WHC Physician Group LLC
WHC Physician Group LLC was paid $93.89M by Medicaid between Jan 2018 and Dec 2024, across 129 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.
WASHINGTON, DC 20010
Next to other Dermatology Physician providers in District of Columbia
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 | 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 | |
| 2024incomplete | 134,711 | $13.73M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 45% | 329,604 | 306,001 | $42.33M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 221,021 | 208,044 | $21.58M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.7% | 48,377 | 33,567 | $5.39M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.5% | 79,360 | 73,487 | $4.27M |
| 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 | 4.0% | 71,761 | 65,190 | $3.77M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 84,943 | 30,400 | $2.98M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 51,571 | 19,843 | $2.61M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 2.1% | 6,417 | 2,525 | $2.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 46,227 | 41,271 | $1.78M |
| 99223 | Prolong inpt eval add15 m | 1.5% | 13,566 | 12,126 | $1.36M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 18,975 | 16,098 | $1.32M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 6,491 | 2,286 | $638K |
117 more codes
| 99460 | <1% | 7,114 | $559K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 5,346 | $527K |
| 90961 | <1% | 3,032 | $231K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,694 | $226K |
| 99464 | <1% | 3,057 | $188K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,985 | $176K |
| 93042 | <1% | 12,359 | $173K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,594 | $139K |
| 93970 | <1% | 5,294 | $128K | |
| 54150 | <1% | 1,613 | $122K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 3,975 | $119K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 3,497 | $107K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,180 | $106K |
| 99220 | <1% | 928 | $80K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 974 | $71K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 2,736 | $63K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,122 | $63K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,644 | $46K |
| 0002A | <1% | 2,331 | $45K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 60 | $45K |
| 0001A | <1% | 3,146 | $40K | |
| 99292 | <1% | 971 | $40K | |
| 93971 | <1% | 2,800 | $40K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,275 | $24K |
| 99205 | Prolong outpt/office vis | <1% | 158 | $23K |
| 31575 | <1% | 659 | $23K | |
| 88312 | <1% | 1,124 | $23K | |
| 31500 | <1% | 579 | $23K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 791 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 218 | $20K |
| 99225 | <1% | 535 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 557 | $17K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 177 | $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% | 1,634 | $15K |
| 59025 | Fetal non-stress test | <1% | 603 | $15K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 325 | $15K |
| 36246 | <1% | 156 | $14K | |
| 31579 | <1% | 159 | $14K | |
| 69210 | <1% | 1,317 | $13K | |
| 99462 | <1% | 377 | $13K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 187 | $12K |
| 92504 | <1% | 2,538 | $11K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 299 | $11K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 166 | $11K |
| 99221 | <1% | 188 | $10K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 165 | $9K |
| 93922 | <1% | 1,354 | $9K | |
| 99468 | <1% | 12 | $8K | |
| 99217 | <1% | 199 | $7K | |
| 75716 | <1% | 223 | $7K | |
| 88313 | <1% | 784 | $6K | |
| 00731 | <1% | 190 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 84 | $5K |
| 93880 | <1% | 280 | $5K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 53 | $4K |
| 99255 | <1% | 26 | $4K | |
| 99226 | <1% | 70 | $4K | |
| 36902 | <1% | 111 | $4K | |
| 37248 | <1% | 72 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | $3K |
| 93925 | <1% | 210 | $3K | |
| 96910 | <1% | 37 | $3K | |
| 88342 | <1% | 151 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 352 | $3K |
| 00811 | <1% | 100 | $3K | |
| 36556 | <1% | 35 | $2K | |
| 92201 | <1% | 132 | $2K | |
| 75710 | <1% | 125 | $2K | |
| 99406 | <1% | 234 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 204 | $2K |
| 99442 | <1% | 164 | $2K | |
| 76801 | <1% | 56 | $2K | |
| 94727 | <1% | 289 | $2K | |
| 93926 | <1% | 89 | $2K | |
| 94729 | <1% | 378 | $2K | |
| 20610 | <1% | 123 | $2K | |
| 31231 | <1% | 15 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 143 | $2K |
| 93000 | <1% | 104 | $1K | |
| 92015 | Determination of refractive state | <1% | 92 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | $1K |
| 88304 | <1% | 157 | $1K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 33 | $1K |
| 11900 | <1% | 39 | $1K | |
| 99385 | <1% | 12 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 80 | $1K |
| 0031A | <1% | 43 | $993.64 | |
| 51701 | <1% | 57 | $933.85 | |
| 88341 | <1% | 73 | $894.93 | |
| 76813 | <1% | 17 | $821.40 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 51 | $669.56 |
| 94010 | <1% | 135 | $650.70 | |
| 36901 | <1% | 12 | $630.62 | |
| 90686 | <1% | 44 | $598.80 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $496.78 |
| 75827 | <1% | 47 | $474.19 | |
| 81025 | <1% | 77 | $471.98 | |
| 75820 | <1% | 119 | $461.44 | |
| 92133 | <1% | 16 | $437.93 | |
| 00813 | <1% | 13 | $357.30 | |
| 00812 | <1% | 12 | $301.50 | |
| 64483 | <1% | 13 | $264.99 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 127 | $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) | <1% | 13 | $248.83 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | $233.16 |
| 99443 | <1% | 12 | $211.59 | |
| 94060 | <1% | 29 | $203.01 | |
| 99441 | <1% | 32 | $198.84 | |
| 81002 | <1% | 178 | $189.11 | |
| 36907 | <1% | 15 | $175.58 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 23 | $143.67 |
| 99350 | Prolong home eval add 15m | <1% | 16 | $124.88 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 25 | $112.25 |
| 90688 | <1% | 12 | $99.89 | |
| 81003 | <1% | 13 | $17.77 | |
| 36005 | <1% | 15 | $10.06 | |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.