Providers

BENJAMIN FRIZNER, M.D.

NPI 1083633317, individual, Pikesville, MD, Internal Medicine

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99309 ($563 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 9996, $1.8M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBENJAMIN FRIZNER, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedJuly 18, 2006, last updated August 19, 2025
Practice location1777 REISTERSTOWN RD STE 288, Pikesville, MD 21208-1344, 443-989-6247
Mailing address13 RAISIN TREE CIR, Pikesville, MD 21208-1340
Specialties
Internal Medicine (207R00000X, primary, license D0061886 MD)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$1.1M49%$563$21 (top 5% from $84)100th percentile
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$1.0M47%$188$14 (top 5% from $58)100th percentile
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$54K2%$190$96 (top 5% from $249)88th percentile
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more$28K1%$108$37 (top 5% from $100)97th percentile
99318Medicaid service code$3K0%$56$18 (top 5% from $58)too few months to rank
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$2K0%$126$67 (top 5% from $174)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more5,553505$333K$155$772.0x2.0x (90th percentile 3.4x)
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,036128$94K$241$1152.1x2.0x (90th percentile 3.3x)
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more406398$59K$337$1861.8x1.9x (90th percentile 3.1x)
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2213$3K$287$1631.8x2.0x (90th percentile 3.4x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

11 providers in Baltimore County, MD carry an indicator in the public record, with $30.3M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1QOL COMMUNICATION SERVICES, LLC
Owings Mills, MD, ranked 73
$729K
  • Listed on the Medicare revocation list since June 12, 2024.
  • Medicaid still paid claims in 6 later months, $728,911 in total.
2ROXANNE FUENTES
Pikesville, MD, ranked 720
$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.
3MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.
Baltimore, MD, ranked 969
$2.1M
  • Part of provider network D1-00126, ranked 126 nationally.
4DEEPAK SETH
Baltimore, MD, ranked 7423
$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.
  • and 1 more
4CARA BALTIMORE
Owings Mills, MD, ranked 7444
$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.
  • and 1 more
4OLADIPO OLALEYE
Windsor Mill, MD, ranked 7458
$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.
  • and 1 more
4JULIANA NWAKAMMA
Windsor Mill, MD, ranked 7613
$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.
  • and 1 more
4EMU OHWOBETE
Rosedale, MD, ranked 7877
$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.
  • and 1 more
All 11 in MD

Recent enforcement in MD

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementMar 20, 2026
Health Care Management Corporation Agrees to Pay $4 Million to Resolve False Claims Act Allegations
CVR knowingly submitted claims to Medicare, Medicaid, and TRICARE for sclerotherapy, radiofrequency ablation, and endovenous laser ablation procedures to treat chronic venous insufficiency that were not clinically indicated and were medically unnecessary between January 1, 2010, and December 31, 2016.
DOJCivil settlementNov 20, 2025
Diagnostic Laboratory Agrees to Pay More Than $1 Million to Settle Alleged False Claims Act Violations
GTI agreed to pay $1.635 million to resolve allegations that it submitted Medicare claims for respiratory pathogen panels that were medically unnecessary or obtained through kickbacks paid under a marketing services agreement with an infection prevention company for laboratory test referrals from long-term care facilities.
DOJSentencedNov 13, 2025
Baltimore County Woman Sentenced for Impersonating Nurses and Aggravated Identity Theft
Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland that billed health care benefit programs including Medicare and Medicaid for services she provided, earning more than $145,000 in wages.
DOJPleaded guiltyAug 14, 2025
Baltimore County Woman Admits to Impersonating Nurses, Pleads Guilty to Aggravated Identity Theft
Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland, which billed health care benefit programs including Medicare and Medicaid for services she provided.
DOJCivil judgmentAug 11, 2025
United States Obtains More Than $1.4 Million Judgment Against Family Medical Practitioner for Fraudulent Billing
Akoto billed Medicare for auricular stimulation (P-Stim) devices using a code for a surgically implanted neurostimulator device, which Medicare does not reimburse as acupuncture.

Referral packet

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