Medicaid Provider Spending

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

MILES RIVER PRIMARY CARE LLC

NPI: 1891015012 · EASTON, MD 21601 · Family Medicine Physician · NPI assigned 06/10/2010

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

Authorized official SMITH, TAMMY controls 20+ related entities in our dataset. Read more

$102K
Total Medicaid Paid
7,189
Total Claims
5,686
Beneficiaries
17
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, TAMMY (PRACTICE MANAGER)
NPI Enumeration Date06/10/2010

Related Entities

Other providers sharing the same authorized official: SMITH, TAMMY

ProviderCityStateTotal Paid
D A BLODGETT-ST JOHNS GRAND RAPIDS MI $20.27M
ARMS ACRES INC CARMEL NY $7.85M
CONIFER PARK, INC. TROY NY $5.79M
CONIFER PARK, INC. ROCHESTER NY $5.30M
CONIFER PARK, INC. SCHENECTADY NY $4.23M
CONIFER PARK, INC. LIVERPOOL NY $3.16M
ARMS ACRES INC JAMAICA NY $2.99M
AMORE HOME CARE SERVICES INC. CHARLOTTE NC $2.26M
ARMS ACRES INC BRONX NY $2.18M
CONIFER PARK, INC. GLENS FALLS NY $1.69M
JEFFERSON PEDIATRICS, INC. JEFFERSON GA $782K
CONIFER PARK, INC. PLATTSBURGH NY $326K
CITY OF CASPER-NATRONA COUNTY HEALTH DEPARTMENT CASPER WY $288K
ARMS ACRES, INC. JAMAICA NY $189K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $167K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $93K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $23K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $17K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $12K
PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $758.12
2019 13 $178.47
2020 60 $3K
2021 94 $1K
2022 1,024 $6K
2023 2,030 $34K
2024 3,832 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 692 560 $59K
96127 2,126 1,667 $11K
96160 2,190 1,721 $9K
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) 547 428 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 52 $4K
99205 Prolong outpt/office vis 20 15 $3K
99215 Prolong outpt/office vis 15 12 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 768 613 $2K
3074F 375 297 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 40 $934.34
3078F 170 129 $840.30
99417 Prolong home eval add 15m 22 15 $738.94
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $178.47
G8755 Most recent diastolic blood pressure >= 90 mmhg 32 29 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 43 40 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 38 28 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 31 28 $0.00