Providers

ADAM J MAASS, MD

NPI 1841258738, individual, Springdale, AR, Internal Medicine, Endocrinology, Diabetes & Metabolism

1
Evidence tier
documented action, then payment
  • Listed on the MO Medicaid exclusion list since August 13, 2021.
  • Medicaid still paid claims in 5 later months, $7,326 in total.
score 94 of 100, rank 305, $7K at stake

Public list actions

Medicare revocation effective October 20, 2025, barred from re-enrolling until March 13, 2036
424.535(a)(2) provider or supplier conduct (exclusion) and 424.535(a)(22) patient harm, Practitioner - Internal Medicine, IN
Medicare revocation effective October 20, 2025, barred from re-enrolling until March 12, 2036
424.535(a)(9) failure to report and 424.535(a)(2) provider or supplier conduct (exclusion) and 424.535(a)(22) patient harm, Practitioner - Endocrinology, AR
OIG exclusion October 20, 2025 under section 1128a2
Physician (MD, DO), Endocrinology, Bentonville, AR

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
MO Medicaid exclusion list
state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap)
Exact NPI, name verifiedAug 13, 2021still open5Jan 2022May 2022$7K$12K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameADAM J MAASS, MD
TypeIndividual
StatusActive
NPI issuedMay 2, 2006, last updated September 16, 2020
Practice location4301 GREATHOUSE SPRINGS RD, STE 100, Springdale, AR 72762, 479-757-1730
Mailing address3333 PINNACLE HILLS PKWY STE 300-B, Rogers, AR 72758-9100
Specialties
Internal Medicine, Endocrinology, Diabetes & Metabolism (207RE0101X, primary, license e2582 AR)

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$51K73%$59$60 (top 5% from $133)49th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$11K16%$32$44 (top 5% from $110)30th percentile
83036Hemoglobin a1c level$6K8%$9.39$5.87 (top 5% from $14)82nd percentile
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$9181%$22$28 (top 5% from $147)too few months to rank
84443Blood test, thyroid stimulating hormone (tsh)$7871%$13$11 (top 5% from $28)too few months to rank
80053Blood test, comprehensive group of blood chemicals$2420%$9.29$8.38 (top 5% from $44)too few months to rank
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report$200%$0.49$20 (top 5% from $42)too few months to rank
36415Insertion of needle into vein for collection of blood sample$40%$0.07$1.97 (top 5% from $12)too few months to rank

In this area

3 providers in Washington County, AR carry an indicator in the public record, with $1.2M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1HANNAH HARRIS
Fayetteville, AR, ranked 307
$7K
  • Listed on the Medicare revocation list since November 8, 2021.
  • Medicaid still paid claims in 2 later months, $6,844 in total.
4SEAN KALEY
Fayetteville, AR, ranked 8047
$167K
  • Hours beyond a day in 3 months, but with up to 219 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4VASHONDA EASON
Springdale, AR, ranked 8183
$1.0M
  • Hours beyond a day in 8 months, but with up to 467 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more

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.

Ask this case

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