ST Paul Place Specialists, INC.
ST Paul Place Specialists, INC. was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoST PAUL PLACE SPECIALISTS, INC.
BALTIMORE, MD 21202
BALTIMORE, MD 21202
33aNPI1851405187assigned 08/17/2006
33bProvider typeOptometrist
28Total paid$1.49M
24GClaims28,208
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maryland
Rank by total paid#5 of 345
Median peer was paid$27K
This provider vs. median55×
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.
Entity ProliferationAuthorized official DEIBEL, JUSTIN controls 19+ related entities in our dataset. Read more
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 | 3,009 | $153K | |
| 2019 | 1,847 | $58K | |
| 2020 | 2,849 | $117K | |
| 2021 | 4,423 | $207K | |
| 2022 | 6,160 | $308K | |
| 2023 | 5,676 | $359K | |
| 2024incomplete | 4,244 | $285K |
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 | 42% | 12,689 | 11,181 | $618K |
| 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 | 24% | 5,227 | 4,681 | $362K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 3,064 | 2,876 | $198K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.7% | 1,499 | 1,406 | $144K |
| 20610 | 5.5% | 3,164 | 2,596 | $81K | |
| 99205 | Prolong outpt/office vis | 1.7% | 165 | 142 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 844 | 749 | $15K |
| 95886 | <1% | 137 | 131 | $14K | |
| 22853 | <1% | 70 | 53 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 42 | 37 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 194 | 161 | $3K |
| 73562 | <1% | 854 | 794 | $3K |
8 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
| 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% | 56 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $773.61 |
| 73030 | <1% | 38 | $193.31 | |
| 3079F | 0% | 26 | $0.00 | |
| 3074F | 0% | 66 | $0.00 | |
| 3078F | 0% | 28 | $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 officialDEIBEL, JUSTIN (EXECUTIVE VICE PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| ST Paul Place Specialists, INC. | Baltimore, MD | $13.35M |
| Emergency Physicians SPPS | Baltimore, MD | $9.82M |
| Mercy Medical Center INC | Baltimore, MD | $6.04M |
| Saint Paul Place Specialists, INC. | Baltimore, MD | $1.51M |
| ST Paul Place Specialists INC | Baltimore, MD | $1.42M |
| ST Paul Place Specialists, INC. | Baltimore, MD | $1.34M |
| ST Paul Place Specialists, INC. | Baltimore, MD | $1.15M |
| ST Paul Place Specialists, INC. | Baltimore, MD | $949K |
| Saint Paul Place Specialists, INC. | Baltimore, MD | $428K |
| Vascular Specialty Services, LLC | Baltimore, MD | $397K |
| Saint Paul Place Specialists, INC. | Baltimore, MD | $179K |
| ST. Paul Place Specialists, INC. | Baltimore, MD | $177K |
| ST Paul Place Specialists, INC. | Baltimore, MD | $138K |
| ST. Paul Place Specialists, INC. | Baltimore, MD | $8K |
| ST Paul Place Specialists, INC. | Baltimore, MD | $6K |
| Saint Paul Place Specialists, INC. | Baltimore, MD | $4K |
| Saint Paul Place Specialists, INC. | Baltimore, MD | $4K |
| ST. Paul Place Specialists, INC. | Baltimore, MD | $1K |
| ST. Paul Place Specialists, INC. | Baltimore, MD | $77.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.