Physician
Luminis Health Medical Group, LLC
Luminis Health Medical Group, LLC was paid $2.20M by Medicaid between Jul 2020 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoLUMINIS HEALTH MEDICAL GROUP, LLC
LANHAM, MD 20706
LANHAM, MD 20706
33aNPI1578197158assigned 02/24/2020
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.20M
24GClaims43,984
24DCodes billed38
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Maryland
Rank by total paid#3 of 33
Median peer was paid$154K
This provider vs. median14×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RAPATTONI, MELISSA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 2,634 | $154K | |
| 2021 | 7,182 | $380K | |
| 2022 | 11,310 | $534K | |
| 2023 | 13,664 | $644K | |
| 2024incomplete | 9,194 | $489K |
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 | 58% | 15,207 | 13,362 | $1.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 12,875 | 10,742 | $812K |
| 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 | 1.8% | 328 | 281 | $40K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 98 | 95 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,911 | 1,689 | $8K |
| 36416 | <1% | 1,492 | 1,257 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 55 | 50 | $7K |
| 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% | 235 | 231 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 160 | 141 | $6K |
| 90674 | <1% | 205 | 184 | $5K | |
| 3078F | <1% | 2,988 | 2,729 | $5K | |
| 95251 | <1% | 122 | 116 | $4K |
26 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 406 | $3K |
| 3044F | <1% | 363 | $3K | |
| 90682 | <1% | 55 | $3K | |
| 93000 | <1% | 201 | $3K | |
| 3079F | <1% | 1,375 | $2K | |
| 3074F | <1% | 3,408 | $2K | |
| 99454 | <1% | 124 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 96127 | <1% | 260 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 51 | $710.90 |
| 90715 | <1% | 13 | $474.33 | |
| 3075F | <1% | 608 | $470.15 | |
| 90661 | <1% | 38 | $433.24 | |
| 3051F | <1% | 85 | $392.61 | |
| 3077F | <1% | 432 | $285.26 | |
| 90694 | <1% | 54 | $199.49 | |
| 82962 | <1% | 98 | $140.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 60 | $125.11 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 19 | $116.40 |
| 99442 | <1% | 28 | $71.16 | |
| 99453 | <1% | 26 | $54.24 | |
| 3046F | <1% | 45 | $40.02 | |
| 3080F | <1% | 79 | $0.05 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 439 | $0.00 |
| 3052F | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15 | $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 officialRAPATTONI, MELISSA (AO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.