MGMC, LLC
MGMC, LLC was paid $18.08M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
WASHINGTON, DC 20007
Next to other General Practice Physician providers in District of Columbia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 49,711 | $2.52M | |
| 2019 | 55,636 | $2.08M | |
| 2020 | 61,302 | $2.35M | |
| 2021 | 65,523 | $3.10M | |
| 2022 | 54,077 | $3.15M | |
| 2023 | 49,334 | $2.88M | |
| 2024incomplete | 29,329 | $2.01M |
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 | 23% | 65,813 | 59,567 | $4.11M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 58,292 | 14,149 | $2.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 40,689 | 36,043 | $1.85M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.9% | 22,222 | 18,623 | $1.61M |
| 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 | 7.8% | 15,296 | 14,358 | $1.40M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 7.7% | 34,365 | 30,852 | $1.40M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.7% | 23,946 | 7,361 | $853K |
| 88307 | 4.0% | 11,154 | 10,186 | $723K | |
| 99223 | Prolong inpt eval add15 m | 3.1% | 8,495 | 6,876 | $557K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 8,036 | 7,332 | $433K |
| 20610 | 1.9% | 10,017 | 8,670 | $339K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 3,978 | 3,725 | $239K |
132 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.3% | 3,585 | $227K |
| 99205 | Prolong outpt/office vis | <1% | 1,852 | $167K |
| 95720 | <1% | 1,265 | $145K | |
| 99220 | <1% | 1,222 | $119K | |
| 88341 | <1% | 2,476 | $115K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,365 | $99K |
| 88342 | <1% | 4,618 | $89K | |
| 85060 | <1% | 5,866 | $84K | |
| 88312 | <1% | 4,149 | $82K | |
| 99225 | <1% | 1,253 | $63K | |
| 99217 | <1% | 1,356 | $61K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 213 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 674 | $54K |
| 99460 | <1% | 731 | $52K | |
| 99219 | <1% | 490 | $48K | |
| 95816 | <1% | 1,644 | $47K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 733 | $36K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,519 | $33K |
| 88173 | <1% | 518 | $27K | |
| 99226 | <1% | 423 | $25K | |
| 88189 | <1% | 439 | $23K | |
| 84165 | <1% | 2,919 | $23K | |
| 99462 | <1% | 747 | $23K | |
| 20550 | <1% | 1,133 | $20K | |
| 0002A | <1% | 834 | $19K | |
| 99464 | <1% | 343 | $18K | |
| 0001A | <1% | 1,234 | $17K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 173 | $17K |
| 99221 | <1% | 268 | $15K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 150 | $14K |
| 95886 | <1% | 254 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 833 | $12K |
| 31579 | <1% | 136 | $12K | |
| 88172 | <1% | 421 | $12K | |
| 88313 | <1% | 810 | $11K | |
| 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% | 966 | $11K |
| 88304 | <1% | 1,189 | $10K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 204 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 398 | $9K |
| 86334 | <1% | 1,108 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 44 | $8K |
| 84166 | <1% | 865 | $8K | |
| 95819 | <1% | 233 | $7K | |
| 88108 | <1% | 486 | $5K | |
| 64615 | <1% | 41 | $5K | |
| 99443 | <1% | 175 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 252 | $4K |
| 90686 | <1% | 349 | $4K | |
| 29848 | <1% | 12 | $4K | |
| 99442 | <1% | 254 | $4K | |
| 73560 | <1% | 682 | $4K | |
| 62323 | <1% | 53 | $4K | |
| 90961 | <1% | 38 | $4K | |
| 88112 | <1% | 220 | $4K | |
| 92133 | <1% | 136 | $3K | |
| 88311 | <1% | 619 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $3K |
| 99477 | <1% | 15 | $3K | |
| 90715 | <1% | 131 | $3K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 26 | $3K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 28 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 809 | $3K |
| 99386 | <1% | 16 | $2K | |
| 90674 | <1% | 143 | $2K | |
| 92083 | <1% | 58 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 12 | $2K |
| 73564 | <1% | 571 | $2K | |
| 93000 | <1% | 243 | $2K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 19 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 410 | $2K |
| 86077 | <1% | 59 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 48 | $2K |
| 99385 | <1% | 13 | $2K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 62 | $2K |
| 95913 | <1% | 15 | $1K | |
| 0004A | <1% | 59 | $1K | |
| 0124A | <1% | 44 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $1K |
| 90461 | <1% | 76 | $1K | |
| 77080 | <1% | 71 | $1K | |
| 73130 | <1% | 266 | $1K | |
| 59025 | Fetal non-stress test | <1% | 57 | $1K |
| 77089 | <1% | 81 | $1K | |
| 31231 | <1% | 12 | $1K | |
| 20605 | <1% | 44 | $1K | |
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | <1% | 16 | $1K |
| 31575 | <1% | 13 | $910.13 | |
| 80500 | <1% | 71 | $833.44 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $803.39 |
| 72110 | <1% | 169 | $793.67 | |
| 73562 | <1% | 70 | $770.23 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 31 | $735.89 |
| 20551 | <1% | 36 | $718.76 | |
| 99441 | <1% | 93 | $677.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 41 | $673.35 |
| 94729 | <1% | 28 | $670.64 | |
| 97597 | <1% | 77 | $664.33 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 16 | $645.25 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | $587.99 |
| 36620 | <1% | 14 | $521.04 | |
| 86335 | <1% | 55 | $514.39 | |
| 73565 | <1% | 230 | $502.22 | |
| 73630 | <1% | 128 | $476.20 | |
| 99406 | <1% | 60 | $457.94 | |
| 96127 | <1% | 97 | $428.92 | |
| 90677 | <1% | 34 | $413.24 | |
| 95938 | <1% | 17 | $405.56 | |
| 73502 | <1% | 131 | $385.81 | |
| 99024 | <1% | 44 | $375.27 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $374.27 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 794 | $358.91 |
| 0031A | <1% | 18 | $303.02 | |
| 90656 | <1% | 15 | $302.64 | |
| 69210 | <1% | 43 | $281.91 | |
| 92504 | <1% | 12 | $263.51 | |
| 96161 | <1% | 123 | $260.04 | |
| 97605 | <1% | 109 | $240.20 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 40 | $211.78 |
| 94726 | <1% | 12 | $211.08 | |
| 73110 | <1% | 39 | $198.07 | |
| 92551 | <1% | 14 | $192.00 | |
| 73610 | <1% | 34 | $143.96 | |
| 88302 | <1% | 12 | $130.18 | |
| 99173 | <1% | 31 | $113.65 | |
| 72050 | <1% | 13 | $109.01 | |
| 76937 | <1% | 14 | $105.20 | |
| 51798 | <1% | 92 | $33.84 | |
| 81002 | <1% | 16 | $8.34 | |
| 00731 | 0% | 28 | $0.00 | |
| 90670 | 0% | 19 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| WHC Physician Group LLC | Washington, DC | $93.89M |
| Medstar Medical Group II LLC | Baltimore, MD | $91.62M |
| Medstar Urgent Care LLC | Baltimore, MD | $49.08M |
| Medstar Franklin Square Physicians LLC | Baltimore, MD | $15.78M |
| Medstar Medical Group II | Baltimore, MD | $6.39M |
| Medstar Heart Institute LLC | Washington, DC | $4.73M |
| Medstar Harbor Hospital Physicians LLC | Baltimore, MD | $3.85M |
| Washington Hospital Center Corp | Washington, DC | $3.66M |
| Medstar Union Memorial Physicians LLC | Baltimore, MD | $3.43M |
| Medstar Medical Group Anesthesiology LLC | Baltimore, MD | $3.37M |
| WHC Physician Group LLC | Washington, DC | $2.71M |
| Bay Life Services Corporation | Baltimore, MD | $2.22M |
| Medstar Good Samaritan Physicians LLC | Baltimore, MD | $1.46M |
| Medstar Total Elder Care LLC | Washington, DC | $1.19M |
| Medstar Georgetown Medical Center, INC | Washington, DC | $925K |
| Washington Hospital Center Corp | Washington, DC | $527K |
| Medstar Medical Group II LLC | Olney, MD | $130K |
| Medstar Urgent Care, LLC | Waldorf, MD | $52K |
| Medstar Medical Group II LLC | Brandywine, MD | $48K |
| Medstar Urgent Care, LLC | Hyattsville, MD | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.