Physician
Optimal Medical Care INC
Optimal Medical Care INC was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.
33Billing provider infoOPTIMAL MEDICAL CARE INC
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1609146455assigned 01/11/2012
33bProvider typeInternal Medicine Physician
28Total paid$1.96M
24GClaims28,420
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#20 of 501
Median peer was paid$77K
This provider vs. median26×
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 | 1,637 | $98K | |
| 2019 | 1,890 | $88K | |
| 2020 | 6,399 | $485K | |
| 2021 | 5,404 | $375K | |
| 2022 | 5,083 | $333K | |
| 2023 | 4,366 | $333K | |
| 2024incomplete | 3,641 | $247K |
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 | 87% | 22,062 | 13,273 | $1.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 3,588 | 2,878 | $198K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 261 | 231 | $29K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,145 | 985 | $13K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 355 | 263 | $3K |
| W7010 | <1% | 178 | 140 | $2K | |
| 93000 | <1% | 149 | 131 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 25 | 24 | $1K |
| 99408 | <1% | 55 | 42 | $818.90 | |
| 92100 | <1% | 12 | 12 | $759.96 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $710.50 |
| 96127 | <1% | 151 | 141 | $619.82 |
8 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 52 | $421.81 |
| 99407 | <1% | 21 | $342.18 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 33 | $185.28 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $158.10 |
| 92551 | <1% | 12 | $106.92 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 154 | $61.77 |
| 90756 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 109 | $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 officialAZMI, HOOMAN (DOCTOR)