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NPI 1477530624 · Baltimore, MD · Family Medicine Physician
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University Of Maryland Community Medical Group, Inc. is a family medicine physician provider located in Baltimore, Maryland. This profile covers 0 Medicare and 211 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | University Of Maryland Community Medical Group, Inc. |
| Address | 821 N Eutaw St |
| City | Baltimore |
| State | MD |
| ZIP | 21201 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | December 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $30.5M |
| Medicare | $0 |
This provider has no Medicare billing on file and reports $30.5M in lifetime Medicaid revenue, so its visible reimbursement activity in our dataset is effectively single‑payer and concentrated in Medicaid. The absence of Medicare claims suggests analysts should treat this profile as a Medicaid-centric operation rather than a mixed Medicare/Medicaid practice for competitive comparisons.
Revenue is highly concentrated: the top three Medicaid codes account for 72.0% of the provider's total Medicaid revenue. Those top codes are 99213 ($11M, 39.2%), 99214 ($8.3M, 29.5%), and 99392 ($948.9K, 3.4%), indicating that a small set of E/M and preventive visit codes drive the majority of Medicaid dollars.
The code mix points to a large primary care ambulatory operation with substantial preventive services: very high volumes of 99213 (154.8K claims) and 99214 (102.1K claims) alongside preventive codes 99392 (9K claims), 99391 (9.8K claims), and pediatric well visits 99393 (5.7K claims). This pattern is consistent with a primary care network that delivers frequent established‑patient visits and routine well visits, and also administers vaccines (e.g., 90686, 90648) as part of preventive care.
Beyond ambulatory primary care, the provider reports material inpatient and critical care activity: 99232 and 99233 (subsequent hospital care), 99238/99239 (discharge day management), and critical care codes 99291 (8.6K claims, $535.9K) and 99292 (2.5K claims, $157.2K). The presence and paid dollars for these codes indicate integrated hospital‑based services or a system that bills across both clinic and inpatient settings rather than being limited to outpatient only.
Competitive standing in‑state is strong for core E/M codes: 99213 ranks #6 of 3275 providers and 99214 ranks #10 of 3673 providers in Maryland, both at the 100th percentile and labeled as extreme outliers. These ranks signal that the provider is a dominant statewide performer for routine established‑patient office visits by volume compared with peers.
The practice shows above‑typical billing for higher‑complexity and specialty services as well: 99215 generates $549.3K (2.0%) and ranks #21 of 1000 (98th percentile; extreme outlier) while 99244 consults produce $319.9K and rank #7 of 118 (95th percentile). This suggests the organization also manages a meaningful share of higher‑complexity outpatient encounters relative to in‑state peers.
Diagnostic and procedural volumes support a broader service mix beyond E/M: cardiac imaging 93306 produced $463.2K (1.7%) and ranks #10 of 157 (94th percentile), and routine ECG interpretation 93010 had 86.2K claims for $344.7K (1.2%) and ranks #5 of 145 (97th percentile). These data indicate in‑house diagnostic throughput (cardiac imaging and ECGs) that is notably above typical state volumes.
The NPI was enumerated on 2005-12-29 (~21 years ago), indicating long tenure in the market. Combined with $30.5M in Medicaid revenue and multiple codes flagged as extreme outliers or notably above typical state volume, this profile describes an established, Medicaid‑focused provider with high ambulatory visit volume and a sizable footprint in both preventive care and hospital‑level services.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
211 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 154,750 | $70 | $11M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 102,060 | $80 | $8.3M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 8,950 | $110 | $948.9K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 9,850 | $100 | $935.7K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20,550 | $30 | $657.6K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 5,720 | $110 | $611.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 7,040 | $80 | $549.3K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 8,640 | $60 | $535.9K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 8,580 | $50 | $463.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 7,180 | $60 | $430.8K |
Showing 1–10 of 211
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
211 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 110 | 150 | 1,540 | $100 | $1.2M |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 1,536 | 2,200 | 890 | $110 | $596.1K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 35 | 50 | 590 | $90 | $493.6K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3 | 10 | 70 | $1,120 | $385.4K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 107 | 150 | 940 | $70 | $345.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 10 | 3,670 | 680 | $90 | $310K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 6 | 3,280 | 610 | $80 | $296.1K |
| 59409 | In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery… | 15 | 20 | 60 | $810 | $256.6K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 29 | 30 | 230 | $220 | $250.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 137 | 250 | 960 | $30 | $246.7K |
Showing 1–10 of 211
Other providers in the same ZIP code as University Of Maryland Community Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.