Medstar Total Elder Care LLC
Medstar Total Elder Care LLC was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is T1023, Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter — 76% of everything it billed.
WASHINGTON, DC 20010
Next to other Case Management Agency 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 | 5,568 | $281K | |
| 2019 | 4,595 | $248K | |
| 2020 | 3,011 | $194K | |
| 2021 | 3,554 | $148K | |
| 2022 | 2,497 | $132K | |
| 2023 | 1,894 | $122K | |
| 2024incomplete | 1,005 | $68K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 76% | 5,028 | 3,671 | $911K |
| 99350 | Prolong home eval add 15m | 11% | 4,965 | 3,517 | $131K |
| 99349 | 10% | 9,254 | 6,164 | $124K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 269 | 71 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 325 | 80 | $8K |
| 99348 | <1% | 788 | 533 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 20 | 12 | $524.52 |
| 99442 | <1% | 56 | 44 | $420.82 | |
| 0031A | <1% | 12 | 12 | $28.39 | |
| 90653 | 0% | 245 | 210 | $0.00 | |
| 0002A | 0% | 106 | 106 | $0.00 | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 0% | 17 | 16 | $0.00 |
7 more codes
| 36415 | Collection of venous blood by venipuncture | 0% | 219 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 364 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 34 | $0.00 |
| 0001A | 0% | 138 | $0.00 | |
| 90694 | 0% | 250 | $0.00 | |
| 99441 | 0% | 17 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $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 |
|---|---|---|
| WHC Physician Group LLC | Washington, DC | $93.89M |
| 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 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.