Medicaid Provider Spending

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

UPPER CHESAPEAKE CARDIOLOGY, LLC

NPI: 1851544159 · BEL AIR, MD 21014 · Cardiovascular Disease Physician · NPI assigned 10/30/2008

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

Authorized official PRIOLO, MARCUS controls 16+ related entities in our dataset. Read more

$565K
Total Medicaid Paid
17,002
Total Claims
15,179
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIOLO, MARCUS (CEO)
Parent OrganizationUPPER CHESAPEAKE MEDICAL SERVICES, INC.
NPI Enumeration Date10/30/2008

Related Entities

Other providers sharing the same authorized official: PRIOLO, MARCUS

ProviderCityStateTotal Paid
UPPER CHESAPEAKE MEDICAL SERVICES, INC BEL AIR MD $2.91M
HARFORD MEMORIAL HOSPITAL, INC. HAVRE DE GRACE MD $2.03M
UPPER CHESAPEAKE MEDICAL CENTER, INC. BEL AIR MD $1.57M
HARFORD PRIMARY CARE LLC BEL AIR MD $880K
UPPER CHESAPEAKE PRIMARY CARE,LLC BEL AIR MD $480K
UPPER CHESAPEAKE WOMENS CARE, LLC BEL AIR MD $459K
UPPER CHESAPEAKE MEDICAL SERVICES, INC. ABERDEEN MD $363K
UPPER CHESAPEAKE HEMATOLOGY AND ONCOLOGY SERVICES, LLC BEL AIR MD $184K
HARFORD CRISIS CENTER, INC. BEL AIR MD $116K
UPPER CHESAPEAKE ENDOCRINOLOGY ASSOCIATES, LLC ABERDEEN MD $106K
UPPER CHESAPEAKE ORTHOPEDICS, LLC BEL AIR MD $75K
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC BEL AIR MD $53K
UPPER CHESAPEAKE CRITICAL CARE ASSOCIATES, LLC BEL AIR MD $52K
HARFORD CRISIS CENTER, INC. BEL AIR MD $37K
UPPER CHESAPEAKE RADIATION ONCOLOGY, LLC ABERDEEN MD $11K
UPPER CHESAPEAKE MEDICAL CENTER, INC. ABERDEEN MD $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,764 $106K
2019 1,898 $70K
2020 1,530 $40K
2021 2,675 $70K
2022 3,338 $88K
2023 3,256 $113K
2024 2,541 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,771 4,201 $185K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,929 3,570 $168K
93000 6,995 6,284 $165K
99244 Office or other outpatient consultation, moderate to high complexity 110 110 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138 98 $7K
99232 Subsequent hospital care, per day, moderate complexity 146 72 $5K
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) 398 385 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 158 129 $3K
99223 Prolong inpt eval add15 m 81 77 $3K
99245 14 13 $3K
93018 66 60 $539.79
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 100 92 $538.47
99222 Initial hospital care, per day, moderate complexity 18 16 $434.71
93016 78 72 $373.80