Johns Hopkins University
Johns Hopkins University was paid $821K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 49% of everything it billed.
BALTIMORE, MD 21287
Next to other Pulmonary Disease 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 | 4,751 | $250K | |
| 2019 | 5,001 | $175K | |
| 2020 | 4,007 | $192K | |
| 2021 | 3,067 | $67K | |
| 2022 | 4,228 | $43K | |
| 2023 | 6,825 | $53K | |
| 2024incomplete | 5,591 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 49% | 6,141 | 1,485 | $400K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 4,353 | 1,283 | $132K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.8% | 1,727 | 1,618 | $64K |
| 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 | 6.8% | 1,573 | 1,502 | $56K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 3.0% | 1,168 | 454 | $25K |
| 1123F | 3.0% | 3,013 | 1,195 | $25K | |
| 94010 | 2.3% | 2,888 | 2,710 | $18K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 2.1% | 817 | 368 | $17K |
| 94729 | 2.0% | 2,360 | 2,280 | $16K | |
| 94727 | 1.9% | 1,949 | 1,881 | $16K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.8% | 130 | 126 | $14K |
| 1124F | 1.5% | 1,403 | 587 | $12K |
14 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 741 | $6K |
| 94060 | <1% | 385 | $4K | |
| 95806 | <1% | 105 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 53 | $3K |
| 99292 | <1% | 38 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 99443 | <1% | 92 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 38 | $792.57 |
| 99223 | Prolong inpt eval add15 m | <1% | 73 | $592.69 |
| 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% | 43 | $270.84 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 62 | $160.51 |
| 94726 | <1% | 14 | $130.71 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,375 | $101.46 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 914 | $7.14 |
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 |
|---|---|---|
| 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 | $6.20M |
| 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 | $737K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.