BENJAMIN FRIZNER, M.D.
NPI 1083633317, individual, Pikesville, MD, Internal Medicine
- Medicaid dollars per patient on code 99309 ($563 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BENJAMIN FRIZNER, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 18, 2006, last updated August 19, 2025 |
| Practice location | 1777 REISTERSTOWN RD STE 288, Pikesville, MD 21208-1344, 443-989-6247 |
| Mailing address | 13 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $1.1M | 49% | $563 | $21 (top 5% from $84) | 100th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $1.0M | 47% | $188 | $14 (top 5% from $58) | 100th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $54K | 2% | $190 | $96 (top 5% from $249) | 88th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $28K | 1% | $108 | $37 (top 5% from $100) | 97th percentile | |
| 99318 | Medicaid service code | $3K | 0% | $56 | $18 (top 5% from $58) | too few months to rank | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $2K | 0% | $126 | $67 (top 5% from $174) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 5,553 | 505 | $333K | $155 | $77 | 2.0x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,036 | 128 | $94K | $241 | $115 | 2.1x | 2.0x (90th percentile 3.3x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 406 | 398 | $59K | $337 | $186 | 1.8x | 1.9x (90th percentile 3.1x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 22 | 13 | $3K | $287 | $163 | 1.8x | 2.0x (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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | QOL COMMUNICATION SERVICES, LLC Owings Mills, MD, ranked 73 | $729K |
|
| 2 | ROXANNE FUENTES Pikesville, MD, ranked 720 | $3.0M |
|
| 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Baltimore, MD, ranked 969 | $2.1M |
|
| 4 | DEEPAK SETH Baltimore, MD, ranked 7423 | $6.1M |
|
| 4 | CARA BALTIMORE Owings Mills, MD, ranked 7444 | $5.2M |
|
| 4 | OLADIPO OLALEYE Windsor Mill, MD, ranked 7458 | $4.8M |
|
| 4 | JULIANA NWAKAMMA Windsor Mill, MD, ranked 7613 | $2.5M |
|
| 4 | EMU OHWOBETE Rosedale, MD, ranked 7877 | $784K |
|
Recent enforcement in MD
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.