Providers
ADAM MEDICAL EQUIPMENT INC
NPI 1538334222, organization, Frederick, MD, Durable Medical Equipment & Medical Supplies
1
Evidence tier
documented action, then payment
- Listed on the MI Medicaid exclusion list and the MD Medicaid exclusion list and the SC Medicaid exclusion list and the Medicare revocation list since December 13, 2023.
- Medicaid still paid claims in 11 later months, $66,391 in total.
score 95 of 100, rank 168, $66K at stake
Public list actions
Medicare revocation effective December 13, 2023, barred from re-enrolling until April 23, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies, DME Supplier - Medical Supply Company With Respiratory Therapist, MD
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Dec 13, 2023 | Apr 23, 2034 | 11 | Jan 2024 | Nov 2024 | $66K | $209K |
| MD Medicaid exclusion list state list extracted from https://health.maryland.gov/mmcp/provider/documents/sanctioned-list/state of md sanctioned providers.xlsx (pandas claude colmap) | Exact NPI, name verified | Mar 15, 2024 | still open | 8 | Apr 2024 | Nov 2024 | $22K | $185K |
| SC Medicaid exclusion list state list extracted from https://www.scdhhs.gov/sites/dhhs/files/08%2027%202026%20sc%20medicaid%20sanctioned%20individuals patricia%20k%20godley.xlsx (pandas claude colmap) | Exact NPI, name verified | Sep 9, 2024 | still open | 2 | Oct 2024 | Nov 2024 | $1K | $134K |
| MI Medicaid exclusion list state list extracted from https://www.michigan.gov/mdhhs/-/media/project/websites/mdhhs/assistance-programs/medicaid-bphasa/mi-sanctioned-provider-list/mi sanctioned provider list-xlsx.xlsx?rev=c66517c21ca44480980b98e7c5688079& and hash=490b3b4046e7d33100a8f6b1ec217f74 (pandas claude colmap) | Exact NPI, name verified | Oct 30, 2024 | still open | 1 | Nov 2024 | Nov 2024 | $306 | $123K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ADAM MEDICAL EQUIPMENT INC (also PEDIACARE MEDICAL) |
| Type | Organization |
| Status | Active |
| NPI issued | April 24, 2008, last updated January 13, 2020 |
| Practice location | 7215 CORPORATE CT STE 201, Frederick, MD 21703-8490, 240-566-5638 |
| Authorized official | TAHIR AFZAL (President and CEO) |
| Specialties | Durable Medical Equipment & Medical Supplies (332B00000X, primary) |
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 | |
|---|---|---|---|---|---|---|---|
| E0570 | Medicaid service code | $917K | 69% | $80 | $16 (top 5% from $87) | 93rd percentile | |
| S8101 | Medicaid service code | $186K | 14% | $35 | $24 (top 5% from $49) | 76th percentile | |
| A7005 | Medicaid service code | $96K | 7% | $9.13 | $14 (top 5% from $25) | 25th percentile | |
| A4670 | Medicaid service code | $48K | 4% | $74 | $50 (top 5% from $83) | 93rd percentile | |
| A4627 | Medicaid service code | $29K | 2% | $8.01 | $23 (top 5% from $63) | 13th percentile | |
| E0604 | Medicaid service code | $18K | 1% | $53 | $56 (top 5% from $86) | 48th percentile | |
| E0603 | Medicaid service code | $15K | 1% | $98 | $139 (top 5% from $249) | 13th percentile | |
| A7015 | Medicaid service code | $8K | 1% | $0.76 | $1.17 (top 5% from $2.53) | 17th percentile |
In this area
3 providers in Frederick County, MD carry an indicator in the public record, with $6.1M at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LABORATORY RX, LLC Frederick, MD, ranked 131 | $132K |
|
| 3 | HOMEWOOD LIVING FREDERICK, INC. Frederick, MD, ranked 5270 | $0 |
|
| 4 | JULIO MENOCAL Frederick, MD, ranked 8371 | $6.0M |
|
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.