Frederick Medical & Pulmonary Assoc
Frederick Medical & Pulmonary Assoc was paid $112K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoFREDERICK MEDICAL & PULMONARY ASSOC
FREDERICK, MD 21704
FREDERICK, MD 21704
33aNPI1184817512assigned 08/20/2007
33bProvider typeSpecialist
28Total paid$112K
24GClaims7,122
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#99 of 218
Median peer was paid$88K
This provider vs. median1.3×
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 | 1,519 | $52K | |
| 2019 | 876 | $18K | |
| 2020 | 1,193 | $10K | |
| 2021 | 1,374 | $12K | |
| 2022 | 1,135 | $9K | |
| 2023 | 553 | $7K | |
| 2024incomplete | 472 | $5K |
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 | 28% | 1,585 | 1,437 | $31K |
| 94375 | 26% | 1,250 | 1,097 | $29K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 185 | 55 | $13K |
| 99223 | Prolong inpt eval add15 m | 10% | 69 | 66 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 9.4% | 2,624 | 1,977 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.9% | 96 | 41 | $10K |
| 94010 | 4.1% | 137 | 136 | $5K | |
| G2065 | Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities | 1.1% | 94 | 90 | $1K |
| 99490 | Ccm add 20min | <1% | 555 | 554 | $501.16 |
| 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% | 13 | 13 | $316.10 |
| 99426 | 0% | 470 | 419 | $0.00 | |
| 99424 | 0% | 44 | 43 | $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 officialWARAVDEKAR, NEIL (PRESIDENT)