Medstar Union Memorial Physicians LLC
Medstar Union Memorial Physicians LLC was paid $3.43M by Medicaid between Jan 2018 and Jul 2022, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
BALTIMORE, MD 21218
Next to other General Practice Physician 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 | |
|---|---|---|---|
| 2018 | 15,710 | $941K | |
| 2019 | 15,716 | $539K | |
| 2020 | 21,611 | $726K | |
| 2021 | 19,370 | $785K | |
| 2022 | 7,613 | $434K |
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 | 28% | 13,735 | 12,494 | $970K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 11,151 | 3,767 | $608K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 9,024 | 8,177 | $408K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 7,649 | 2,497 | $269K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.9% | 2,726 | 2,587 | $168K |
| 99223 | Prolong inpt eval add15 m | 4.3% | 2,340 | 2,014 | $146K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 1,489 | 1,350 | $133K |
| 93970 | 2.2% | 2,401 | 2,270 | $74K | |
| 99220 | 2.0% | 580 | 528 | $70K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 816 | 765 | $70K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 1,746 | 1,620 | $62K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 12,079 | 8,070 | $56K |
51 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 1,339 | $51K |
| 99219 | <1% | 370 | $33K | |
| 99217 | <1% | 752 | $33K | |
| 93971 | <1% | 1,320 | $23K | |
| 95819 | <1% | 685 | $19K | |
| 99221 | <1% | 628 | $18K | |
| 93458 | <1% | 225 | $16K | |
| 20610 | <1% | 222 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 244 | $15K |
| 93923 | <1% | 218 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 309 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 86 | $10K |
| 99152 | <1% | 455 | $10K | |
| 90686 | <1% | 626 | $10K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 67 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 206 | $8K |
| 0011A | <1% | 262 | $8K | |
| 93880 | <1% | 173 | $8K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 424 | $8K |
| 99443 | <1% | 256 | $7K | |
| 0012A | <1% | 218 | $7K | |
| 76937 | <1% | 202 | $7K | |
| 99225 | <1% | 102 | $7K | |
| 99442 | <1% | 432 | $6K | |
| 99226 | <1% | 99 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,308 | $4K |
| 99218 | <1% | 76 | $4K | |
| 93307 | <1% | 144 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 128 | $3K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 18 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 305 | $3K |
| 93000 | <1% | 200 | $3K | |
| 95886 | <1% | 30 | $3K | |
| 73564 | <1% | 71 | $2K | |
| 90653 | <1% | 107 | $2K | |
| 99441 | <1% | 120 | $2K | |
| 82962 | <1% | 642 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | $1K |
| 93922 | <1% | 90 | $860.37 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $786.06 |
| 0064A | <1% | 27 | $762.40 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 85 | $606.07 |
| 90688 | <1% | 63 | $433.84 | |
| 93925 | <1% | 28 | $285.58 | |
| 99497 | <1% | 194 | $209.93 | |
| 99406 | <1% | 14 | $172.02 | |
| G0008 | Administration of influenza virus vaccine | <1% | 426 | $141.62 |
| 93926 | <1% | 17 | $12.50 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 105 | $0.00 |
| 90694 | 0% | 77 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 24 | $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 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.