Johns Hopkins University
Johns Hopkins University was paid $471K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
BALTIMORE, MD 21287
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Maryland
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 830 | $76K | |
| 2019 | 983 | $57K | |
| 2020 | 620 | $18K | |
| 2021 | 1,396 | $56K | |
| 2022 | 3,157 | $70K | |
| 2023 | 5,665 | $102K | |
| 2024incomplete | 3,998 | $92K |
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 | 34% | 3,646 | 3,408 | $161K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 27% | 2,233 | 1,958 | $128K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.3% | 958 | 396 | $34K |
| 1123F | 6.6% | 2,423 | 1,536 | $31K | |
| 99223 | Prolong inpt eval add15 m | 5.2% | 241 | 214 | $25K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 4.4% | 897 | 663 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 248 | 118 | $15K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 3.1% | 611 | 419 | $15K |
| 1124F | 2.9% | 1,023 | 796 | $13K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 139 | 137 | $7K |
| 99255 | 1.1% | 24 | 24 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 131 | 121 | $4K |
15 more codes
| 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% | 313 | $3K |
| 99254 | <1% | 12 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 68 | $2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 58 | $2K |
| 99243 | <1% | 14 | $1K | |
| 95251 | <1% | 75 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $667.76 |
| 99205 | Prolong outpt/office vis | <1% | 17 | $493.21 |
| 99443 | <1% | 21 | $160.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,069 | $34.55 |
| 98960 | <1% | 14 | $18.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 167 | $0.00 |
| 3074F | 0% | 28 | $0.00 | |
| 3078F | 0% | 30 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 172 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Johns Hopkins University | Baltimore, MD | $21.16M |
| Johns Hopkins University | Baltimore, MD | $15.24M |
| Johns Hopkins University | Baltimore, MD | $8.58M |
| Johns Hopkins University | Baltimore, MD | $6.20M |
| Johns Hopkins University | Baltimore, MD | $5.81M |
| Johns Hopkins University | Baltimore, MD | $4.92M |
| Johns Hopkins University | Baltimore, MD | $4.03M |
| Johns Hopkins University | Baltimore, MD | $3.82M |
| Johns Hopkins University | Baltimore, MD | $3.35M |
| Johns Hopkins University | Baltimore, MD | $2.47M |
| Johns Hopkins University | Baltimore, MD | $1.72M |
| Johns Hopkins University | Baltimore, MD | $1.69M |
| Johns Hopkins University | Baltimore, MD | $1.56M |
| Johns Hopkins University | Baltimore, MD | $1.52M |
| Johns Hopkins University | Baltimore, MD | $1.50M |
| Johns Hopkins University | Baltimore, MD | $1.45M |
| Johns Hopkins University | Baltimore, MD | $1.29M |
| Johns Hopkins University | Lutherville, MD | $1.06M |
| Johns Hopkins University | Baltimore, MD | $832K |
| Johns Hopkins University | Baltimore, MD | $821K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.