Montgomery Medical Associates, P.C.
Montgomery Medical Associates, P.C. was paid $2.19M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 42% of everything it billed.
33Billing provider infoMONTGOMERY MEDICAL ASSOCIATES, P.C.
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
33aNPI1760432462assigned 05/11/2006
33bProvider typeSpecialist
28Total paid$2.19M
24GClaims63,823
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#19 of 218
Median peer was paid$88K
This provider vs. median25×
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 | 10,866 | $710K | |
| 2019 | 9,241 | $440K | |
| 2020 | 9,666 | $272K | |
| 2021 | 11,821 | $290K | |
| 2022 | 12,995 | $260K | |
| 2023 | 7,820 | $195K | |
| 2024incomplete | 1,414 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 42% | 22,488 | 12,672 | $929K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 26% | 21,859 | 10,590 | $566K |
| 99349 | 7.2% | 3,640 | 2,906 | $157K | |
| 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 | 7.1% | 4,248 | 3,547 | $154K |
| 99306 | Prolong nursin fac eval 15m | 4.1% | 1,942 | 1,346 | $90K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 502 | 356 | $62K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 944 | 261 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 435 | 95 | $36K |
| 11721 | 1.1% | 2,783 | 2,551 | $25K | |
| 99348 | <1% | 688 | 570 | $19K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 454 | 402 | $18K |
| 99497 | <1% | 1,092 | 876 | $16K |
18 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 304 | $10K |
| 99307 | <1% | 274 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 268 | $7K |
| 99336 | <1% | 232 | $6K | |
| 90682 | <1% | 287 | $5K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 346 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 42 | $4K |
| 93000 | <1% | 147 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 106 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 364 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 46 | $3K |
| 90662 | <1% | 60 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 110 | $2K |
| 99305 | <1% | 29 | $563.73 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 77 | $486.63 |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | <1% | 12 | $173.72 |
| 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% | 30 | $121.51 |
| 91322 | <1% | 14 | $109.83 |
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 officialDADGAR, ANUSHIRAVAN (OWNER)