Physician
Adventist Physician Services, INC.
Adventist Physician Services, INC. was paid $9.19M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoADVENTIST PHYSICIAN SERVICES, INC.
GAITHERSBURG, MD 20878
GAITHERSBURG, MD 20878
33aNPI1376623207assigned 10/16/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$9.19M
24GClaims263,725
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Maryland
Rank by total paid#1 of 33
Median peer was paid$31K
This provider vs. median295×
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 | 18,109 | $1.02M | |
| 2019 | 12,909 | $404K | |
| 2020 | 37,020 | $1.22M | |
| 2021 | 42,125 | $1.50M | |
| 2022 | 57,517 | $1.80M | |
| 2023 | 51,635 | $1.71M | |
| 2024incomplete | 44,410 | $1.53M |
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 | 30% | 41,562 | 34,509 | $2.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 28,089 | 22,620 | $1.57M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 18,883 | 5,183 | $1.18M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 26,952 | 6,309 | $1.03M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.7% | 8,474 | 7,730 | $520K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.4% | 90,285 | 72,487 | $408K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 3,997 | 3,356 | $348K |
| 93000 | 3.3% | 13,930 | 12,139 | $308K | |
| 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 | 3.1% | 3,552 | 3,227 | $281K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6% | 2,534 | 2,349 | $148K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 2,222 | 1,944 | $137K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 1,843 | 1,560 | $104K |
66 more codes
| 59410 | <1% | 110 | $66K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 728 | $38K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 381 | $26K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,556 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 211 | $23K |
| 0012A | <1% | 658 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 553 | $14K |
| 81003 | <1% | 738 | $14K | |
| 0011A | <1% | 606 | $13K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 638 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 653 | $12K |
| 93297 | <1% | 1,005 | $11K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 194 | $10K |
| 93296 | <1% | 1,054 | $9K | |
| 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% | 386 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 54 | $7K |
| 81002 | <1% | 563 | $6K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 629 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 900 | $6K |
| 47563 | <1% | 12 | $6K | |
| 90653 | <1% | 214 | $6K | |
| 0002A | <1% | 169 | $5K | |
| 51798 | <1% | 238 | $4K | |
| 90686 | <1% | 258 | $4K | |
| 90715 | <1% | 123 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 350 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 595 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 950 | $2K |
| 0001A | <1% | 175 | $2K | |
| 90756 | <1% | 120 | $2K | |
| 93280 | <1% | 340 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $2K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 39 | $1K |
| 82962 | <1% | 245 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 556 | $1K |
| 93246 | <1% | 55 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $1K |
| 93015 | <1% | 1,119 | $795.14 | |
| 99442 | <1% | 92 | $755.64 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 67 | $712.74 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $631.04 |
| 90656 | <1% | 29 | $576.34 | |
| 93458 | <1% | 15 | $452.23 | |
| 93922 | <1% | 19 | $428.40 | |
| 0031A | <1% | 15 | $400.66 | |
| 90682 | <1% | 14 | $375.54 | |
| 96160 | <1% | 168 | $364.92 | |
| 93248 | <1% | 76 | $343.91 | |
| 99497 | <1% | 27 | $298.85 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $197.63 |
| 81025 | <1% | 31 | $182.41 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 24 | $180.89 |
| 93294 | <1% | 675 | $153.73 | |
| 93244 | <1% | 12 | $132.52 | |
| 99441 | <1% | 36 | $109.34 | |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | <1% | 21 | $106.36 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,142 | $66.38 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 14 | $65.07 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 102 | $44.35 |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 566 | $42.25 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 39 | $38.20 |
| 90694 | <1% | 287 | $9.74 | |
| 93295 | <1% | 40 | $7.00 | |
| 3725F | 0% | 548 | $0.00 | |
| 90677 | 0% | 25 | $0.00 | |
| 93970 | 0% | 26 | $-21.19 |
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 officialMCCLAIN, PAMELA (VICE PRESIDENT RCM)
| Provider | Location | Paid |
|---|---|---|
| Adventist Healthcare, INC | Silver Spring, MD | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.