Providers

JETHALAL S HARKHANI, M.D.

NPI 1750477667, individual, Salisbury, MD, Specialist

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99223 ($184 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10457, $96K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJETHALAL S HARKHANI, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedOctober 5, 2006, last updated August 22, 2011
Practice location1300 A SOUTH DIVISION ST, Salisbury, MD 21804, 410-219-3488
Specialties
Specialist (174400000X, primary, license D0041864 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$152K62%$242$96 (top 5% from $249)94th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$67K27%$184$81 (top 5% from $170)97th percentile
99239Hospital discharge day management, more than 30 minutes$24K10%$92$49 (top 5% from $101)92nd percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$4K1%$84$44 (top 5% from $110)too few months to rank

In this area

4 providers in Wicomico County, MD carry an indicator in the public record, with $7.0M at stake between them. The most common is more hours than a day holds, on 4 of them.

tierproviderat stakewhy
4WALTER GIANELLE
Salisbury, MD, ranked 8401
$5.2M
  • Hours beyond a day in 4 months, but with up to 1901 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4KATHLEEN MIRSKY
Salisbury, MD, ranked 9588
$79K
  • Hours beyond a day in 10 months under one organization, which can be supervisory billing.
  • Records needed.
4JANET O'BRIEN
Salisbury, MD, ranked 9589
$78K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
5STEPHEN COOPER
Salisbury, MD, ranked 10016
$1.6M
  • Medicaid dollars per patient on code 99394 ($212 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in MD

All releases

Department 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

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