Physician
M Medical Group, INC.
M Medical Group, INC. was paid $11.32M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.
33Billing provider infoM MEDICAL GROUP, INC.
CLINTON, MD 20735
CLINTON, MD 20735
33aNPI1780056168assigned 10/26/2015
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$11.32M
24GClaims296,272
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Maryland
Rank by total paid#1 of 26
Median peer was paid$114K
This provider vs. median100×
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 | 8,018 | $742K | |
| 2019 | 15,114 | $812K | |
| 2020 | 25,226 | $895K | |
| 2021 | 32,824 | $1.12M | |
| 2022 | 50,406 | $1.91M | |
| 2023 | 68,211 | $2.90M | |
| 2024incomplete | 96,473 | $2.94M |
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 | 56% | 160,639 | 46,894 | $6.29M |
| 99308 | Subsequent nursing facility care, per day, straightforward | 26% | 93,287 | 32,223 | $2.95M |
| 99310 | Prolong nursin fac eval 15m | 7.5% | 15,816 | 8,417 | $848K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 11,972 | 2,758 | $718K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.3% | 1,677 | 532 | $255K |
| 99306 | Prolong nursin fac eval 15m | 1.4% | 3,320 | 2,861 | $156K |
| 99491 | Ccm add 20min | <1% | 3,750 | 3,398 | $32K |
| 99307 | <1% | 1,932 | 770 | $28K | |
| 99497 | <1% | 558 | 471 | $10K | |
| 99490 | Ccm add 20min | <1% | 1,291 | 1,247 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 130 | 36 | $7K |
| 99418 | Prolong nursin fac eval 15m | <1% | 285 | 259 | $6K |
13 more codes
| 99316 | <1% | 393 | $6K | |
| 99318 | <1% | 137 | $4K | |
| 99356 | <1% | 152 | $4K | |
| 99305 | <1% | 80 | $3K | |
| 31502 | <1% | 109 | $2K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 90 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 99315 | <1% | 77 | $598.39 | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 404 | $596.81 |
| 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% | 60 | $588.20 |
| 90658 | <1% | 15 | $0.04 | |
| 90662 | 0% | 19 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 67 | $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 officialMOAWAD, GERARD (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| M Management Group LLC | Landover, MD | $900K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.