Physician
Southern Maryland Primary Care, LLC
Southern Maryland Primary Care, LLC was paid $38K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoSOUTHERN MARYLAND PRIMARY CARE, LLC
WALDORF, MD 20602
WALDORF, MD 20602
33aNPI1831386630assigned 09/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$38K
24GClaims1,568
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Family Medicine Physician providers in Maryland
Rank by total paid#168 of 287
Median peer was paid$78K
This provider vs. median0.5×
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 | 346 | $19K | |
| 2019 | 152 | $5K | |
| 2020 | 181 | $109.35 | |
| 2021 | 279 | $3K | |
| 2022 | 337 | $5K | |
| 2023 | 244 | $4K | |
| 2024incomplete | 29 | $2K |
Box 24 · Service lines
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 | 96% | 1,474 | 1,322 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 56 | 38 | $2K |
| 90674 | <1% | 19 | 12 | $122.68 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | 12 | $-278.58 |
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 officialSHARMA, NIRAN (OWNER)