Physician
Ennoble HC DMV LLC
Ennoble HC DMV LLC was paid $153K by Medicaid between Nov 2022 and Dec 2024, across 14 billing codes. Its largest line is 99350, Prolong home eval add 15m — 35% of everything it billed.
33Billing provider infoENNOBLE HC DMV LLC
FULTON, MD 20759
FULTON, MD 20759
33aNPI1104492115assigned 06/01/2021
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$153K
24GClaims7,107
24DCodes billed14
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Maryland
Rank by total paid#4 of 9
Median peer was paid$145K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2022 | 241 | $4K | |
| 2023 | 3,427 | $70K | |
| 2024incomplete | 3,439 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 35% | 1,533 | 1,461 | $54K |
| 99489 | Ccm add 20min | 24% | 927 | 924 | $37K |
| 99439 | 15% | 926 | 921 | $23K | |
| 99349 | 8.2% | 504 | 482 | $13K | |
| 99490 | Ccm add 20min | 7.0% | 1,623 | 1,615 | $11K |
| 99487 | Ccm add 20min | 5.5% | 1,204 | 1,201 | $8K |
| 99497 | 1.4% | 72 | 71 | $2K | |
| 99493 | 1.0% | 91 | 91 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 57 | 56 | $1K |
| 99458 | <1% | 37 | 37 | $972.49 | |
| 99345 | Prolong home eval add 15m | <1% | 25 | 25 | $589.56 |
| 90694 | <1% | 13 | 13 | $253.63 |
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 officialDAS, KUSH (MANAGER)