Medicaid Provider Spending

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

JOHNS HOPKINS UNIVERSITY

NPI: 1902332133 · BALTIMORE, MD 21287 · Hospitalist Physician · NPI assigned 05/09/2017

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

Authorized official KEATING, SHAVONDA controls 20+ related entities in our dataset. Read more

$3.82M
Total Medicaid Paid
141,643
Total Claims
45,851
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEATING, SHAVONDA (SR PRODUCTION UNIT MGR)
Parent OrganizationJOHNS HOPKINS UNIVERSITY
NPI Enumeration Date05/09/2017

Related Entities

Other providers sharing the same authorized official: KEATING, SHAVONDA

ProviderCityStateTotal Paid
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $21.16M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $15.24M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $8.58M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $6.20M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $5.81M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $4.92M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $4.03M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $3.35M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $2.47M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.72M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.69M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.56M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.52M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.50M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.45M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $1.29M
JOHNS HOPKINS UNIVERSITY LUTHERVILLE MD $1.06M
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $832K
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $821K
JOHNS HOPKINS UNIVERSITY BALTIMORE MD $737K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,248 $467K
2019 7,188 $329K
2020 10,226 $440K
2021 14,168 $682K
2022 25,121 $633K
2023 44,334 $723K
2024 33,358 $547K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 53,948 15,943 $2.64M
99232 Subsequent hospital care, per day, moderate complexity 10,862 4,241 $266K
99239 Hospital discharge day management, more than 30 minutes 6,065 5,800 $196K
1123F 20,739 3,728 $180K
99223 Prolong inpt eval add15 m 5,534 5,278 $156K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 7,356 1,455 $137K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,559 891 $86K
99220 1,004 977 $75K
1124F 4,136 1,001 $49K
99222 Initial hospital care, per day, moderate complexity 518 505 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 414 154 $5K
99418 Prolong nursin fac eval 15m 92 49 $5K
99219 41 39 $4K
99217 77 77 $3K
99215 Prolong outpt/office vis 155 125 $3K
99205 Prolong outpt/office vis 48 48 $3K
99238 Hospital discharge day management, 30 minutes or less 61 56 $2K
99226 114 89 $2K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 1,209 645 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 23,805 4,378 $1K
99356 93 55 $1K
G9996 Documentation stating the patient has received or is currently receiving palliative or hospice care 52 12 $708.66
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15 12 $538.91
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80 64 $181.86
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 648 211 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 18 $0.00