| 25 | 1 | ELIA TORRES 1831417567, individual, Takoma Park | MD | 98 | $14K | - Adjudicated (sentenced) per a state attorney general release dated September 30, 2024.
- Medicaid paid $14,399 in the last 12 observed months.
- Hours beyond a day in 28 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92507 ($1584 per patient-month) sit in the top 5% of every provider billing that code.
- A second detector adds a weaker signal.
|
| 57 | 1 | GUIDING LIVES 1417575309, organization, Baltimore | MD | 96 | $1.4M | - Adjudicated (sentenced) per a state attorney general release dated December 8, 2025.
- Medicaid paid $1,358,665 in the last 12 observed months.
|
| 67 | 1 | ANOTHER CHANCE SUPPORTIVE SERVICES 1245935337, organization, Baltimore | MD | 96 | $874K | - Adjudicated (sentenced) per a state attorney general release dated December 8, 2025.
- Medicaid paid $873,505 in the last 12 observed months.
|
| 73 | 1 | QOL COMMUNICATION SERVICES, LLC 1336486448, organization, Owings Mills | MD | 96 | $729K | - Listed on the Medicare revocation list since June 12, 2024.
- Medicaid still paid claims in 6 later months, $728,911 in total.
|
| 109 | 1 | AMSTRONG CHAPAJONG 1184005530, individual, Glenarden | MD | 95 | $232K | - Adjudicated (charged, pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated June 30, 2025.
- Medicaid paid $232,110 in the last 12 observed months.
|
| 131 | 1 | LABORATORY RX, LLC 1689923989, organization, Frederick | MD | 95 | $132K | - Listed on the Medicare revocation list since November 19, 2021.
- Medicaid still paid claims in 8 later months, $131,826 in total.
|
| 168 | 1 | ADAM MEDICAL EQUIPMENT INC 1538334222, organization, Frederick | MD | 95 | $66K | - Listed on the MI Medicaid exclusion list and the MD Medicaid exclusion list and the SC Medicaid exclusion list and the Medicare revocation list since December 13, 2023.
- Medicaid still paid claims in 11 later months, $66,391 in total.
|
| 510 | 1 | RICHARD O AKOTO MD PA 1194904078, organization, Takoma Park | MD | 90 | $0 | - Adjudicated (civil judgment) per a Department of Justice release dated August 11, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 516 | 1 | RICHARD AKOTO 1548365927, individual, Takoma Park | MD | 90 | $0 | - Adjudicated (civil judgment) per a Department of Justice release dated August 11, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 631 | 1 | GUIDING LIVES 1700402740, organization, Baltimore | MD | 90 | $0 | - Adjudicated (sentenced) per a state attorney general release dated December 8, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 669 | 1 | SAFE CHAIN SOLUTIONS, LLC 1154716165, organization, Cambridge | MD | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated March 16, 2026.
- No Medicaid payments in the last 12 observed months.
|
| 704 | 2 | ABENA ADOKO SANDO 1952666885, individual, Baltimore | MD | 85 | $581K | - Billed more hands-on hours than a day holds in 4 months, peaking at 23.0 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 90834 ($382 per patient-month) sit in the top 5% of every provider billing that code.
|
| 720 | 2 | ROXANNE FUENTES 1235211574, individual, Pikesville | MD | 81 | $3.0M | - Billed more hands-on hours than a day holds in 14 months, peaking at 19.1 hour per day across 3 billing organizations.
|
| 784 | 3 | CAPITAL HOSPICE 1386667277, organization, Greenbelt | MD | 70 | $1.5M | - Part of provider network D1-00126, ranked 126 nationally.
- Medicaid dollars per patient on code Q5003 ($6485 per patient-month) sit in the top 5% of every provider billing that code.
|
| 969 | 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. 1790899524, organization, Baltimore | MD | 66 | $2.1M | - Part of provider network D1-00126, ranked 126 nationally.
|
| 1191 | 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. 1154437879, organization, Greenbelt | MD | 66 | $389K | - Part of provider network D1-00126, ranked 126 nationally.
|
| 1439 | 3 | ADVENTIST HOME HEALTH SERVICES INC 1598826448, organization, Silver Spring | MD | 65 | $42K | - Part of provider network D1-00104, ranked 104 nationally.
|
| 2862 | 3 | SILVER SPRING HEALTH, LLC 1437473584, organization, Silver Spring | MD | 60 | $0 | - Part of provider network D1-00059, ranked 59 nationally.
|
| 3845 | 3 | HOMEWOOD LIVING WILLIAMSPORT, INC. 1811993116, organization, Williamsport | MD | 60 | $0 | - Part of provider network D1-00122, ranked 122 nationally.
|
| 4017 | 3 | JEWISH SOCIAL SERVICE AGENCY 1194832261, organization, Rockville | MD | 60 | $0 | - Part of provider network D1-00104, ranked 104 nationally.
|
| 5270 | 3 | HOMEWOOD LIVING FREDERICK, INC. 1184620395, organization, Frederick | MD | 60 | $0 | - Part of provider network D1-00122, ranked 122 nationally.
|
| 7381 | 4 | JAVAKA MOORE 1669532347, individual, Forestville | MD | 56 | $8.8M | - Hours beyond a day in 17 months, but with up to 1665 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 87798 ($255 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7423 | 4 | DEEPAK SETH 1154396711, individual, Baltimore | MD | 56 | $6.1M | - Hours beyond a day in 3 months, but with up to 1402 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99215 ($322 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7444 | 4 | CARA BALTIMORE 1588228910, individual, Owings Mills | MD | 56 | $5.2M | - Hours beyond a day in 15 months, but with up to 2463 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90834 ($351 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7450 | 4 | CHINEDU AKUBUDIKE 1942515960, individual, Riverdale | MD | 56 | $5.1M | - Hours beyond a day in 27 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($552 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7458 | 4 | OLADIPO OLALEYE 1467888529, individual, Windsor Mill | MD | 56 | $4.8M | - Hours beyond a day in 8 months, but with up to 1553 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($145 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7613 | 4 | JULIANA NWAKAMMA 1437845013, individual, Windsor Mill | MD | 55 | $2.5M | - Hours beyond a day in 8 months, but with up to 1184 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($303 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7736 | 4 | WARREN MAX-BROWNE 1669127528, individual, Westminster | MD | 55 | $1.6M | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90834 ($393 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7873 | 4 | GARY SPROUSE 1255443727, individual, Chester | MD | 55 | $816K | - Hours beyond a day in 17 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99307 ($166 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7877 | 4 | EMU OHWOBETE 1023635877, individual, Rosedale | MD | 55 | $784K | - Hours beyond a day in 3 months, but with up to 588 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($394 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7947 | 4 | WALTER TOLLER 1760060636, individual, Baltimore | MD | 55 | $480K | - Hours beyond a day in 2 months, but with up to 1173 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($152 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7956 | 4 | KADDIE KALLON 1427519404, individual, Laurel | MD | 55 | $440K | - Hours beyond a day in 1 month, but with up to 519 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99308 ($65 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7957 | 4 | ADEBISI ALLISON 1699311712, individual, Laurel | MD | 55 | $436K | - Hours beyond a day in 1 month, but with up to 155 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99309 ($118 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7997 | 4 | MUHAMMED NIAZ 1255338869, individual, Elkton | MD | 54 | $294K | - Hours beyond a day in 12 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99214 ($134 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8009 | 4 | CAROLYN HOWELL 1932368735, individual, Baltimore | MD | 54 | $254K | - Hours beyond a day in 1 month, but with up to 1404 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($167 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8104 | 4 | PRECHELLE SHANNON 1073048070, individual, Fort Washington | MD | 54 | $3.2M | - Hours beyond a day in 22 months under one organization, which can be supervisory billing.
- Records needed.
- 92% of Medicaid dollars are on codes with a history of abuse.
|
| 8110 | 4 | RAYMOND BANFER 1093714057, individual, Cumberland | MD | 53 | $30K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99213 ($124 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8148 | 4 | TRISTAN SHOCKLEY 1932242542, individual, Laurel | MD | 53 | $1.7M | - Hours beyond a day in 2 months, but with up to 1059 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicare submitted charges on code 99213 are 3.0 times the typical charge-to-allowed ratio for that code.
|
| 8348 | 4 | MAURICE REID 1679573687, individual, Bel Air | MD | 52 | $6.7M | - Hours beyond a day in 18 months, but with up to 4188 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8371 | 4 | JULIO MENOCAL 1164492401, individual, Frederick | MD | 52 | $6.0M | - Hours beyond a day in 6 months, but with up to 1349 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8401 | 4 | WALTER GIANELLE 1124007232, individual, Salisbury | MD | 52 | $5.2M | - Hours beyond a day in 4 months, but with up to 1901 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8407 | 4 | NORMAN BALOG 1285624577, individual, Silver Spring | MD | 52 | $5.1M | - Hours beyond a day in 13 months, but with up to 2313 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8449 | 4 | MARY OGUNSANYA 1922035633, individual, Glenn Dale | MD | 52 | $4.2M | - Hours beyond a day in 3 months, but with up to 1846 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8564 | 4 | SIDNEY NELSON 1033152541, individual, Pikesville | MD | 51 | $3.0M | - Hours beyond a day in 1 month, but with up to 615 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8620 | 4 | CORAZON SANCHEZ 1922058650, individual, Port Deposit | MD | 51 | $2.6M | - Hours beyond a day in 1 month, but with up to 949 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8625 | 4 | TANYA PEETE 1881902765, individual, Baltimore | MD | 51 | $2.5M | - Hours beyond a day in 12 months, but with up to 737 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8757 | 4 | EDWIN AGUILAR LOPEZ 1073619375, individual, Baltimore | MD | 51 | $1.9M | - Hours beyond a day in 3 months, but with up to 1845 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8855 | 4 | ARVIND NARASIMHAN 1477597797, individual, Fort Washington | MD | 51 | $1.4M | - Hours beyond a day in 3 months, but with up to 2181 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8860 | 4 | MANBIR TAKHAR 1083895932, individual, Germantown | MD | 51 | $1.4M | - Hours beyond a day in 1 month, but with up to 1736 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8983 | 4 | JOSEPH KISANGA 1831473628, individual, Bowie | MD | 51 | $1.0M | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
|
| 9016 | 4 | MARC WEBER 1609830850, individual, Olney | MD | 51 | $918K | - Hours beyond a day in 2 months, but with up to 1524 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9198 | 4 | AMY WETHERILL 1720113301, individual, Derwood | MD | 51 | $522K | - Hours beyond a day in 2 months, but with up to 246 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9207 | 4 | RON ELFENBEIN 1710934294, individual, Baltimore | MD | 51 | $514K | - Hours beyond a day in 1 month, but with up to 1633 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9261 | 4 | THEMBI DEPASS 1457432395, individual, Annapolis | MD | 51 | $423K | - Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9327 | 4 | MELISSA POWELL 1578873733, individual, Baltimore | MD | 51 | $332K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
|
| 9489 | 4 | TEMITOPE WILLIAMS 1972802890, individual, Cockeysville | MD | 50 | $178K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
|
| 9549 | 4 | ETA TATAW 1821347592, individual, Greenbelt | MD | 50 | $124K | - Hours beyond a day in 1 month, but with up to 675 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9588 | 4 | KATHLEEN MIRSKY 1184745309, individual, Salisbury | MD | 50 | $79K | - Hours beyond a day in 10 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9589 | 4 | JANET O'BRIEN 1396175816, individual, Salisbury | MD | 50 | $78K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
|
| 9594 | 4 | SARAH OLEKSAK 1881847515, individual, Berlin | MD | 50 | $75K | - Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9753 | 4 | JOHN THOMAS 1447696588, individual, Rising Sun | MD | 49 | $6K | - Hours beyond a day in 1 month, but with up to 24 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9912 | 5 | RENUKA CHOUDHARY 1437624509, individual, Rockville | MD | 36 | $3.4M | - Medicaid dollars per patient on code 97530 ($1059 per patient-month) sit in the top 5% of every provider billing that code.
|
| 9951 | 5 | JEANETTE MITCHELL 1659597185, individual, Westminster | MD | 35 | $2.3M | - Medicaid dollars per patient on code 99214 ($349 per patient-month) sit in the top 5% of every provider billing that code.
|
| 9996 | 5 | BENJAMIN FRIZNER 1083633317, individual, Pikesville | MD | 35 | $1.8M | - Medicaid dollars per patient on code 99309 ($563 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10016 | 5 | STEPHEN COOPER 1114002565, individual, Salisbury | MD | 35 | $1.6M | - Medicaid dollars per patient on code 99394 ($212 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10261 | 5 | JOSEPH DEKKER 1336408947, individual, Cumberland | MD | 35 | $502K | - Medicaid dollars per patient on code 99308 ($141 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10288 | 5 | SARAH BENTAJAR 1265010136, individual, Gaithersburg | MD | 35 | $443K | - Medicaid dollars per patient on code 97530 ($842 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10457 | 5 | JETHALAL HARKHANI 1750477667, individual, Salisbury | MD | 34 | $96K | - Medicaid dollars per patient on code 99223 ($184 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10581 | 5 | BRUCE TISDALE 1588816490, individual, Suitland | MD | 33 | $923K | - 69% of Medicaid dollars are on codes with a history of abuse.
|
| 10731 | 5 | JOSE ORTEGA 1952376634, individual, Kensington | MD | 32 | $3.3M | |
| 10960 | 5 | KOUDIRATOU RADJI 1699911966, individual, Berwyn Heights | MD | 31 | $1.2M | |
| 11388 | 5 | FLORENCE EZE 1437687894, individual, Baltimore | MD | 30 | $279K | |
| 11703 | 5 | SUPPORTIVE CARE OF MARYLAND LLC 1447802616, organization, Riverdale | MD | 30 | $67K | |
| 11937 | 5 | BALTIMORE HEALTH CARE P.C 1427073378, organization, Baltimore | MD | 29 | $9K | |
| 11938 | 5 | EBENEZER QUAINOO 1326033952, individual, Baltimore | MD | 29 | $9K | |
| 11948 | 5 | IRENE IRBY 1477792604, individual, Annapolis | MD | 29 | $7K | |
| 11956 | 5 | EZE DENTAL LLC 1194328203, organization, Largo | MD | 29 | $5K | |