Medicaid Provider Spending

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

SIMMONDS, MARTIN & HELMBRECHT, LLC

NPI: 1558411934 · DAMASCUS, MD 20872 · Obstetrics & Gynecology Physician · NPI assigned 01/10/2007

$7.63M
Total Medicaid Paid
94,168
Total Claims
75,824
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDODSON, VICTORIA (CREDENTIALING MANAGER)
Parent OrganizationADVANTIA HOLDINGS OF MARYLAND LLC
NPI Enumeration Date01/10/2007

Related Entities

Other providers sharing the same authorized official: DODSON, VICTORIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,115 $846K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,522 28,564 $2.84M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3,151 3,091 $2.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,264 5,231 $670K
59514 259 251 $251K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,006 1,815 $203K
59430 1,467 1,245 $161K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,312 1,269 $151K
H1003 Prenatal care, at-risk enhanced service; education 14,315 11,440 $135K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,443 1,299 $123K
96127 16,175 12,362 $70K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 667 645 $56K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 744 605 $50K
76830 Ultrasound, transvaginal 423 408 $40K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 250 227 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 343 321 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 280 212 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 246 231 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 288 264 $16K
76819 Fetal biophysical profile; without non-stress testing 144 86 $11K
81002 4,225 3,878 $10K
90715 261 247 $8K
59025 Fetal non-stress test 284 258 $8K
H1000 Prenatal care, at-risk assessment 221 193 $8K
99218 70 66 $7K
99459 245 234 $5K
81025 804 748 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 68 59 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 182 159 $3K
90686 135 121 $2K
76818 22 18 $2K
99219 15 15 $2K
99239 Hospital discharge day management, more than 30 minutes 12 12 $1K
76813 16 14 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 18 14 $1K
0503F 46 45 $677.50
36415 Collection of venous blood by venipuncture 88 78 $176.49
96160 144 86 $155.17
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $116.40