Maryland General Clinical Practice Group, INC.
Maryland General Clinical Practice Group, INC. was paid $1.38M by Medicaid between Aug 2019 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
BALTIMORE, MD 21264
Next to other Multi-Specialty Clinic/Center 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 | |
|---|---|---|---|
| 2019 | 1,061 | $12K | |
| 2020 | 5,103 | $168K | |
| 2021 | 4,764 | $231K | |
| 2022 | 5,810 | $299K | |
| 2023 | 6,941 | $381K | |
| 2024incomplete | 3,682 | $293K |
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 | 51% | 9,366 | 8,471 | $712K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,196 | 6,046 | $336K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 1,402 | 1,254 | $142K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 1,260 | 495 | $37K |
| 93970 | 2.0% | 1,261 | 1,173 | $28K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,255 | 678 | $20K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.3% | 157 | 152 | $18K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 183 | 166 | $12K |
| 99219 | <1% | 99 | 87 | $11K | |
| 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% | 217 | 213 | $9K |
| 51798 | <1% | 749 | 693 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 46 | 45 | $5K |
26 more codes
| 99285 | Emergency room visit (most serious) | <1% | 27 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 105 | $4K |
| 81002 | <1% | 759 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 889 | $4K |
| 76775 | <1% | 96 | $3K | |
| 90756 | <1% | 155 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 202 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 71 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 37 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 94 | $2K |
| 93971 | <1% | 133 | $2K | |
| 99442 | <1% | 121 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 60 | $2K |
| 99252 | <1% | 48 | $1K | |
| 99406 | <1% | 105 | $1K | |
| 99496 | <1% | 16 | $939.36 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 53 | $908.02 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 18 | $802.39 |
| 90661 | <1% | 25 | $754.14 | |
| 69210 | <1% | 14 | $524.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | $480.55 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $353.16 |
| 97597 | <1% | 12 | $260.47 | |
| 93922 | <1% | 16 | $236.90 | |
| 99441 | <1% | 12 | $54.54 | |
| 29581 | <1% | 27 | $5.13 |
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 |
|---|---|---|
| University of Maryland Medical Center, LLC | Baltimore, MD | $18.03M |
| University of Maryland Medical Center, LLC | Baltimore, MD | $16.54M |
| University of Maryland Medical Center, LLC | Baltimore, MD | $10.19M |
| University of Maryland Medical Center, LLC | Baltimore, MD | $9.24M |
| Maryland General Hospital, INC. | Baltimore, MD | $7.12M |
| Maryland General Hospital INC | Baltimore, MD | $3.33M |
| University of Maryland Midtown Health INC | Baltimore, MD | $3.15M |
| University of Maryland Medical Center, LLC | Baltimore, MD | $1.07M |
| University of Maryland Medical Center, LLC | Linthicum, MD | $804K |
| Maryland General Hospital, INC. | Baltimore, MD | $524K |
| Maryland General Clinical Practice Group, INC. | Baltimore, MD | $395K |
| University of Maryland Medical Center, LLC | Baltimore, MD | $210K |
| University of Maryland Medical Center, LLC | Baltimore, MD | $193K |
| University of Maryland Medical Center, LLC | Baltimore, MD | $59K |
| University of Maryland Medical Center, LLC | Baltimore, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.