Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Zumo, Lawrence

Zumo, Lawrence was paid $194K by Medicaid between Jan 2018 and Dec 2023, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 41% of everything it billed.

33Billing provider infoZUMO, LAWRENCE
SILVER SPRING, MD 20910
33aNPI1093882680assigned 11/29/2006
33bProvider typeSpecialist
28Total paid$194K
24GClaims2,571
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Specialist providers in Maryland

Rank by total paid#90 of 218
Median peer was paid$88K
This provider vs. median2.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018526$50K
2019547$37K
2020646$36K
2021292$20K
2022215$16K
2023345$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 41% 717 617 $79K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 32% 1,022 408 $62K
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 18% 449 402 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.9% 248 229 $9K
95957 1.8% 65 50 $3K
99205 Prolong outpt/office vis 1.8% 18 16 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 52 20 $2K

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.