Medicaid Provider Spending

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

ST PAUL PLACE SPECIALISTS, INC.

NPI: 1639189863 · BALTIMORE, MD 21202 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 08/09/2006

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

Authorized official DEIBEL, JUSTIN controls 19+ related entities in our dataset. Read more

$13.35M
Total Medicaid Paid
238,589
Total Claims
198,915
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEIBEL, JUSTIN (EXECUTIVE VICE PRESIDENT & CFO)
NPI Enumeration Date08/09/2006

Related Entities

Other providers sharing the same authorized official: DEIBEL, JUSTIN

ProviderCityStateTotal Paid
EMERGENCY PHYSICIANS SPPS BALTIMORE MD $9.82M
MERCY MEDICAL CENTER INC BALTIMORE MD $6.04M
SAINT PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $1.51M
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $1.49M
ST PAUL PLACE SPECIALISTS INC BALTIMORE MD $1.42M
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $1.34M
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $1.15M
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $949K
SAINT PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $428K
VASCULAR SPECIALTY SERVICES, LLC BALTIMORE MD $397K
SAINT PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $179K
ST. PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $177K
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $138K
ST. PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $8K
ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $6K
SAINT PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $4K
SAINT PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $4K
ST. PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $1K
ST. PAUL PLACE SPECIALISTS, INC. BALTIMORE MD $77.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,266 $161K
2019 2,737 $104K
2020 42,655 $2.07M
2021 42,854 $2.21M
2022 44,917 $2.49M
2023 46,496 $2.90M
2024 56,664 $3.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,539 34,414 $3.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,160 19,518 $2.00M
93976 16,612 14,271 $919K
76820 27,477 23,510 $771K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15,251 13,798 $577K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 592 534 $510K
76818 11,466 7,569 $510K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,983 2,802 $351K
76819 Fetal biophysical profile; without non-stress testing 8,778 7,847 $329K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,477 3,274 $317K
59025 Fetal non-stress test 12,229 10,328 $312K
99232 Subsequent hospital care, per day, moderate complexity 4,870 2,875 $288K
99218 2,866 2,488 $271K
99221 2,348 2,091 $229K
59514 206 193 $209K
99215 Prolong outpt/office vis 2,082 1,960 $209K
99233 Prolong inpt eval add15 m 2,449 1,240 $196K
99223 Prolong inpt eval add15 m 1,221 1,152 $167K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,038 1,915 $165K
58662 387 300 $158K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,149 1,119 $134K
50949 206 147 $122K
99219 1,138 865 $122K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,748 2,768 $121K
99238 Hospital discharge day management, 30 minutes or less 1,611 1,535 $105K
99205 Prolong outpt/office vis 709 667 $97K
76813 1,418 1,310 $77K
H1003 Prenatal care, at-risk enhanced service; education 7,290 5,192 $74K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,936 1,583 $74K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,237 1,768 $60K
99385 417 403 $57K
99459 2,379 2,229 $47K
99239 Hospital discharge day management, more than 30 minutes 542 515 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,090 954 $45K
76801 626 490 $43K
59050 973 750 $41K
76821 1,233 806 $41K
44238 136 77 $41K
H1000 Prenatal care, at-risk assessment 814 779 $33K
81025 4,456 4,177 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 469 414 $25K
81002 10,038 7,719 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 233 217 $22K
54150 287 240 $22K
99078 425 262 $15K
81003 8,161 6,341 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 632 599 $10K
76825 122 110 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 222 169 $8K
57283 23 14 $8K
99234 48 36 $6K
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) 320 295 $5K
99222 Initial hospital care, per day, moderate complexity 28 27 $4K
99236 Prolong inpt eval add15 m 12 12 $2K
99386 14 13 $2K
90715 61 55 $2K
11900 55 52 $2K
95251 46 38 $1K
17110 17 16 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 181 149 $1K
36415 Collection of venous blood by venipuncture 351 336 $841.37
20550 13 12 $587.00
83036 Hemoglobin; glycosylated (A1C) 73 66 $485.95
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 42 $405.20
73030 13 12 $157.72
3078F 624 591 $0.00
3074F 741 693 $0.00
3079F 162 145 $0.00
3075F 32 27 $0.00