MEDSTAR GOOD SAMARITAN PHYSICIANS LLC
NPI: 1679996078
· BALTIMORE, MD 21239
· 208D00000X
$1.46M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,138 |
$488K |
| 2019 |
8,187 |
$386K |
| 2020 |
7,185 |
$176K |
| 2021 |
10,144 |
$335K |
| 2022 |
1,402 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
8,509 |
2,756 |
$431K |
| 88305 |
|
1,560 |
1,446 |
$189K |
| 99214 |
|
3,083 |
2,815 |
$182K |
| 99232 |
|
4,967 |
2,019 |
$175K |
| 99239 |
|
2,032 |
1,918 |
$113K |
| 99223 |
Prolong inpt eval add15 m |
1,261 |
1,155 |
$91K |
| 99222 |
|
1,511 |
1,343 |
$73K |
| 99213 |
|
1,504 |
1,365 |
$63K |
| 99219 |
|
317 |
297 |
$31K |
| 93010 |
|
6,106 |
4,654 |
$30K |
| 99220 |
|
356 |
345 |
$24K |
| 99309 |
|
1,109 |
677 |
$13K |
| 99204 |
|
52 |
48 |
$7K |
| 97802 |
|
70 |
66 |
$6K |
| 88312 |
|
67 |
66 |
$5K |
| 20610 |
|
147 |
101 |
$4K |
| 99308 |
|
263 |
227 |
$4K |
| 99217 |
|
288 |
274 |
$3K |
| 99497 |
|
172 |
142 |
$3K |
| 99212 |
|
132 |
125 |
$3K |
| 99284 |
|
21 |
15 |
$2K |
| 99221 |
|
159 |
152 |
$2K |
| 99226 |
|
66 |
40 |
$2K |
| 99442 |
|
70 |
63 |
$710.77 |
| 99218 |
|
55 |
54 |
$676.28 |
| 99225 |
|
43 |
28 |
$420.71 |
| 99203 |
|
14 |
12 |
$412.69 |
| 97803 |
|
21 |
12 |
$369.95 |
| 99215 |
Prolong outpt/office vis |
26 |
15 |
$192.87 |
| 99449 |
|
14 |
12 |
$49.14 |
| J3301 |
Triamcinolone acet inj nos |
46 |
40 |
$3.10 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |