MARY OGUNSANYA, MD
NPI 1922035633, individual, Glenn Dale, MD, Pediatrics
- Hours beyond a day in 3 months, but with up to 1846 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 45.9 | 26.3 | 17.5 | 23.6 | 1476 | 2 | 97803 99212 99213 99214 99215 99401 | $148K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 31.1 | 19.4 | 12.9 | 18.8 | 1090 | 2 | 97803 99212 99213 99214 99215 | $104K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 26.8 | 22.8 | 15.2 | 21.0 | 1759 | 1 | 97803 99212 99213 99214 99215 99401 | $148K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARY OGUNSANYA, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 27, 2006, last updated February 9, 2012 |
| Practice location | 12150 ANNAPOLIS RD, SUITE 208, Glenn Dale, MD 20769-9183, 301-218-0398 |
| Mailing address | PO BOX 2132, Bowie, MD 20718-2132 |
| Specialties | Pediatrics (208000000X, primary, license D005630 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $3.1M | 29% | $83 | $44 (top 5% from $110) | 89th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.7M | 16% | $120 | $60 (top 5% from $133) | 93rd percentile | |
| 99392 | Medicaid service code | $904K | 8% | $98 | $78 (top 5% from $124) | 79th percentile | |
| 99393 | Medicaid service code | $887K | 8% | $98 | $78 (top 5% from $121) | 80th percentile | |
| 99394 | Medicaid service code | $754K | 7% | $112 | $83 (top 5% from $128) | 86th percentile | |
| 99391 | Medicaid service code | $470K | 4% | $85 | $76 (top 5% from $126) | 62nd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $410K | 4% | $183 | $88 (top 5% from $210) | 92nd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $252K | 2% | $43 | $28 (top 5% from $147) | 74th percentile |
In this area
16 providers in Prince George's County, MD carry an indicator in the public record, with $26.5M 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.
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.