Providers
All 11 in MD
ROXANNE FUENTES, LCSW-C
NPI 1235211574, individual, Pikesville, MD, Social Worker, Clinical
2
Evidence tier
impossible volume with concurrency
- Billed more hands-on hours than a day holds in 14 months, peaking at 19.1 hour per day across 3 billing organizations.
score 81 of 100, rank 720, $3.0M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 26.3 | 25.0 | 16.7 | 23.5 | 375 | 2 | 90834 90853 | $88K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 27.1 | 25.7 | 17.1 | 23.4 | 362 | 2 | 90834 90853 | $86K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 24.3 | 23.5 | 15.7 | 21.1 | 334 | 2 | 90834 90853 | $81K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 28.9 | 25.6 | 17.1 | 23.0 | 460 | 3 | 90791 90834 90853 | $110K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 26.3 | 23.3 | 15.5 | 23.3 | 405 | 3 | 90834 90853 | $97K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 29.9 | 25.1 | 16.7 | 22.6 | 411 | 3 | 90834 90853 | $105K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 29.8 | 26.6 | 17.7 | 24.2 | 412 | 3 | 90834 90853 | $109K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 24.3 | 16.2 | 23.9 | 469 | 3 | 90791 90834 90853 | $106K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 31.7 | 28.7 | 19.1 | 25.8 | 433 | 3 | 90834 90853 | $120K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 27.7 | 24.4 | 16.3 | 23.2 | 409 | 3 | 90834 90853 | $102K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 22.6 | 15.1 | 21.3 | 409 | 3 | 90834 90853 | $96K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 31.1 | 28.2 | 18.8 | 25.6 | 410 | 3 | 90834 90853 | $114K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.2 | 22.1 | 14.7 | 21.8 | 387 | 3 | 90834 90853 | $96K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 25.5 | 20.6 | 13.7 | 18.5 | 382 | 3 | 90834 90853 | $97K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROXANNE FUENTES, LCSW-C |
| Type | Individual |
| Status | Active |
| NPI issued | October 19, 2006, last updated January 5, 2026 |
| Practice location | 7010 ROCKLAND AVE, Pikesville, MD 21208-5916, 443-890-4078 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 13188 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $2.4M | 72% | $299 | $101 (top 5% from $318) | 94th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $912K | 27% | $117 | $60 (top 5% from $332) | 78th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $16K | 0% | $141 | $105 (top 5% from $228) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $2K | 0% | $131 | $59 (top 5% from $239) | too few months to rank |
In this area
11 providers in Baltimore County, MD carry an indicator in the public record, with $29.1M 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 |
|
| 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 |
|
| 4 | SIDNEY NELSON Pikesville, MD, ranked 8564 | $3.0M |
|
Recent enforcement in MD
All releasesDepartment 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
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.