Physician
Menocal Medical Services PA
Menocal Medical Services PA was paid $2.03M by Medicaid between Jan 2020 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoMENOCAL MEDICAL SERVICES PA
FREDERICK, MD 21702
FREDERICK, MD 21702
33aNPI1083795918assigned 10/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.03M
24GClaims127,373
24DCodes billed61
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Maryland
Rank by total paid#20 of 287
Median peer was paid$78K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 3,825 | $228K | |
| 2021 | 16,610 | $314K | |
| 2022 | 34,504 | $522K | |
| 2023 | 44,725 | $616K | |
| 2024incomplete | 27,709 | $351K |
Box 24 · Service lines
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 | 42% | 7,860 | 6,193 | $851K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 10,975 | 8,696 | $833K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.9% | 1,549 | 1,346 | $60K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 369 | 278 | $45K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 389 | 336 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 742 | 594 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 288 | 254 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 154 | 147 | $18K |
| 93000 | <1% | 1,202 | 1,031 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 110 | 83 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 125 | 120 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 107 | 91 | $11K |
49 more codes
| 90686 | <1% | 500 | $10K | |
| 99385 | <1% | 50 | $7K | |
| 96127 | <1% | 1,791 | $6K | |
| 0011A | <1% | 128 | $4K | |
| 81002 | <1% | 1,527 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 78 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 259 | $3K |
| 0012A | <1% | 84 | $3K | |
| 81025 | <1% | 589 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 167 | $3K |
| 90651 | <1% | 88 | $3K | |
| 82962 | <1% | 1,031 | $2K | |
| 99173 | <1% | 895 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 0064A | <1% | 36 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 138 | $924.63 |
| 90619 | <1% | 36 | $905.96 | |
| 90698 | <1% | 39 | $861.36 | |
| 90674 | <1% | 29 | $838.32 | |
| 90715 | <1% | 27 | $654.32 | |
| 99406 | <1% | 73 | $632.70 | |
| 90677 | <1% | 16 | $591.30 | |
| 90670 | <1% | 27 | $582.00 | |
| 90688 | <1% | 26 | $476.52 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 296 | $437.32 |
| 99050 | <1% | 21 | $425.00 | |
| 90734 | <1% | 16 | $372.48 | |
| 90633 | <1% | 16 | $325.92 | |
| 96160 | <1% | 111 | $257.61 | |
| 3074F | <1% | 11,348 | $11.00 | |
| 3078F | <1% | 9,000 | $8.63 | |
| 3079F | <1% | 4,234 | $4.15 | |
| 99499 | <1% | 318 | $2.03 | |
| 3075F | <1% | 1,866 | $1.92 | |
| 1160F | <1% | 14,243 | $1.55 | |
| 1036F | <1% | 12,846 | $1.34 | |
| 1159F | <1% | 13,420 | $0.96 | |
| 3008F | <1% | 15,485 | $0.90 | |
| 3080F | <1% | 735 | $0.70 | |
| 3077F | <1% | 857 | $0.59 | |
| 1034F | <1% | 3,279 | $0.15 | |
| 3725F | <1% | 4,050 | $0.15 | |
| 1125F | 0% | 422 | $0.00 | |
| 1126F | 0% | 1,350 | $0.00 | |
| 1035F | 0% | 598 | $0.00 | |
| 3044F | 0% | 87 | $0.00 | |
| 90656 | 0% | 62 | $0.00 | |
| 3288F | 0% | 1,172 | $0.00 | |
| 1100F | 0% | 24 | $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 officialMENOCAL, JULIO (PRESIDENT)