Medicaid Provider Spending

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

NPI: 1780671099 · BALTIMORE, MD 21287 · Internal Medicine Physician · NPI assigned 10/03/2005

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

Authorized official KEATING, SHAVONDA controls 20+ related entities in our dataset. Read more

$6.20M
Total Medicaid Paid
188,846
Total Claims
127,751
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEATING, SHAVONDA (SR PRODUCTION UNIT MGR)
Parent OrganizationJOHNS HOPKINS UNIVERSITY
NPI Enumeration Date10/03/2005

Related Entities

Other providers sharing the same authorized official: KEATING, SHAVONDA

ProviderCityStateTotal Paid
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $21.16M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $15.24M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $8.58M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $5.81M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $4.92M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $4.03M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $3.82M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $3.35M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $2.47M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.72M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.69M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.56M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.52M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.50M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.45M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.29M
JOHNS HOPKINS UNIVERSITY LUTHERVILLE MD $1.06M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $832K
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $821K
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $737K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,979 $489K
2019 10,897 $273K
2020 21,114 $1.06M
2021 21,619 $1.16M
2022 35,752 $1.22M
2023 47,675 $1.13M
2024 39,810 $865K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,481 28,707 $1.97M
99233 Prolong inpt eval add15 m 31,891 8,268 $1.59M
99223 Prolong inpt eval add15 m 5,306 4,881 $412K
99232 Subsequent hospital care, per day, moderate complexity 10,449 4,473 $338K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,013 11,284 $330K
99215 Prolong outpt/office vis 9,784 8,371 $309K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,903 5,058 $187K
99222 Initial hospital care, per day, moderate complexity 2,134 1,884 $184K
99239 Hospital discharge day management, more than 30 minutes 3,331 3,106 $150K
1123F 14,874 8,000 $133K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,695 2,588 $110K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,325 1,441 $61K
99221 790 690 $58K
1124F 4,830 3,193 $47K
99238 Hospital discharge day management, 30 minutes or less 815 776 $42K
90674 1,478 1,187 $41K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 301 115 $36K
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) 3,436 2,997 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,529 1,383 $33K
99443 1,914 1,613 $31K
99496 241 230 $21K
99442 890 818 $14K
99205 Prolong outpt/office vis 318 308 $9K
99220 147 136 $8K
3008F 282 231 $7K
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) 663 577 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,252 2,217 $6K
99356 119 62 $4K
G0008 Administration of influenza virus vaccine 331 329 $4K
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 134 82 $3K
90756 137 137 $3K
99354 38 28 $3K
99254 18 15 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 102 $2K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 326 322 $2K
99253 23 14 $2K
99441 192 185 $1K
1159F 317 263 $1K
99284 Emergency department visit for the evaluation and management, high severity 12 12 $927.78
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 19 12 $902.65
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 17,815 10,014 $814.16
36415 Collection of venous blood by venipuncture 239 237 $729.33
3044F 399 397 $375.04
83036 Hemoglobin; glycosylated (A1C) 81 78 $333.55
96127 74 73 $306.15
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) 19 13 $279.39
99497 16 12 $217.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 168 168 $39.14
3074F 4,655 4,122 $5.11
3077F 122 105 $0.00
3078F 3,951 3,515 $0.00
99358 Prolong nursin fac eval 15m 14 13 $0.00
3051F 12 12 $0.00
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 68 66 $0.00
3079F 993 884 $0.00
3075F 359 305 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,869 1,518 $0.00
90694 12 12 $0.00
3080F 137 112 $0.00