JOSHI & MERCHANT, MD,PA
NPI: 1609811447
· COLUMBIA, MD 21045
· Clinical Social Worker
· NPI assigned 06/17/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 99213 with only 2 total codes billed. Highly concentrated billing profile.
$1.61M
Total Medicaid Paid
Provider Details
| Authorized Official | JOSHI, MILAN (PRESIDENT) |
| NPI Enumeration Date | 06/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,202 |
$164K |
| 2019 |
2,314 |
$149K |
| 2020 |
2,962 |
$165K |
| 2021 |
3,552 |
$230K |
| 2022 |
4,222 |
$295K |
| 2023 |
4,082 |
$317K |
| 2024 |
3,704 |
$285K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,521 |
20,073 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
429 |
$51K |