Physician
Frederick Health Medical Group LLC
Frederick Health Medical Group LLC was paid $1.92M by Medicaid between Jul 2022 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoFREDERICK HEALTH MEDICAL GROUP LLC
FREDERICK, MD 21702
FREDERICK, MD 21702
33aNPI1619258225assigned 09/09/2011
33bProvider typeSurgery Physician
28Total paid$1.92M
24GClaims56,843
24DCodes billed57
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Maryland
Rank by total paid#1 of 42
Median peer was paid$9K
This provider vs. median222×
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 | |
|---|---|---|---|
| 2022 | 6,500 | $259K | |
| 2023 | 27,216 | $928K | |
| 2024incomplete | 23,127 | $730K |
Box 24 · Service lines
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 | 30% | 7,323 | 6,447 | $582K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,440 | 4,861 | $373K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 1,580 | 1,439 | $180K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 7.2% | 2,744 | 2,545 | $138K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 7.0% | 2,254 | 2,070 | $134K |
| 70450 | Computed tomography, head or brain; without contrast material | 5.8% | 4,324 | 3,914 | $112K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 4.2% | 1,357 | 1,270 | $80K |
| 31231 | 3.5% | 394 | 357 | $67K | |
| 71045 | Radiologic examination, chest; single view | 3.2% | 11,344 | 9,442 | $62K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 665 | 608 | $28K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 947 | 360 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 556 | 471 | $21K |
45 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 160 | $18K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 597 | $14K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 521 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,224 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 62 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 277 | $7K |
| 92504 | <1% | 230 | $6K | |
| 96127 | <1% | 341 | $6K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 386 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 40 | $4K |
| 93975 | <1% | 93 | $3K | |
| 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% | 100 | $3K |
| 71250 | <1% | 228 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 402 | $2K |
| 99385 | <1% | 14 | $2K | |
| 74018 | <1% | 180 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 57 | $1K |
| 81003 | <1% | 72 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 126 | $908.73 |
| 85610 | <1% | 146 | $780.49 | |
| 76830 | Ultrasound, transvaginal | <1% | 28 | $725.78 |
| 73610 | <1% | 110 | $676.05 | |
| 73630 | <1% | 119 | $655.07 | |
| 93793 | <1% | 145 | $625.49 | |
| 70486 | <1% | 18 | $585.60 | |
| 95251 | <1% | 29 | $564.27 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 21 | $555.07 |
| 3074F | <1% | 6,302 | $545.00 | |
| 99221 | <1% | 27 | $460.14 | |
| 92567 | <1% | 24 | $399.36 | |
| 90662 | <1% | 40 | $326.40 | |
| 90682 | <1% | 31 | $306.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $289.41 |
| 90686 | <1% | 17 | $276.91 | |
| 73130 | <1% | 40 | $256.26 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 35 | $252.66 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $226.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $172.26 |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 25 | $160.45 |
| 73560 | <1% | 33 | $132.38 | |
| 73110 | <1% | 16 | $75.30 | |
| 3044F | <1% | 384 | $20.00 | |
| 3079F | 0% | 419 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 3078F | 0% | 4,721 | $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.
From NPPES
Who's on the registration
Authorized officialBOGGS, SHELBY (AVP, CLINICAL INT. & PAYOR CONTRACT)
Parent organizationFREDERICK HEALTH MEDICAL GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Frederick Health Hospital INC | Frederick, MD | $1.79M |
| Frederick Health Medical Group LLC | Frederick, MD | $688K |
| Frederick Health Hospital INC | Frederick, MD | $204K |
| Frederick Health Medical Group LLC | Frederick, MD | $81K |
| Frederick Health Medical Group LLC | Frederick, MD | $57K |
| Frederick Health Medical Group LLC | Brunswick, MD | $32K |
| Frederick Health Hospital INC | Frederick, MD | $6K |
| Frederick Health Medical Group LLC | Ijamsville, MD | $2K |
| Frederick Health Hospital INC | Frederick, MD | $0.00 |
| Frederick Health Hospital INC | Frederick, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.