 93308 | <1% | 142 | $1K | |
| 94618 | <1% | 67 | $998.52 | |
| 93290 | <1% | 19 | $649.71 | |
| 93458 | <1% | 25 | $400.76 | |
| 93923 | <1% | 13 | $115.62 | |
| 93325 | <1% | 15 | $28.73 | |
| 99449 | 0% | 18 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| WHC Physician Group LLC | Washington, DC | $93.89M |
| Medstar Medical Group II LLC | Baltimore, MD | $91.62M |
| Medstar Urgent Care LLC | Baltimore, MD | $49.08M |
| MGMC, LLC | Washington, DC | $18.08M |
| Medstar Franklin Square Physicians LLC | Baltimore, MD | $15.78M |
| Medstar Medical Group II | Baltimore, MD | $6.39M |
| Medstar Harbor Hospital Physicians LLC | Baltimore, MD | $3.85M |
| Washington Hospital Center Corp | Washington, DC | $3.66M |
| Medstar Union Memorial Physicians LLC | Baltimore, MD | $3.43M |
| Medstar Medical Group Anesthesiology LLC | Baltimore, MD | $3.37M |
| WHC Physician Group LLC | Washington, DC | $2.71M |
| Bay Life Services Corporation | Baltimore, MD | $2.22M |
| Medstar Good Samaritan Physicians LLC | Baltimore, MD | $1.46M |
| Medstar Total Elder Care LLC | Washington, DC | $1.19M |
| Medstar Georgetown Medical Center, INC | Washington, DC | $925K |
| Washington Hospital Center Corp | Washington, DC | $527K |
| Medstar Medical Group II LLC | Olney, MD | $130K |
| Medstar Urgent Care, LLC | Waldorf, MD | $52K |
| Medstar Medical Group II LLC | Brandywine, MD | $48K |
| Medstar Urgent Care, LLC | Hyattsville, MD | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.