Physician
University of Maryland ST. Joseph Medical Group, LLC
University of Maryland ST. Joseph Medical Group, LLC was paid $6.22M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoUNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
TOWSON, MD 21204
TOWSON, MD 21204
33aNPI1770836785assigned 10/16/2012
33bProvider typeGeneral Practice Physician
28Total paid$6.22M
24GClaims127,835
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Maryland
Rank by total paid#7 of 40
Median peer was paid$190K
This provider vs. median33×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,832 | $656K | |
| 2019 | 6,032 | $373K | |
| 2020 | 22,487 | $918K | |
| 2021 | 26,979 | $1.13M | |
| 2022 | 29,974 | $1.33M | |
| 2023 | 19,122 | $959K | |
| 2024incomplete | 16,409 | $852K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 17,926 | 14,994 | $1.31M |
| 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 | 14% | 14,327 | 12,192 | $871K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.8% | 16,076 | 3,490 | $486K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.5% | 5,523 | 4,516 | $345K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.5% | 2,748 | 2,260 | $342K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 2,812 | 2,644 | $294K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 2,170 | 2,024 | $225K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 4,495 | 2,895 | $222K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 2,284 | 2,130 | $220K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.5% | 3,574 | 3,029 | $158K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.2% | 1,695 | 1,389 | $134K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 5,016 | 1,960 | $128K |
70 more codes
| 99283 | Emergency room visit (moderate) | 2.0% | 1,682 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 935 | $106K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 902 | $105K |
| 93000 | 1.6% | 4,036 | $99K | |
| 99220 | 1.5% | 1,361 | $94K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 2,351 | $86K |
| 99284 | Emergency room visit (serious) | 1.3% | 711 | $79K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 2,309 | $78K |
| 90686 | 1.2% | 3,516 | $77K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,371 | $59K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 5,232 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 960 | $43K |
| 76813 | <1% | 597 | $41K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 630 | $40K |
| 90670 | <1% | 1,761 | $39K | |
| 99460 | <1% | 436 | $37K | |
| 92551 | <1% | 3,681 | $34K | |
| 90723 | <1% | 1,329 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 876 | $23K |
| 90648 | <1% | 1,002 | $22K | |
| 76801 | <1% | 220 | $19K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | $16K |
| 90716 | <1% | 585 | $13K | |
| 90707 | <1% | 572 | $13K | |
| 90633 | <1% | 546 | $12K | |
| 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% | 640 | $12K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 45 | $11K |
| 76818 | <1% | 277 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 400 | $9K |
| 90681 | <1% | 393 | $9K | |
| 90651 | <1% | 398 | $9K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,138 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 936 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 304 | $8K |
| 99173 | <1% | 2,775 | $7K | |
| 99217 | <1% | 201 | $6K | |
| 94010 | <1% | 129 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 26 | $5K |
| 99255 | <1% | 19 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 136 | $4K |
| 99254 | <1% | 35 | $4K | |
| 90734 | <1% | 159 | $4K | |
| 99464 | <1% | 51 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 113 | $3K |
| 90647 | <1% | 118 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | $2K |
| 76820 | <1% | 63 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 190 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 30 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 42 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 57 | $1K |
| 94729 | <1% | 219 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 13 | $821.10 |
| 90700 | <1% | 27 | $628.56 | |
| 90696 | <1% | 26 | $605.28 | |
| 90715 | <1% | 27 | $571.14 | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 45 | $561.24 |
| 99443 | <1% | 33 | $444.76 | |
| 90656 | <1% | 18 | $379.84 | |
| 90662 | <1% | 13 | $358.81 | |
| 72100 | <1% | 14 | $287.13 | |
| 99226 | <1% | 31 | $275.43 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 13 | $192.96 |
| 96127 | <1% | 27 | $115.39 | |
| 90653 | <1% | 15 | $92.14 | |
| 90694 | <1% | 37 | $84.96 | |
| 94727 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 36416 | 0% | 15 | $0.00 | |
| 99024 | 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.
From NPPES
Who's on the registration
Authorized officialSMYTH, THOMAS (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| University of Maryland ST. Joseph Medical Center, LLC | Towson, MD | $638K |
| University of Maryland ST. Joseph Pain Specialists, LLC | Towson, MD | $36K |
| University of Maryland ST. Joseph Medical Group | Towson, MD | $29K |
| University of Maryland ST. Joseph Medical Center, LLC | Towson, MD | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.