Physician
University of Maryland ST. Joseph Orthopaedics, LLC
University of Maryland ST. Joseph Orthopaedics, LLC was paid $466K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoUNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
TOWSON, MD 21204
TOWSON, MD 21204
33aNPI1982950846assigned 07/30/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$466K
24GClaims26,376
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Maryland
Rank by total paid#7 of 55
Median peer was paid$77K
This provider vs. median6.0×
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 | 4,152 | $59K | |
| 2019 | 4,283 | $44K | |
| 2020 | 3,261 | $48K | |
| 2021 | 4,683 | $78K | |
| 2022 | 3,911 | $79K | |
| 2023 | 4,379 | $94K | |
| 2024incomplete | 1,707 | $65K |
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 | 36% | 4,095 | 3,389 | $169K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 35% | 2,507 | 2,250 | $163K |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 5.6% | 1,976 | 1,756 | $26K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 4.9% | 728 | 654 | $23K |
| 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 | 3.7% | 818 | 632 | $17K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.3% | 856 | 685 | $11K |
| 73630 | 1.7% | 370 | 301 | $8K | |
| 20610 | 1.6% | 970 | 725 | $7K | |
| 73610 | 1.1% | 214 | 172 | $5K | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | <1% | 193 | 154 | $4K |
| 73562 | <1% | 358 | 270 | $4K | |
| 1090F | <1% | 2,308 | 2,013 | $3K |
25 more codes
| G9624 | Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user | <1% | 203 | $3K |
| 72100 | <1% | 133 | $3K | |
| 73110 | <1% | 123 | $3K | |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | <1% | 445 | $2K |
| G8482 | Influenza immunization administered or previously received | <1% | 1,981 | $2K |
| 73030 | <1% | 136 | $2K | |
| 99024 | <1% | 425 | $2K | |
| 73130 | <1% | 67 | $1K | |
| 1123F | <1% | 2,309 | $1K | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 1,160 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $1K |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | <1% | 368 | $1K |
| 73564 | <1% | 65 | $682.49 | |
| 1006F | <1% | 247 | $519.60 | |
| 73140 | <1% | 15 | $384.16 | |
| 73100 | <1% | 15 | $370.26 | |
| 73502 | <1% | 65 | $102.58 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | <1% | 12 | $36.18 |
| 4040F | <1% | 2,016 | $18.19 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 41 | $8.94 |
| M1168 | Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | <1% | 15 | $7.86 |
| 1124F | 0% | 968 | $0.00 | |
| 99072 | 0% | 16 | $0.00 | |
| 4004F | 0% | 25 | $0.00 | |
| 1036F | 0% | 107 | $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 officialNICHOLSON, PAUL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| University of Maryland Community Medical Group, INC. | Baltimore, MD | $30.52M |
| University of Maryland Community Medical Group, INC. | Glen Burnie, MD | $719K |
| University of Maryland Medical Regional Professional Services, LLC | Towson, MD | $20K |
| University of Maryland Community Medical Group, INC. | Glen Burnie, MD | $188.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.