JOSEPH ANDREW DEKKER, DO
NPI 1336408947, individual, Cumberland, MD, Family Medicine
- Medicaid dollars per patient on code 99308 ($141 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 | JOSEPH ANDREW DEKKER, DO |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 16, 2012, last updated June 16, 2020 |
| Practice location | 157 BALTIMORE ST, Cumberland, MD 21502-2472, 301-722-3215 |
| Mailing address | 2269 BRIMSTONE PL, Hanover, MD 21076-1871 |
| Specialties | Physical Medicine & Rehabilitation, Neuromuscular Medicine (2081N0008X, license 15525 FL) Surgery (208600000X, license OS019371 PA) Surgery (208600000X, license 0102205761 VA) Family Medicine (207Q00000X, primary, license H0075809 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 | |
|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $593K | 56% | $140 | $14 (top 5% from $58) | 99th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $403K | 38% | $141 | $21 (top 5% from $84) | 98th percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $55K | 5% | $98 | $22 (top 5% from $71) | 98th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $1K | 0% | $106 | $37 (top 5% from $100) | too few months to rank | |
| 99448 | Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes | $71 | 0% | $0.34 | too few months to rank | ||
| 99447 | Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes | $0 | 0% | $0.00 | $0.00 (top 5% from $30) | too few months to rank | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $0 | 0% | $0.00 | $21 (top 5% from $104) | 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 | 280 | 108 | $17K | $223 | $76 | 2.9x | 2.0x (90th percentile 3.4x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 92 | 87 | $10K | $276 | $136 | 2.0x | 2.0x (90th percentile 3.3x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 47 | 29 | $4K | $233 | $110 | 2.1x | 2.0x (90th percentile 3.3x) |
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
76 providers in MD carry an indicator in the public record, with $113.1M at stake between them. The most common is more hours than a day holds, on 53 of them, followed by named in an enforcement record on 8. 11 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ELIA TORRES Takoma Park, MD, ranked 25 | $14K |
|
| 1 | GUIDING LIVES Baltimore, MD, ranked 57 | $1.4M |
|
| 1 | ANOTHER CHANCE SUPPORTIVE SERVICES Baltimore, MD, ranked 67 | $874K |
|
| 1 | QOL COMMUNICATION SERVICES, LLC Owings Mills, MD, ranked 73 | $729K |
|
| 1 | AMSTRONG CHAPAJONG Glenarden, MD, ranked 109 | $232K |
|
| 1 | LABORATORY RX, LLC Frederick, MD, ranked 131 | $132K |
|
| 1 | ADAM MEDICAL EQUIPMENT INC Frederick, MD, ranked 168 | $66K |
|
| 1 | RICHARD O AKOTO MD PA Takoma Park, MD, ranked 510 | $0 |
|
Recent enforcement in MD
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.