Providers
All 16 in MD
ARVIND NARASIMHAN, MD
NPI 1477597797, individual, Fort Washington, MD, Emergency Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 2181 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8855, $1.4M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 27.4 | 35.1 | 23.4 | 31.9 | 1410 | 1 | 99203 99204 99211 99213 99214 | $139K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 45.4 | 59.6 | 39.7 | 53.6 | 2181 | 2 | 99203 99204 99211 99213 99214 | $243K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 25.5 | 33.4 | 22.2 | 32.8 | 1369 | 2 | 99203 99204 99211 99213 99214 | $136K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ARVIND NARASIMHAN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 16, 2006, last updated February 7, 2022 |
| Practice location | 11711 LIVINGSTON RD, Fort Washington, MD 20744-5151, 540-364-2259 |
| Mailing address | 10981 JOHNS HOPKINS RD, Laurel, MD 20723-6002 |
| Specialties | Emergency Medicine (207P00000X, license 0101058033 VA) Emergency Medicine (207P00000X, primary, license D56051 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 | |
|---|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | $927K | 19% | $88 | $75 (top 5% from $185) | 70th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $877K | 18% | $93 | $67 (top 5% from $121) | 82nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $588K | 12% | $109 | $95 (top 5% from $171) | 64th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $560K | 11% | $101 | $60 (top 5% from $133) | 86th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $499K | 10% | $91 | $44 (top 5% from $110) | 92nd percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $473K | 10% | $45 | $32 (top 5% from $49) | 89th percentile | |
| S9083 | Medicaid service code | $189K | 4% | $102 | $113 (top 5% from $163) | 42nd percentile | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $149K | 3% | $34 | $40 (top 5% from $69) | 41st percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 566 | 526 | $53K | $232 | $133 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 300 | 300 | $37K | $354 | $177 | 2.0x | 2.4x (90th percentile 3.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 481 | 448 | $32K | $156 | $95 | 1.6x | 2.2x (90th percentile 3.8x) |
| 99285 | Emergency department visit with high level of medical decision making | 205 | 197 | $29K | $1K | $177 | 8.3x | 6.9x (90th percentile 11.7x) |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 352 | 343 | $23K | $100 | $66 | 1.5x | 1.9x (90th percentile 3.1x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 263 | 263 | $19K | $250 | $118 | 2.1x | 2.4x (90th percentile 3.9x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 72 | 68 | $10K | $312 | $188 | 1.7x | 2.4x (90th percentile 4.1x) |
| 99291 | Critical care, first 30-74 minutes | 59 | 59 | $10K | $2K | $213 | 8.8x | 4.7x (90th percentile 10.0x) |
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 $29.3M 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 | KADDIE KALLON Laurel, MD, ranked 7956 | $440K |
|
| 4 | ADEBISI ALLISON Laurel, MD, ranked 7957 | $436K |
|
| 4 | PRECHELLE SHANNON Fort Washington, MD, ranked 8104 | $3.2M |
|
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.