KADDIE KALLON
NPI 1427519404, individual, Laurel, MD, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 1 month, but with up to 519 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99308 ($65 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2024 | More hours than a day holds, even counting one unit per claim line | 24.1 | 20.3 | 13.5 | 18.2 | 417 | 2 | 90792 90832 90834 99308 | $82K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KADDIE KALLON |
| Type | Individual |
| Status | Active |
| NPI issued | March 30, 2019, last updated June 9, 2023 |
| Practice location | 9524 MUIRKIRK RD APT 102, Laurel, MD 20708-2737, 240-899-2928 |
| Specialties | Nurse Practitioner, Primary Care (363LP2300X, license R179511 MD) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license R179511 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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $389K | 40% | $183 | $101 (top 5% from $318) | 81st percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $231K | 24% | $169 | $112 (top 5% from $313) | 78th percentile | |
| 90832 | Psychotherapy, 30 minutes | $161K | 17% | $90 | $59 (top 5% from $239) | 76th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $87K | 9% | $65 | $14 (top 5% from $58) | 96th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $37K | 4% | $42 | $49 (top 5% from $109) | 41st percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $27K | 3% | $83 | $22 (top 5% from $71) | 97th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $19K | 2% | $79 | $21 (top 5% from $84) | 94th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $8K | 1% | $75 | $60 (top 5% from $332) | 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 |
|---|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 1,193 | 194 | $75K | $160 | $79 | 2.0x | 2.0x (90th percentile 3.6x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 441 | 405 | $52K | $320 | $151 | 2.1x | 2.2x (90th percentile 3.9x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 891 | 318 | $47K | $220 | $68 | 3.2x | 2.0x (90th percentile 3.4x) |
| 90832 | Psychotherapy, 30 minutes | 904 | 176 | $43K | $140 | $60 | 2.3x | 2.0x (90th percentile 3.5x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 318 | 222 | $25K | $240 | $99 | 2.4x | 2.0x (90th percentile 3.3x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 496 | 215 | $23K | $130 | $57 | 2.3x | 2.1x (90th percentile 3.5x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 200 | 184 | $19K | $240 | $118 | 2.0x | 2.0x (90th percentile 3.3x) |
| 90853 | Group psychotherapy | 121 | 33 | $2K | $54 | $21 | 2.5x | 4.0x (90th percentile 7.8x) |
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
16 providers in Prince George's County, MD carry an indicator in the public record, with $30.2M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | AMSTRONG CHAPAJONG Glenarden, MD, ranked 109 | $232K |
|
| 3 | CAPITAL HOSPICE Greenbelt, MD, ranked 784 | $1.5M |
|
| 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Greenbelt, MD, ranked 1191 | $389K |
|
| 4 | JAVAKA MOORE Forestville, MD, ranked 7381 | $8.8M |
|
| 4 | CHINEDU AKUBUDIKE Riverdale, MD, ranked 7450 | $5.1M |
|
| 4 | ADEBISI ALLISON Laurel, MD, ranked 7957 | $436K |
|
| 4 | PRECHELLE SHANNON Fort Washington, MD, ranked 8104 | $3.2M |
|
| 4 | TRISTAN SHOCKLEY Laurel, MD, ranked 8148 | $1.7M |
|
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.