Clinic
Advanced Functional Health and Wellness
Advanced Functional Health and Wellness was paid $438K by Medicaid between Jan 2018 and Feb 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoADVANCED FUNCTIONAL HEALTH AND WELLNESS
GAITHERSBURG, MD 20878
GAITHERSBURG, MD 20878
33aNPI1730450990assigned 01/19/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$438K
24GClaims10,223
24DCodes billed19
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#41 of 112
Median peer was paid$200K
This provider vs. median2.2×
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 | 347 | $19K | |
| 2019 | 489 | $20K | |
| 2020 | 4,664 | $178K | |
| 2021 | 4,245 | $194K | |
| 2022 | 478 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 4,783 | 3,855 | $276K |
| 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 | 14% | 1,017 | 829 | $60K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.7% | 318 | 291 | $34K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.5% | 251 | 222 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 437 | 396 | $18K |
| 90682 | 3.0% | 274 | 247 | $13K | |
| 3008F | <1% | 1,512 | 1,281 | $2K | |
| 99406 | <1% | 213 | 168 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $1K |
| 95115 | <1% | 236 | 44 | $1K | |
| 90686 | <1% | 48 | 41 | $741.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 293 | 262 | $651.17 |
7 more codes
| 3011F | <1% | 180 | $624.00 | |
| 99173 | <1% | 154 | $372.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $282.48 |
| G0008 | Administration of influenza virus vaccine | <1% | 49 | $274.20 |
| 99401 | <1% | 382 | $166.62 | |
| 99050 | <1% | 15 | $134.40 | |
| 0513F | <1% | 34 | $57.00 |
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 officialGBONE, LOUIS (MANAGER)