Patient First Maryland Medical Group PLLC
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 54092% from 2019 to 2020.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Family Medicine Peers
Total spending distribution among 19 providers in this specialty
This provider's total spending of $19.5M is at the 75th percentile among 19 Family Medicine providers.
Total Paid
$19.5M
$19,490,031
Total Claims
767K
Beneficiaries
589K
1.3 claims/patient
Avg Cost/Claim
$25
🔍 Analysis
Provider Overview
Patient First Maryland Medical Group PLLC is a Family Medicine provider based in Glen Allen, VA. From the 2018–2024 period, this provider received $19.5M in Medicaid payments across 767K claims.
Why This Matters
At $19.5M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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