Medstar Urgent Care LLC
Medstar Urgent Care LLC was paid $49.08M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
BALTIMORE, MD 21212
Next to other General Practice Physician providers in Maryland
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 | 682 | $66K | |
| 2019 | 2,319 | $204K | |
| 2020 | 42,019 | $1.56M | |
| 2021 | 201,700 | $10.26M | |
| 2022 | 218,672 | $12.86M | |
| 2023 | 284,075 | $13.32M | |
| 2024incomplete | 150,179 | $10.81M |
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 | 39% | 191,187 | 168,253 | $18.96M |
| 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 | 16% | 72,101 | 62,746 | $7.87M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 97,978 | 85,286 | $7.79M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 54,337 | 47,002 | $4.38M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.3% | 103,372 | 88,867 | $3.09M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 54,760 | 50,127 | $1.64M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.1% | 15,030 | 14,457 | $1.53M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 15,711 | 9,922 | $739K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 75,417 | 55,362 | $738K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79,703 | 67,535 | $482K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 16,794 | 16,160 | $439K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,834 | 6,919 | $404K |
46 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,845 | $217K |
| 99205 | Prolong outpt/office vis | <1% | 2,504 | $168K |
| 81025 | <1% | 26,310 | $108K | |
| 81003 | <1% | 43,770 | $107K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 2,817 | $71K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,591 | $63K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,926 | $59K |
| 82962 | <1% | 3,602 | $53K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 466 | $34K |
| 87807 | <1% | 7,314 | $33K | |
| 93000 | <1% | 2,850 | $20K | |
| 81002 | <1% | 1,376 | $14K | |
| 87070 | <1% | 1,258 | $12K | |
| 73562 | <1% | 737 | $8K | |
| 73630 | <1% | 983 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 935 | $5K |
| 73610 | <1% | 897 | $4K | |
| 73130 | <1% | 444 | $3K | |
| 90715 | <1% | 325 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 894 | $2K |
| 29125 | <1% | 119 | $2K | |
| 73110 | <1% | 286 | $1K | |
| 73030 | <1% | 181 | $1K | |
| 96116 | <1% | 36 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $1K |
| 73140 | <1% | 248 | $904.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 248 | $806.54 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 242 | $778.13 |
| 69209 | <1% | 217 | $767.45 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 675 | $571.09 |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 16 | $528.17 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 49 | $450.23 |
| 72100 | <1% | 76 | $402.10 | |
| 86703 | <1% | 38 | $383.95 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 401 | $379.44 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 627 | $345.56 |
| 96136 | <1% | 57 | $329.99 | |
| S9083 | Global fee urgent care centers | <1% | 380 | $233.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 184 | $164.85 |
| 86308 | <1% | 55 | $57.96 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 50 | $36.66 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 61 | $24.94 |
| 29515 | <1% | 57 | $10.73 | |
| 73080 | 0% | 29 | $0.00 | |
| 99000 | 0% | 19 | $0.00 | |
| 12001 | 0% | 33 | $-18.65 |
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 |
| MGMC, LLC | Washington, DC | $18.08M |
| 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.