Physician
Maryland Physicians Edge LLC
Maryland Physicians Edge LLC was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoMARYLAND PHYSICIANS EDGE LLC
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
33aNPI1972922920assigned 04/07/2014
33bProvider typeGynecology Physician
28Total paid$2.28M
24GClaims42,072
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Maryland
Rank by total paid#1 of 15
Median peer was paid$14K
This provider vs. median161×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 117 | $662.49 | |
| 2019 | 17 | $957.45 | |
| 2020 | 6,889 | $232K | |
| 2021 | 7,245 | $431K | |
| 2022 | 11,661 | $598K | |
| 2023 | 9,014 | $471K | |
| 2024incomplete | 7,129 | $543K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 24,858 | 18,088 | $1.65M |
| 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 | 7.0% | 1,393 | 1,261 | $158K |
| 76830 | Ultrasound, transvaginal | 5.1% | 1,374 | 1,283 | $117K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.5% | 914 | 823 | $79K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 540 | 527 | $65K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.1% | 698 | 458 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 222 | 203 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 244 | 222 | $24K |
| 96127 | <1% | 4,240 | 3,016 | $20K | |
| 76801 | <1% | 192 | 164 | $15K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,514 | 876 | $10K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 369 | 303 | $7K |
22 more codes
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 431 | $7K |
| 87481 | <1% | 363 | $7K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 405 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 405 | $7K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 42 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | $4K |
| 59430 | <1% | 29 | $4K | |
| 99459 | <1% | 113 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $3K |
| 90715 | <1% | 74 | $3K | |
| 90674 | <1% | 74 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 19 | $1K |
| 0503F | <1% | 54 | $950.00 | |
| 96161 | <1% | 317 | $792.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 412 | $755.09 |
| 81025 | <1% | 204 | $588.79 | |
| 81002 | <1% | 224 | $548.46 | |
| 81003 | <1% | 1,123 | $498.05 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 14 | $480.00 |
| 99000 | <1% | 967 | $177.76 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $64.16 |
| 81513 | 0% | 139 | $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 officialDODSON, VICTORIA (CONTRACTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Simmonds, Martin & Helmbrecht, LLC | Damascus, MD | $7.63M |
| Susquehanna Ob-Gyn LLC | Bel Air, MD | $3.35M |
| Simmonds, Martin & Helmbrecht, LLC | Damascus, MD | $109K |
| Susquehanna Ob-Gyn LLC | Bel Air, MD | $25K |
| Women's Health Specialists of Montgomery County, LLC | Rockville, MD | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.