NP / PA
CPT
CPT was paid $1.17M by Medicaid between Jan 2018 and May 2020, across 1 billing code. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 100% of everything it billed.
33Billing provider infoCPT
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1487038543assigned 07/17/2015
33bProvider typeFamily Health Clinical Nurse Specialist
28Total paid$1.17M
24GClaims9,867
24DCodes billed1
24AFirst – last monthJan 2018 – May 2020
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 97530 with only 1 total codes billed. Highly concentrated billing profile.
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 | 4,033 | $479K | |
| 2019 | 4,469 | $529K | |
| 2020 | 1,365 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 100% | 9,867 | 1,477 | $1.17M |
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 officialSCHNABLY, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| CPT | Cumberland, MD | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.