Physician
Simmonds, Martin & Helmbrecht, LLC
Simmonds, Martin & Helmbrecht, LLC was paid $7.63M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSIMMONDS, MARTIN & HELMBRECHT, LLC
DAMASCUS, MD 20872
DAMASCUS, MD 20872
33aNPI1558411934assigned 01/10/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$7.63M
24GClaims94,168
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Maryland
Rank by total paid#5 of 85
Median peer was paid$69K
This provider vs. median111×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,717 | $1.01M | |
| 2019 | 1,815 | $933K | |
| 2020 | 23,098 | $1.74M | |
| 2021 | 21,896 | $1.25M | |
| 2022 | 17,703 | $1.04M | |
| 2023 | 13,824 | $816K | |
| 2024incomplete | 14,115 | $846K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 37,522 | 28,564 | $2.84M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 35% | 3,151 | 3,091 | $2.65M |
| 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 | 8.8% | 6,264 | 5,231 | $670K |
| 59514 | 3.3% | 259 | 251 | $251K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.7% | 2,006 | 1,815 | $203K |
| 59430 | 2.1% | 1,467 | 1,245 | $161K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 1,312 | 1,269 | $151K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.8% | 14,315 | 11,440 | $135K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 1,443 | 1,299 | $123K |
| 96127 | <1% | 16,175 | 12,362 | $70K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 667 | 645 | $56K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 744 | 605 | $50K |
26 more codes
| 76830 | Ultrasound, transvaginal | <1% | 423 | $40K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 250 | $37K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 343 | $35K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 280 | $35K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 246 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 288 | $16K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 144 | $11K |
| 81002 | <1% | 4,225 | $10K | |
| 90715 | <1% | 261 | $8K | |
| 59025 | Fetal non-stress test | <1% | 284 | $8K |
| H1000 | Prenatal care, at-risk assessment | <1% | 221 | $8K |
| 99218 | <1% | 70 | $7K | |
| 99459 | <1% | 245 | $5K | |
| 81025 | <1% | 804 | $5K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 68 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 182 | $3K |
| 90686 | <1% | 135 | $2K | |
| 76818 | <1% | 22 | $2K | |
| 99219 | <1% | 15 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $1K |
| 76813 | <1% | 16 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 18 | $1K |
| 0503F | <1% | 46 | $677.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 88 | $176.49 |
| 96160 | <1% | 144 | $155.17 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $116.40 |
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.
From NPPES
Who's on the registration
Authorized officialDODSON, VICTORIA (CREDENTIALING MANAGER)
Parent organizationADVANTIA HOLDINGS OF MARYLAND LLC
| Provider | Location | Paid |
|---|---|---|
| Susquehanna Ob-Gyn LLC | Bel Air, MD | $3.35M |
| Maryland Physicians Edge LLC | Silver Spring, MD | $2.28M |
| Simmonds, Martin & Helmbrecht, LLC | Damascus, MD | $109K |
| Susquehanna Ob-Gyn LLC | Bel Air, MD | $25K |
| Women's Health Specialists of Montgomery County, LLC | Rockville, MD | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.