Physician
NPI deactivated
Kessous & Kessous MD PC
Kessous & Kessous MD PC was paid $1.06M by Medicaid between Oct 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoKESSOUS & KESSOUS MD PC
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
33aNPI1447636048assigned 08/05/2015
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$1.06M
24GClaims27,949
24DCodes billed46
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Maryland
Rank by total paid#2 of 6
Median peer was paid$22K
This provider vs. median49×
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 | 32 | $1K | |
| 2019 | 153 | $289.87 | |
| 2020 | 4,957 | $168K | |
| 2021 | 8,570 | $276K | |
| 2022 | 5,485 | $231K | |
| 2023 | 5,519 | $195K | |
| 2024incomplete | 3,233 | $192K |
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 | 52% | 7,198 | 4,818 | $557K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,294 | 1,721 | $137K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 8.9% | 1,930 | 635 | $95K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 5.8% | 859 | 624 | $61K |
| 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 | 3.3% | 240 | 216 | $35K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 921 | 667 | $35K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.0% | 848 | 302 | $21K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.4% | 552 | 204 | $15K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 968 | 647 | $14K |
| 99070 | 1.2% | 3,142 | 2,186 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 451 | 340 | $12K |
| 76881 | <1% | 134 | 105 | $8K |
34 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 87 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 147 | $7K |
| 97161 | <1% | 89 | $5K | |
| 90674 | <1% | 353 | $3K | |
| 99051 | <1% | 537 | $3K | |
| 99000 | <1% | 2,177 | $3K | |
| 0003A | <1% | 71 | $3K | |
| 97014 | <1% | 242 | $3K | |
| 99401 | <1% | 756 | $2K | |
| 0124A | <1% | 80 | $2K | |
| 99354 | <1% | 30 | $2K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 93 | $2K |
| 0072A | <1% | 46 | $2K | |
| 0071A | <1% | 46 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $2K |
| 99402 | <1% | 1,141 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 193 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 800 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 130 | $1K |
| 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% | 82 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 114 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 124 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | $768.91 |
| 87428 | <1% | 14 | $672.51 | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 26 | $610.64 |
| 0012A | <1% | 16 | $604.00 | |
| 0011A | <1% | 19 | $564.00 | |
| 0013A | <1% | 13 | $444.00 | |
| 97012 | <1% | 34 | $369.97 | |
| 76882 | <1% | 12 | $311.19 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $27.50 |
| 99072 | <1% | 801 | $13.28 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 40 | $0.00 |
| 99201 | 0% | 39 | $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 officialKESSOUS, EFRAIM (OWNER/MD)