Physician
Miles River Primary Care LLC
Miles River Primary Care LLC was paid $102K by Medicaid between Apr 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoMILES RIVER PRIMARY CARE LLC
EASTON, MD 21601
EASTON, MD 21601
33aNPI1891015012assigned 06/10/2010
33bProvider typeFamily Medicine Physician
28Total paid$102K
24GClaims7,189
24DCodes billed17
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Maryland
Rank by total paid#137 of 287
Median peer was paid$78K
This provider vs. median1.3×
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 SMITH, TAMMY controls 20+ 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 | 136 | $758.12 | |
| 2019 | 13 | $178.47 | |
| 2020 | 60 | $3K | |
| 2021 | 94 | $1K | |
| 2022 | 1,024 | $6K | |
| 2023 | 2,030 | $34K | |
| 2024incomplete | 3,832 | $56K |
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 | 58% | 692 | 560 | $59K |
| 96127 | 10% | 2,126 | 1,667 | $11K | |
| 96160 | 8.4% | 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) | 6.9% | 547 | 428 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 60 | 52 | $4K |
| 99205 | Prolong outpt/office vis | 3.1% | 20 | 15 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 15 | 12 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.3% | 768 | 613 | $2K |
| 3074F | 2.0% | 375 | 297 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | 40 | $934.34 |
| 3078F | <1% | 170 | 129 | $840.30 | |
| 99417 | Prolong home eval add 15m | <1% | 22 | 15 | $738.94 |
5 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 13 | $178.47 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 32 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 43 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 38 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 31 | $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 officialSMITH, TAMMY (PRACTICE MANAGER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.