Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDSTAR FRANKLIN SQUARE PHYSICIANS LLC

NPI: 1538582945 · BALTIMORE, MD 21237 · General Practice Physician · NPI assigned 01/22/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCHNEIDER, STEPHANIE controls 20+ related entities in our dataset. Read more

$15.78M
Total Medicaid Paid
302,832
Total Claims
245,428
Beneficiaries
131
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSCHNEIDER, STEPHANIE (VP)
NPI Enumeration Date01/22/2014

Related Entities

Other providers sharing the same authorized official: SCHNEIDER, STEPHANIE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,969 43,743 $4.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,110 52,069 $4.02M
99215 Prolong outpt/office vis 7,588 6,406 $670K
99232 Subsequent hospital care, per day, moderate complexity 17,013 5,103 $653K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,360 4,477 $461K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,196 3,829 $418K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 11,004 8,429 $385K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,265 3,064 $277K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,652 2,445 $265K
59025 Fetal non-stress test 9,592 6,541 $229K
99460 3,057 2,677 $220K
99238 Hospital discharge day management, 30 minutes or less 3,770 3,328 $193K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,719 1,568 $183K
99239 Hospital discharge day management, more than 30 minutes 2,933 2,689 $180K
99223 Prolong inpt eval add15 m 2,701 2,336 $168K
99233 Prolong inpt eval add15 m 3,182 1,553 $163K
99283 Emergency department visit for the evaluation and management, moderate severity 2,598 2,308 $152K
99222 Initial hospital care, per day, moderate complexity 2,784 2,444 $141K
90686 6,633 6,411 $140K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,258 1,156 $136K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,065 2,777 $123K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,168 1,083 $115K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,075 2,748 $109K
76818 2,584 1,799 $99K
99220 1,041 982 $97K
99284 Emergency department visit for the evaluation and management, high severity 869 774 $88K
76819 Fetal biophysical profile; without non-stress testing 2,723 1,698 $82K
99219 1,023 959 $74K
76801 1,560 1,432 $69K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 248 44 $69K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,922 1,981 $69K
99479 Subsequent intensive care, per day, very low birth weight infant 600 169 $68K
99217 1,647 1,535 $67K
99205 Prolong outpt/office vis 891 794 $64K
90670 2,922 2,598 $60K
76813 1,240 1,153 $58K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,172 8,553 $57K
76820 2,467 1,372 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 723 646 $54K
99225 1,524 787 $54K
92551 5,098 4,653 $45K
99245 225 209 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,778 3,422 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,207 1,018 $36K
99464 696 573 $35K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 219 70 $33K
90647 1,530 1,372 $30K
90723 1,486 1,333 $30K
90680 1,304 1,152 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity 744 327 $22K
99224 609 187 $20K
59514 40 31 $18K
96127 3,362 3,015 $17K
99462 456 378 $15K
99221 574 479 $14K
99218 375 348 $14K
90633 639 572 $13K
99173 4,887 4,455 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 836 727 $11K
99385 98 85 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 924 816 $10K
0012A 317 251 $10K
H1000 Prenatal care, at-risk assessment 265 243 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 537 516 $9K
81003 15,734 13,155 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 67 63 $9K
0011A 229 189 $7K
99201 277 267 $7K
0002A 197 173 $7K
76825 112 102 $7K
0072A 172 156 $6K
H1003 Prenatal care, at-risk enhanced service; education 557 432 $5K
99235 38 34 $5K
0001A 160 134 $5K
0071A 144 112 $4K
76827 199 175 $4K
95913 32 26 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,272 3,127 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 341 287 $4K
90651 159 155 $4K
90734 137 127 $3K
59430 29 26 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 80 65 $3K
93325 565 487 $3K
99480 Subsequent intensive care, per day, low birth weight infant 19 12 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 56 54 $2K
93016 105 103 $2K
81025 328 315 $2K
0054A 43 43 $2K
0052A 40 40 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 12 $1K
0064A 54 38 $1K
93018 105 103 $1K
96161 548 446 $1K
99381 31 13 $1K
51701 25 24 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $945.21
54150 12 12 $934.80
95885 34 25 $870.94
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 12 $843.10
90697 49 39 $791.52
99442 460 409 $751.71
90710 28 28 $651.84
0004A 17 16 $640.80
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12 12 $633.37
87807 76 73 $608.23
99443 140 135 $588.70
0081A 15 14 $560.00
0082A 15 15 $520.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $501.41
76821 24 15 $500.57
95819 12 12 $498.14
90688 19 19 $442.32
0124A 12 12 $440.80
90696 17 17 $395.76
90700 16 16 $372.48
76828 17 13 $365.33
95886 12 12 $351.20
99417 Prolong home eval add 15m 16 12 $339.02
90707 19 13 $302.64
90716 19 13 $302.64
90620 12 12 $279.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 136 97 $224.25
94760 163 155 $112.59
99172 23 23 $103.59
90472 Immunization administration, each additional vaccine (list separately) 1,302 805 $49.22
99441 15 15 $9.95
J7050 Infusion, normal saline solution, 250 cc 20 12 $8.85
99000 25 23 $0.00
G0008 Administration of influenza virus vaccine 117 115 $0.00
90792 Psychiatric diagnostic evaluation with medical services 15 14 $0.00