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    OpenPayerNPI Medicare & MedicaidFrederick Health Medical Group LLC
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    Frederick Health Medical Group LLC — Billing Profile & Reimbursement Data

    NPI 1548831894 · Frederick, MD · Health Educator

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    Frederick Health Medical Group LLC is a health educator provider located in Frederick, Maryland. This profile covers 4 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFrederick Health Medical Group LLC
    Address501 W 7th St
    CityFrederick
    StateMD
    ZIP21701
    TaxonomyHealth Educator
    NPI EnumeratedJuly 8, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$22.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G9874Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is…70$110$7.9K
    G9875Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is…50$140$7.3K
    G9880The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment…20$180$3.8K
    G9873First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an…100$40$3.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G987521060$160$9K
    G987421080$110$8.5K
    G988011020$180$3.1K
    G987311090$40$2.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Frederick Health Medical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory GagnonMDRadiation Oncology Physician$1.6M$0
    Elhamy EskanderMDMedical Oncology Physician$1.5M$0
    Patrick ManskyMDMedical Oncology Physician$1.3M$0
    Saro SarkisianMDHematology & Oncology Physician$1.1M$0
    Dongyan LiuMDHematology & Oncology Physician$1.1M$0
    Jefferson MouldsVARadiation Oncology Physician$825.2K$0
    Natalia MarinaMDHematology & Oncology Physician$705.8K$0
    Tanisha OsbourneMDSpecialist$561.1K$0
    Joshua AaronMDPulmonary Disease Physician$443.6K$44.6K
    Kathryn KirkMDGastroenterology Physician$431.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Frederick Health Medical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Way Station, Inc.MDRehabilitation Clinic/Center$0$42.8M
    Advanced Behavioral Health, IncMDClinic/Center$0$30.7M
    Wells House, IncMDSubstance Use Disorder Rehabilitation Clinic/Center$0$12.3M
    Frederick Health Hospital IncMDCommunity Based Hospice Care Agency$0$9.7M
    The Orenda Center For Wellness LLCMDSubstance Abuse Rehabilitation Facility$0$7.2M
    Associated Catholic Charities, IncMDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    Frederick County MarylandMDLand Ambulance$3M$3.2M
    Hospitalist Medicine Physicians Of Maryland-frederick PCMDInternal Medicine Physician$0$6M
    Chesapeake Toxicology Resources, LLCMDClinical Medical Laboratory$153.8K$5.8M
    Way Station IncMDCommunity/Behavioral Health Agency$0$4.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Frederick Health Medical Group LLC — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland