Ideal Option, PLLC
Ideal Option, PLLC was paid $1.79M by Medicaid between Nov 2018 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
CUMBERLAND, MD 21502
Next to other Clinic/Center providers in Maryland
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 38 | $6K | |
| 2019 | 1,968 | $204K | |
| 2020 | 1,531 | $151K | |
| 2021 | 2,587 | $314K | |
| 2022 | 3,319 | $467K | |
| 2023 | 2,278 | $316K | |
| 2024incomplete | 2,411 | $330K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 13,131 | 8,435 | $1.66M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 448 | 347 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 510 | 393 | $38K |
| 99205 | Prolong outpt/office vis | <1% | 43 | 43 | $9K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ideal Option, PLLC | Kennewick, WA | $39.28M |
| Ideal Option, PLLC | Hagerstown, MD | $7.35M |
| Ideal Option, PLLC | Cut Bank, MT | $3.65M |
| Ideal Option, PLLC | Great Falls, MT | $3.29M |
| Colorado Hospitalist Services, PLLC | Englewood, CO | $2.21M |
| Ideal Option, PLLC | Bozeman, MT | $1.62M |
| Eagle Creek Emergency Group, PC | Paris, TN | $1.42M |
| Ideal Option Lab | Kennewick, WA | $1.32M |
| Ideal Option, PLLC | Billings, MT | $1.16M |
| Ideal Option, PLLC | Frederick, MD | $1.06M |
| Ideal Option, PLLC | Waldorf, MD | $917K |
| Ideal Option, PLLC | Kalispell, MT | $731K |
| Ideal Option, PLLC | Helena, MT | $702K |
| Ideal Option, PLLC | Helena, MT | $695K |
| Ideal Option, PLLC | Williston, ND | $691K |
| Ideal Option, PLLC | Great Falls, MT | $676K |
| Ideal Option, PLLC | Butte, MT | $620K |
| Ideal Option, PLLC | Catonsville, MD | $590K |
| Havely Springs Emergency Group, PC | Springfield, TN | $584K |
| Colorado Hospitalist Services, PLLC | Denver, CO | $341K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.