Medicaid Provider Spending

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

WHC PHYSICIAN GROUP LLC

NPI: 1700154226 · WASHINGTON, DC 20010 · Dermatology Physician · NPI assigned 12/12/2011

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

Authorized official SCHNEIDER, STEPHANIE controls 20+ related entities in our dataset. Read more

$93.89M
Total Medicaid Paid
1,071,205
Total Claims
891,630
Beneficiaries
129
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHNEIDER, STEPHANIE (VP)
NPI Enumeration Date12/12/2011

Related Entities

Other providers sharing the same authorized official: SCHNEIDER, STEPHANIE

ProviderCityStateTotal Paid
MEDSTAR MEDICAL GROUP II LLC BALTIMORE MD $91.62M
MEDSTAR URGENT CARE LLC BALTIMORE MD $49.08M
MGMC, LLC WASHINGTON DC $18.08M
MEDSTAR FRANKLIN SQUARE PHYSICIANS LLC BALTIMORE MD $15.78M
MEDSTAR MEDICAL GROUP II BALTIMORE MD $6.39M
MEDSTAR HEART INSTITUTE LLC WASHINGTON DC $4.73M
MEDSTAR HARBOR HOSPITAL PHYSICIANS LLC BALTIMORE MD $3.85M
WASHINGTON HOSPITAL CENTER CORP WASHINGTON DC $3.66M
MEDSTAR UNION MEMORIAL PHYSICIANS LLC BALTIMORE MD $3.43M
MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC BALTIMORE MD $3.37M
WHC PHYSICIAN GROUP LLC WASHINGTON DC $2.71M
BAY LIFE SERVICES CORPORATION BALTIMORE MD $2.22M
MEDSTAR GOOD SAMARITAN PHYSICIANS LLC BALTIMORE MD $1.46M
MEDSTAR TOTAL ELDER CARE LLC WASHINGTON DC $1.19M
MEDSTAR GEORGETOWN MEDICAL CENTER, INC WASHINGTON DC $925K
WASHINGTON HOSPITAL CENTER CORP WASHINGTON DC $527K
MEDSTAR MEDICAL GROUP II LLC OLNEY MD $130K
MEDSTAR URGENT CARE, LLC WALDORF MD $52K
MEDSTAR MEDICAL GROUP II LLC BRANDYWINE MD $48K
MEDSTAR URGENT CARE, LLC HYATTSVILLE MD $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115,993 $10.62M
2019 126,686 $7.20M
2020 153,683 $11.72M
2021 192,941 $16.19M
2022 166,356 $16.12M
2023 180,835 $18.31M
2024 134,711 $13.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 329,604 306,001 $42.33M
99284 Emergency department visit for the evaluation and management, high severity 221,021 208,044 $21.58M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 48,377 33,567 $5.39M
99283 Emergency department visit for the evaluation and management, moderate severity 79,360 73,487 $4.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,761 65,190 $3.77M
99232 Subsequent hospital care, per day, moderate complexity 84,943 30,400 $2.98M
99233 Prolong inpt eval add15 m 51,571 19,843 $2.61M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 6,417 2,525 $2.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,227 41,271 $1.78M
99223 Prolong inpt eval add15 m 13,566 12,126 $1.36M
99215 Prolong outpt/office vis 18,975 16,098 $1.32M
99479 Subsequent intensive care, per day, very low birth weight infant 6,491 2,286 $638K
99460 7,114 6,866 $559K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,346 4,933 $527K
90961 3,032 2,916 $231K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,694 3,400 $226K
99464 3,057 2,923 $188K
99480 Subsequent intensive care, per day, low birth weight infant 1,985 808 $176K
93042 12,359 11,404 $173K
99222 Initial hospital care, per day, moderate complexity 1,594 1,469 $139K
93970 5,294 4,694 $128K
54150 1,613 1,552 $122K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,975 3,553 $119K
90935 Hemodialysis procedure with single evaluation by a physician 3,497 1,517 $107K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,180 1,102 $106K
99220 928 849 $80K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 974 958 $71K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,736 2,312 $63K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,122 1,065 $63K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,644 713 $46K
0002A 2,331 2,228 $45K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 60 60 $45K
0001A 3,146 2,460 $40K
99292 971 859 $40K
93971 2,800 2,591 $40K
99239 Hospital discharge day management, more than 30 minutes 1,275 942 $24K
99205 Prolong outpt/office vis 158 152 $23K
31575 659 597 $23K
88312 1,124 892 $23K
31500 579 531 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 791 667 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 218 210 $20K
99225 535 253 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 557 513 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 177 171 $16K
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) 1,634 1,574 $15K
59025 Fetal non-stress test 603 482 $15K
99238 Hospital discharge day management, 30 minutes or less 325 280 $15K
36246 156 142 $14K
31579 159 154 $14K
69210 1,317 1,198 $13K
99462 377 316 $13K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 187 149 $12K
92504 2,538 2,325 $11K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 299 267 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 166 156 $11K
99221 188 174 $10K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 165 152 $9K
93922 1,354 1,250 $9K
99468 12 12 $8K
99217 199 165 $7K
75716 223 207 $7K
88313 784 591 $6K
00731 190 185 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 84 79 $5K
93880 280 268 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 53 50 $4K
99255 26 26 $4K
99226 70 37 $4K
36902 111 104 $4K
37248 72 65 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 46 42 $3K
93925 210 193 $3K
96910 37 13 $3K
88342 151 125 $3K
D0140 Limited oral evaluation - problem focused 352 254 $3K
00811 100 96 $3K
36556 35 27 $2K
92201 132 94 $2K
75710 125 111 $2K
99406 234 206 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 204 175 $2K
99442 164 159 $2K
76801 56 52 $2K
94727 289 277 $2K
93926 89 79 $2K
94729 378 365 $2K
20610 123 89 $2K
31231 15 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 143 131 $2K
93000 104 101 $1K
92015 Determination of refractive state 92 88 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 32 31 $1K
88304 157 143 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 33 32 $1K
11900 39 38 $1K
99385 12 12 $1K
D0330 Panoramic radiographic image 80 66 $1K
0031A 43 41 $993.64
51701 57 54 $933.85
88341 73 41 $894.93
76813 17 16 $821.40
D7140 Extraction, erupted tooth or exposed root 51 12 $669.56
94010 135 132 $650.70
36901 12 12 $630.62
90686 44 44 $598.80
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 24 $496.78
75827 47 44 $474.19
81025 77 72 $471.98
75820 119 108 $461.44
92133 16 14 $437.93
00813 13 13 $357.30
00812 12 12 $301.50
64483 13 12 $264.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 127 122 $252.73
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 13 13 $248.83
83036 Hemoglobin; glycosylated (A1C) 61 61 $233.16
99443 12 12 $211.59
94060 29 28 $203.01
99441 32 32 $198.84
81002 178 145 $189.11
36907 15 12 $175.58
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 23 22 $143.67
99350 Prolong home eval add 15m 16 15 $124.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 24 $112.25
90688 12 12 $99.89
81003 13 12 $17.77
36005 15 15 $10.06
G0008 Administration of influenza virus vaccine 37 37 $0.00