Medicaid Provider Spending

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

ST. AGNES HEALTHCARE, INC.

NPI: 1629389630 · BALTIMORE, MD 21229 · Cardiovascular Disease Physician · NPI assigned 06/24/2010

$21K
Total Medicaid Paid
25,009
Total Claims
9,096
Beneficiaries
9
Codes Billed
2020-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialVANDER KOLK, KEITH (PRESIDENT/CEO)
Parent OrganizationST. AGNES HEALTHCARE, INC.
NPI Enumeration Date06/24/2010

Related Entities

Other providers sharing the same authorized official: VANDER KOLK, KEITH

ProviderCityStateTotal Paid
ST. AGNES HEALTHCARE, INC. BALTIMORE MD $5.36M
ST. AGNES HEALTHCARE, INC. BALTIMORE MD $891K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 21,678 $21K
2021 3,305 $95.67
2022 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
71046 Radiologic examination, chest; 2 views 7,105 2,227 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,960 4,389 $6K
71045 Radiologic examination, chest; single view 6,492 2,051 $3K
70450 Computed tomography, head or brain; without contrast material 729 221 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 354 134 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 128 25 $899.54
74021 126 25 $194.82
76705 Ultrasound, abdominal, real time with image documentation; limited 52 12 $169.19
73130 63 12 $57.06