Physician
Rheumatology Express LLC
Rheumatology Express LLC was paid $798K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoRHEUMATOLOGY EXPRESS LLC
BALTIMORE, MD 21229
BALTIMORE, MD 21229
33aNPI1871955617assigned 03/22/2016
33bProvider typeRheumatology Physician
28Total paid$798K
24GClaims28,876
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rheumatology Physician providers in Maryland
Rank by total paid#3 of 19
Median peer was paid$76K
This provider vs. median10×
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 | 960 | $23K | |
| 2019 | 1,055 | $23K | |
| 2020 | 4,951 | $101K | |
| 2021 | 4,999 | $148K | |
| 2022 | 4,676 | $161K | |
| 2023 | 5,309 | $162K | |
| 2024incomplete | 6,926 | $181K |
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 | 81% | 7,428 | 6,748 | $650K |
| 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 | 5.9% | 283 | 274 | $47K |
| G8783 | Normal blood pressure reading documented, follow-up not required | 4.7% | 3,404 | 3,046 | $38K |
| 96401 | 1.9% | 174 | 86 | $15K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.4% | 3,654 | 3,274 | $11K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.3% | 5,939 | 5,206 | $10K |
| 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) | 1.1% | 258 | 249 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 29 | 28 | $7K |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 1,046 | 916 | $6K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 4,458 | 3,953 | $5K |
| 1111F | <1% | 265 | 246 | $532.05 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,391 | 1,220 | $0.00 |
3 more codes
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 117 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 296 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 134 | $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 officialQURESHI, JAZIBEH (OWNER)