Providers

OLUSHOLA OLADELE

NPI 1295374221, individual, Washington, DC, Nurse Practitioner, Family

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99309 ($139 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7942, $499K 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2022More hours than a day holds at a conservative unit price12.642.128.041.480199309$32K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameOLUSHOLA OLADELE
TypeIndividual
StatusActive
NPI issuedDecember 20, 2019, last updated May 12, 2026
Practice location2425 25TH ST SE, Washington, DC 20020-3409, 202-889-3600
Mailing address17204 SUMMERWOOD LN, Accokeek, MD 20607-3450
Specialties
Nurse Practitioner, Psych/Mental Health (363LP0808X, license R214571 MD)
Nurse Practitioner, Family (363LF0000X, primary, license R214571 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$572K93%$139$21 (top 5% from $84)98th percentile
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$31K5%$78$14 (top 5% from $58)97th percentile
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more$6K1%$87$37 (top 5% from $100)too few months to rank
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes$3K0%$90$30 (top 5% from $134)too few months to rank
99318Medicaid service code$2K0%$44$18 (top 5% from $58)too few months to rank
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes$2K0%$26$7.86 (top 5% from $34)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,952117$148K$182$991.8x2.0x (90th percentile 3.3x)
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4343$5K$267$1411.9x2.0x (90th percentile 3.4x)
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more2424$3K$331$1662.0x1.9x (90th percentile 3.1x)

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 District of Columbia County, DC carry an indicator in the public record, with $7.5M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 4. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1STEVEN PRICE
Washington, DC, ranked 592
$0
  • Adjudicated (convicted) per a Department of Justice release dated March 4, 2026.
  • No Medicaid payments in the last 12 observed months.
1HOLY HEALTH CARE SERVICES LLC
Washington, DC, ranked 625
$0
  • Adjudicated (sentenced) per a Department of Justice release dated February 8, 2024.
  • No Medicaid payments in the last 12 observed months.
3GOSHEN HEALTHCARE & MANAGEMENT SERVICES
Washington, DC, ranked 1045
$0
  • Charged (indicted) per a Department of Justice release dated August 1, 2024, not adjudicated.
  • Medicaid dollars per patient on code H0036 ($1047 per patient-month) sit in the top 5% of every provider billing that code.
  • and 1 more
3CAPITAL HOSPICE
Washington, DC, ranked 1153
$485K
  • Part of provider network D1-00126, ranked 126 nationally.
3MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.
Washington, DC, ranked 1418
$52K
  • Part of provider network D1-00126, ranked 126 nationally.
3AFFINITY CARE OF DC LLC
Washington, DC, ranked 2126
$0
  • Part of provider network D1-00113, ranked 113 nationally.
3CARROLL MANOR
Washington, DC, ranked 4777
$0
  • Part of provider network D1-00106, ranked 106 nationally.
4CELESTE CROTTY
Washington, DC, ranked 7324
$1.0M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 2 more
All 11 in DC

Recent enforcement in DC

All releases

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

DOJPleaded guiltyAug 27, 2026
Behavioral Health Worker Pleads Guilty to Billing D.C. Medicaid for Therapy Sessions That Never Happened
Nassor, a Community Support Worker at a D.C. Medicaid behavioral health provider, conspired with company employees and other community support workers to bill D.C. Medicaid for mental health telehealth services that were never provided or were inflated, including documenting over 701 hours of telehealth across six patients when call records showed roughly 172 minutes.
DOJSentencedAug 4, 2026
WMATA Train Operator Sentenced in Four-Year Scheme to Defraud AFLAC Insurance of More Than $360,000
Shropshire prepared and submitted fraudulent disability and health care claims to AFLAC for herself and WMATA coworkers claiming injuries they never suffered, fabricating medical records and forging doctors' signatures, and received kickbacks of about 20 percent of each payout.
DOJConvictedMar 4, 2026
D.C. Dentist and Hygienist Found Guilty in Scheme to Defraud D.C. Medicaid of $4 Million
Price and Moore submitted repeated D.C. Medicaid claims for clinical crown lengthening procedures and space maintainers that were not actually performed, causing more than $4 million to be paid out.
DOJPleaded guiltyJan 23, 2026
WMATA Train Operators Plead Guilty in Health Care Fraud Scheme
Two WMATA train operators admitted conspiring to submit fraudulent health care and short-term disability claims to AFLAC using forged medical notes and physician signatures, with kickbacks paid from claim payments.
DOJPleaded guiltyDec 11, 2025
Former Community Support Worker Pleads Guilty to Defrauding District of Columbia Medicaid Program
Jalloh submitted encounter notes for community support services she did not provide and overbilled for services she allegedly provided to District Medicaid beneficiaries, causing the District's Medicaid program to pay over $234,500.

Referral packet

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