Medstar Franklin Square Physicians LLC
Medstar Franklin Square Physicians LLC was paid $15.78M by Medicaid between Jan 2018 and Apr 2023, across 131 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
BALTIMORE, MD 21237
Next to other General Practice Physician providers in Maryland
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 | 19,073 | $1.37M | |
| 2019 | 18,194 | $825K | |
| 2020 | 83,372 | $3.55M | |
| 2021 | 88,230 | $4.10M | |
| 2022 | 74,832 | $4.73M | |
| 2023 | 19,131 | $1.20M |
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 | 29% | 49,969 | 43,743 | $4.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 60,110 | 52,069 | $4.02M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 7,588 | 6,406 | $670K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 17,013 | 5,103 | $653K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 5,360 | 4,477 | $461K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 4,196 | 3,829 | $418K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.4% | 11,004 | 8,429 | $385K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.8% | 3,265 | 3,064 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 2,652 | 2,445 | $265K |
| 59025 | Fetal non-stress test | 1.5% | 9,592 | 6,541 | $229K |
| 99460 | 1.4% | 3,057 | 2,677 | $220K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 3,770 | 3,328 | $193K |
119 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 1,719 | $183K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 2,933 | $180K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 2,701 | $168K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.0% | 3,182 | $163K |
| 99283 | Emergency room visit (moderate) | <1% | 2,598 | $152K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,784 | $141K |
| 90686 | <1% | 6,633 | $140K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,258 | $136K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,065 | $123K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,168 | $115K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,075 | $109K |
| 76818 | <1% | 2,584 | $99K | |
| 99220 | <1% | 1,041 | $97K | |
| 99284 | Emergency room visit (serious) | <1% | 869 | $88K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 2,723 | $82K |
| 99219 | <1% | 1,023 | $74K | |
| 76801 | <1% | 1,560 | $69K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 248 | $69K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,922 | $69K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 600 | $68K |
| 99217 | <1% | 1,647 | $67K | |
| 99205 | Prolong outpt/office vis | <1% | 891 | $64K |
| 90670 | <1% | 2,922 | $60K | |
| 76813 | <1% | 1,240 | $58K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,172 | $57K |
| 76820 | <1% | 2,467 | $57K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 723 | $54K |
| 99225 | <1% | 1,524 | $54K | |
| 92551 | <1% | 5,098 | $45K | |
| 99245 | <1% | 225 | $44K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,778 | $37K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,207 | $36K |
| 99464 | <1% | 696 | $35K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 219 | $33K |
| 90647 | <1% | 1,530 | $30K | |
| 90723 | <1% | 1,486 | $30K | |
| 90680 | <1% | 1,304 | $26K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 744 | $22K |
| 99224 | <1% | 609 | $20K | |
| 59514 | <1% | 40 | $18K | |
| 96127 | <1% | 3,362 | $17K | |
| 99462 | <1% | 456 | $15K | |
| 99221 | <1% | 574 | $14K | |
| 99218 | <1% | 375 | $14K | |
| 90633 | <1% | 639 | $13K | |
| 99173 | <1% | 4,887 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 836 | $11K |
| 99385 | <1% | 98 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 924 | $10K |
| 0012A | <1% | 317 | $10K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 265 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 537 | $9K |
| 81003 | <1% | 15,734 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 67 | $9K |
| 0011A | <1% | 229 | $7K | |
| 99201 | <1% | 277 | $7K | |
| 0002A | <1% | 197 | $7K | |
| 76825 | <1% | 112 | $7K | |
| 0072A | <1% | 172 | $6K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 557 | $5K |
| 99235 | <1% | 38 | $5K | |
| 0001A | <1% | 160 | $5K | |
| 0071A | <1% | 144 | $4K | |
| 76827 | <1% | 199 | $4K | |
| 95913 | <1% | 32 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,272 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 341 | $4K |
| 90651 | <1% | 159 | $4K | |
| 90734 | <1% | 137 | $3K | |
| 59430 | <1% | 29 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 80 | $3K |
| 93325 | <1% | 565 | $3K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 19 | $2K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 56 | $2K |
| 93016 | <1% | 105 | $2K | |
| 81025 | <1% | 328 | $2K | |
| 0054A | <1% | 43 | $2K | |
| 0052A | <1% | 40 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $1K |
| 0064A | <1% | 54 | $1K | |
| 93018 | <1% | 105 | $1K | |
| 96161 | <1% | 548 | $1K | |
| 99381 | <1% | 31 | $1K | |
| 51701 | <1% | 25 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $945.21 |
| 54150 | <1% | 12 | $934.80 | |
| 95885 | <1% | 34 | $870.94 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $843.10 |
| 90697 | <1% | 49 | $791.52 | |
| 99442 | <1% | 460 | $751.71 | |
| 90710 | <1% | 28 | $651.84 | |
| 0004A | <1% | 17 | $640.80 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 12 | $633.37 |
| 87807 | <1% | 76 | $608.23 | |
| 99443 | <1% | 140 | $588.70 | |
| 0081A | <1% | 15 | $560.00 | |
| 0082A | <1% | 15 | $520.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $501.41 |
| 76821 | <1% | 24 | $500.57 | |
| 95819 | <1% | 12 | $498.14 | |
| 90688 | <1% | 19 | $442.32 | |
| 0124A | <1% | 12 | $440.80 | |
| 90696 | <1% | 17 | $395.76 | |
| 90700 | <1% | 16 | $372.48 | |
| 76828 | <1% | 17 | $365.33 | |
| 95886 | <1% | 12 | $351.20 | |
| 99417 | Prolong home eval add 15m | <1% | 16 | $339.02 |
| 90707 | <1% | 19 | $302.64 | |
| 90716 | <1% | 19 | $302.64 | |
| 90620 | <1% | 12 | $279.36 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 136 | $224.25 |
| 94760 | <1% | 163 | $112.59 | |
| 99172 | <1% | 23 | $103.59 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,302 | $49.22 |
| 99441 | <1% | 15 | $9.95 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 20 | $8.85 |
| 99000 | 0% | 25 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 117 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 15 | $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 Medical Group II | Baltimore, MD | $6.39M |
| Medstar Heart Institute LLC | Washington, DC | $4.73M |
| 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.