Maryland Medicaid Spending
Maryland's Medicaid program paid $776.0M across 4 providers from 2018–2024. 23 providers in Maryland are flagged on our risk watchlist. The top procedure code is 81416 (Exome sequence analysis) at $105.8M.
Total Spending
$776.0M
Total Claims
19.9M
Top Providers
4
Beneficiaries
18.1M
Flagged Providers
23
on risk watchlist
Avg Per Provider
$194.0M
across 4 providers
Yearly Spending Trend
Top Providers in Maryland
Mid Atlantic Pemanente Medical Group
Health Maintenance Organization · Rockville
$317.6M
10.1M claims
Genedx LLC
Medical Genetics, Ph.D. Medical Genetics · Gaithersburg
$215.3M
446K claims
Quest Diagnostics Incorporated MD
Clinical Medical Laboratory · Baltimore
$121.8M
8.3M claims
Baltimore Medical System INC
Clinic/Center Federally Qualified Health Center ( · Baltimore
$121.2M
958K claims
Flagged Providers in Maryland
Mid Atlantic Pemanente Medical Group
$317.6M
2 flags
Genedx LLC
$215.3M
1 flag
Quest Diagnostics Incorporated MD
$121.8M
1 flag
Baltimore Medical System INC
$121.2M
1 flag
Mnr Industries LLC
$107.5M
1 flag
Seasons Hospice & Palliative Care of Maryland, LLC
$84.9M
1 flag
High Quality Care Nursing INC
$77.1M
1 flag
Gilchrist Hospice Care Inc.
$60.7M
1 flag
Quality One Care Home Health Inc.
$57.8M
1 flag
Comprehensive Nursing Services INC
$46.6M
1 flag
Showing 10 of 23 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Maryland
| Code | Total Paid |
|---|---|
| 81416 Exome sequence analysis | $105.8M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $98.6M |
| 81415 | $59.4M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $46.7M |
| U0003 Infectious disease detection (COVID-19) | $29.4M |
| 81229 | $16.5M |
| 99392 Preventive medicine, established patient, age 1-4 | $16.3M |
| T1015 Clinic visit/encounter, all-inclusive | $15.5M |
| 99391 Preventive medicine, established patient, infant (under 1) | $14.9M |
| 99212 Office/outpatient visit, low complexity | $14.6M |
| 81420 Fetal chromosomal aneuploidy genomic sequence analysis | $11.3M |
| 87491 Chlamydia detection, nucleic acid, amplified probe | $11.3M |
| 90670 | $11.2M |
| 87591 Neisseria gonorrhoeae detection, nucleic acid, amplified probe | $11.2M |
| 87636 Respiratory virus detection, 6-11 targets, nucleic acid | $11.1M |