Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LUMINIS HEALTH MEDICAL GROUP, LLC

NPI: 1578197158 · LANHAM, MD 20706 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 02/24/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAPATTONI, MELISSA controls 20+ related entities in our dataset. Read more

$2.20M
Total Medicaid Paid
43,984
Total Claims
38,359
Beneficiaries
38
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAPATTONI, MELISSA (AO)
NPI Enumeration Date02/24/2020

Related Entities

Other providers sharing the same authorized official: RAPATTONI, MELISSA

ProviderCityStateTotal Paid
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $2.00M
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $1.59M
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $1.23M
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $1.13M
LUMINIS HEALTH COMMUNITY CLINICS, LLC ANNAPOLIS MD $1.05M
LUMINIS HEALTH MEDICAL GROUP, LLC LANHAM MD $777K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $764K
LUMINIS HEALTH MEDICAL GROUP, LLC PASADENA MD $606K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $588K
LUMINIS HEALTH MEDICAL GROUP, LLC EASTON MD $525K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $483K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $431K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $347K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $304K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $289K
LUMINIS HEALTH MEDICAL GROUP, LLC LARGO MD $281K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $249K
LUMINIS HEALTH MEDICAL GROUP, LLC CHESTER MD $234K
LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD $206K
LUMINIS HEALTH MEDICAL GROUP, LLC CENTREVILLE MD $191K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,634 $154K
2021 7,182 $380K
2022 11,310 $534K
2023 13,664 $644K
2024 9,194 $489K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,207 13,362 $1.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,875 10,742 $812K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 328 281 $40K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 98 95 $12K
83036 Hemoglobin; glycosylated (A1C) 1,911 1,689 $8K
36416 1,492 1,257 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 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) 235 231 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 160 141 $6K
90674 205 184 $5K
3078F 2,988 2,729 $5K
95251 122 116 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 406 343 $3K
3044F 363 347 $3K
90682 55 52 $3K
93000 201 182 $3K
3079F 1,375 1,233 $2K
3074F 3,408 3,096 $2K
99454 124 124 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
96127 260 219 $1K
G0008 Administration of influenza virus vaccine 51 50 $710.90
90715 13 13 $474.33
3075F 608 543 $470.15
90661 38 33 $433.24
3051F 85 82 $392.61
3077F 432 379 $285.26
90694 54 52 $199.49
82962 98 81 $140.68
36415 Collection of venous blood by venipuncture 60 53 $125.11
90460 Immunization administration through 18 years of age via any route, first or only component 19 14 $116.40
99442 28 26 $71.16
99453 26 26 $54.24
3046F 45 41 $40.02
3080F 79 72 $0.05
G8510 Screening for depression is documented as negative, a follow-up plan is not required 439 384 $0.00
3052F 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 12 $0.00