Optimize Medical Group

Optimize Medical Group was paid $2.16M by Medicaid between Feb 2018 and Dec 2024, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 58% of everything it billed.

33Billing provider infoOPTIMIZE MEDICAL GROUP
PIKESVILLE, MD 21208

33aNPI1952818999assigned 12/29/2017

33bProvider typeAdult Health Nurse Practitioner

28Total paid$2.16M

24GClaims91,287

24DCodes billed7

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Maryland

Rank by total paid#3 of 34

Median peer was paid$28K

This provider vs. median78×

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	3,694	$253K
2019	7,921	$380K
2020	14,355	$260K
2021	15,568	$235K
2022	15,775	$206K
2023	16,565	$393K
2024incomplete	17,409	$430K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	58%	58,558	25,475	$1.25M
99309	Subsequent nursing facility care, per day, low to moderate complexity	41%	31,681	15,218	$875K
99310	Prolong nursin fac eval 15m	<1%	428	317	$13K
99307		<1%	280	187	$10K
99315		<1%	280	250	$5K
99304		<1%	46	45	$822.63
99306	Prolong nursin fac eval 15m	<1%	14	13	$390.38

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 officialNGUGI, JOHN (OWNER/SOLE MEMBER)

Same official

Other billing entities under NGUGI, JOHN

Full network →

Provider	Location	Paid
MBK Laboratory	Rosedale, MD	$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.