Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoMGMC, LLC
WASHINGTON, DC 20007
33aNPI1891797148assigned 06/01/2005
28Total paid$18.08M
24GClaims364,912
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in District of Columbia

Rank by total paid#1 of 7
Median peer was paid$283K
This provider vs. median64×

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 SCHNEIDER, STEPHANIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201849,711$2.52M
201955,636$2.08M
202061,302$2.35M
202165,523$3.10M
202254,077$3.15M
202349,334$2.88M
2024incomplete29,329$2.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialSCHNEIDER, STEPHANIE (VP)
Same official

Other billing entities under SCHNEIDER, STEPHANIE

Full network →
ProviderLocationPaid
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Medstar Medical Group II LLCOlney, MD$130K
Medstar Urgent Care, LLCWaldorf, MD$52K
Medstar Medical Group II LLCBrandywine, MD$48K
Medstar Urgent Care, LLCHyattsville, MD$45K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.