Clinic
Krystal Medical Associates LLC
Krystal Medical Associates LLC was paid $2.27M by Medicaid between Jan 2018 and Oct 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoKRYSTAL MEDICAL ASSOCIATES LLC
GLENN DALE, MD 20769
GLENN DALE, MD 20769
33aNPI1164604187assigned 11/30/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.27M
24GClaims30,964
24DCodes billed41
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Maryland
Rank by total paid#6 of 37
Median peer was paid$471K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2018 | 4,848 | $297K | |
| 2019 | 4,308 | $258K | |
| 2020 | 3,845 | $328K | |
| 2021 | 4,045 | $310K | |
| 2022 | 5,188 | $421K | |
| 2023 | 5,642 | $423K | |
| 2024incomplete | 3,088 | $236K |
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 | 53% | 12,645 | 9,625 | $1.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 11,629 | 8,492 | $775K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.5% | 335 | 313 | $80K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 619 | 578 | $79K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 245 | 236 | $35K |
| 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% | 122 | 118 | $18K |
| 93000 | <1% | 1,193 | 1,051 | $13K | |
| 93925 | <1% | 77 | 68 | $13K | |
| 92552 | <1% | 651 | 581 | $10K | |
| 99443 | <1% | 133 | 104 | $7K | |
| 93930 | <1% | 34 | 28 | $5K | |
| 92551 | <1% | 564 | 486 | $5K |
29 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 108 | $5K |
| 99407 | <1% | 157 | $3K | |
| 93970 | <1% | 27 | $2K | |
| 93351 | <1% | 17 | $2K | |
| 99173 | <1% | 1,193 | $2K | |
| 94617 | <1% | 34 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 61 | $1K |
| 94375 | <1% | 49 | $1K | |
| 94618 | <1% | 34 | $805.71 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $706.59 |
| 94200 | <1% | 49 | $673.53 | |
| 93320 | <1% | 17 | $507.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 36 | $464.64 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | $452.98 |
| 96103 | <1% | 32 | $445.70 | |
| 94150 | <1% | 29 | $400.64 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 47 | $303.34 |
| 93325 | <1% | 16 | $243.40 | |
| 82948 | <1% | 73 | $192.46 | |
| 90674 | <1% | 14 | $153.92 | |
| 99406 | <1% | 12 | $115.01 | |
| G0403 | Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | <1% | 14 | $24.96 |
| 36416 | <1% | 78 | $1.50 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 136 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 30 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 48 | $0.00 |
| 99499 | 0% | 285 | $0.00 | |
| 96160 | 0% | 17 | $0.00 | |
| 99497 | 0% | 21 | $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 officialONYEAGHALA, NWAEHIHIE (PRESIDENT)