Medicaid Provider Spending

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

MGMC, LLC

NPI: 1891797148 · WASHINGTON, DC 20007 · General Practice Physician · NPI assigned 06/01/2005

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

Authorized official SCHNEIDER, STEPHANIE controls 20+ related entities in our dataset. Read more

$18.08M
Total Medicaid Paid
364,912
Total Claims
270,138
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHNEIDER, STEPHANIE (VP)
NPI Enumeration Date06/01/2005

Related Entities

Other providers sharing the same authorized official: SCHNEIDER, STEPHANIE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 29,329 $2.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65,813 59,567 $4.11M
99233 Prolong inpt eval add15 m 58,292 14,149 $2.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,689 36,043 $1.85M
99215 Prolong outpt/office vis 22,222 18,623 $1.61M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,296 14,358 $1.40M
88305 Level IV - Surgical pathology, gross and microscopic examination 34,365 30,852 $1.40M
99232 Subsequent hospital care, per day, moderate complexity 23,946 7,361 $853K
88307 11,154 10,186 $723K
99223 Prolong inpt eval add15 m 8,495 6,876 $557K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,036 7,332 $433K
20610 10,017 8,670 $339K
99239 Hospital discharge day management, more than 30 minutes 3,978 3,725 $239K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,585 1,255 $227K
99205 Prolong outpt/office vis 1,852 1,731 $167K
95720 1,265 596 $145K
99220 1,222 1,155 $119K
88341 2,476 2,102 $115K
99222 Initial hospital care, per day, moderate complexity 2,365 2,145 $99K
88342 4,618 4,039 $89K
85060 5,866 5,418 $84K
88312 4,149 3,873 $82K
99225 1,253 726 $63K
99217 1,356 1,279 $61K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 213 37 $55K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 674 605 $54K
99460 731 703 $52K
99219 490 461 $48K
95816 1,644 1,565 $47K
99238 Hospital discharge day management, 30 minutes or less 733 702 $36K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,519 455 $33K
88173 518 437 $27K
99226 423 311 $25K
88189 439 393 $23K
84165 2,919 2,662 $23K
99462 747 662 $23K
20550 1,133 800 $20K
0002A 834 782 $19K
99464 343 322 $18K
0001A 1,234 885 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 173 149 $17K
99221 268 256 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 150 142 $14K
95886 254 240 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 833 766 $12K
31579 136 133 $12K
88172 421 358 $12K
88313 810 691 $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) 966 923 $11K
88304 1,189 1,092 $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) 204 192 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 85 82 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 398 365 $9K
86334 1,108 1,020 $8K
99244 Office or other outpatient consultation, moderate to high complexity 44 42 $8K
84166 865 784 $8K
95819 233 216 $7K
88108 486 385 $5K
64615 41 40 $5K
99443 175 165 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 252 217 $4K
90686 349 320 $4K
29848 12 12 $4K
99442 254 245 $4K
73560 682 625 $4K
62323 53 49 $4K
90961 38 36 $4K
88112 220 203 $4K
92133 136 123 $3K
88311 619 514 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 31 $3K
99477 15 14 $3K
90715 131 122 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 26 25 $3K
99480 Subsequent intensive care, per day, low birth weight infant 28 12 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 809 763 $3K
99386 16 16 $2K
90674 143 142 $2K
92083 58 55 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12 12 $2K
73564 571 515 $2K
93000 243 214 $2K
J0585 Injection, onabotulinumtoxina, 1 unit 19 12 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 410 325 $2K
86077 59 54 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 48 41 $2K
99385 13 13 $2K
90935 Hemodialysis procedure with single evaluation by a physician 62 40 $2K
95913 15 15 $1K
0004A 59 57 $1K
0124A 44 44 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 57 48 $1K
90461 76 72 $1K
77080 71 68 $1K
73130 266 252 $1K
59025 Fetal non-stress test 57 45 $1K
77089 81 69 $1K
31231 12 12 $1K
20605 44 42 $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) 16 13 $1K
31575 13 12 $910.13
80500 71 57 $833.44
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 52 $803.39
72110 169 159 $793.67
73562 70 66 $770.23
99358 Prolong nursin fac eval 15m 31 29 $735.89
20551 36 30 $718.76
99441 93 92 $677.30
90472 Immunization administration, each additional vaccine (list separately) 41 41 $673.35
94729 28 26 $670.64
97597 77 55 $664.33
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16 16 $645.25
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17 15 $587.99
36620 14 13 $521.04
86335 55 45 $514.39
73565 230 192 $502.22
73630 128 109 $476.20
99406 60 52 $457.94
96127 97 93 $428.92
90677 34 28 $413.24
95938 17 14 $405.56
73502 131 120 $385.81
99024 44 40 $375.27
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 26 $374.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 794 757 $358.91
0031A 18 15 $303.02
90656 15 15 $302.64
69210 43 39 $281.91
92504 12 12 $263.51
96161 123 112 $260.04
97605 109 91 $240.20
J1030 Injection, methylprednisolone acetate, 40 mg 40 36 $211.78
94726 12 12 $211.08
73110 39 37 $198.07
92551 14 14 $192.00
73610 34 28 $143.96
88302 12 12 $130.18
99173 31 30 $113.65
72050 13 12 $109.01
76937 14 12 $105.20
51798 92 82 $33.84
81002 16 12 $8.34
00731 28 12 $0.00
90670 19 15 $0.00
G0008 Administration of influenza virus vaccine 30 30 $0.00