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Melody Chung, MD

Rheumatology · Gaithersburg

NPI 1013394196

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Kaiser Foundation Health Plan of the Mid Atlantic States, Inc · 1,921 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Chung’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Maryland D0093328Physician · since 2022 · expires 2028-09-30Specialty on the licence: Internal Medicine, RheumatologyTold the state board they are not board certified.
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$8,260

Medicare paid this office $8,260 for 18 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

18 Original Medicare patients in 2024. Average age 70 · Health risk score 1.31. At or below the middle of the specialty; the typical rheumatology clinician is at 1.38.

The office billed $28,468, Medicare allowed $11,147 and paid $8,260; for 430 services of 22 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202418430701.31$28,468$8,260
20232337711.53$6,921$2,024
20221843701.18$5,720$2,058

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

Drugs they prescribed that Part D paid

$1,109,289

Pharmacies billed $1,109,289 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 3% of their Part D prescriptions (49 of 1,653) in 2024. Above the middle of the specialty; the typical rheumatology clinician is at 3%.

1,336 generic and 317 brand-name prescriptions · $1,109,289 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Xeljanz71$206,261$2,905
Enbrel Sureclick27$132,276$4,899
Amjevita(Cf)73$131,465$1,801
Cosentyx Sensoready (2 Pens)22$123,155$5,598
Enbrel21$103,029$4,906
See all 23 drugs
Every Part D drug this clinician prescribed
Xeljanz71$206,261$2,905
Enbrel Sureclick27$132,276$4,899
Amjevita(Cf)73$131,465$1,801
Cosentyx Sensoready (2 Pens)22$123,155$5,598
Enbrel21$103,029$4,906
Orencia Clickject14$64,497$4,607
Methotrexate320$5,889$18
Hydroxychloroquine Sulfate179$5,305$30
Mycophenolate Mofetil24$3,092$129
Leflunomide67$2,033$30
Prednisone208$2,016$10
Arexvy13$1,911$147
Colchicine66$1,425$22
Azathioprine34$1,151$34
Meloxicam96$712$7
Acetaminophen-Codeine18$680$38
Allopurinol39$443$11
Alendronate39$382$10
Duloxetine18$300$17
Gabapentin13$251$19
Tramadol21$250$12
Famotidine13$138$11
Ibuprofen14$125$9

Year by year

Part D prescribing by year
20241,6533303% (49)19%$1,109,289
20231,4104144% (56)14%$754,265
20224782234% (21)16%$562,536
2021115230% (0)None$344,101
20202819NoneNone$50,358
201918None0% (0)0%$8,136
201828190% (0)None$1,535
20176935None25%$2,506
201611141None21%$4,090
201530120% (0)None$1,940

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 22 drugs

Part D drugs prescribed in 2023
Enbrel Sureclick23$134,009$5,826
Amjevita(Cf)48$111,690$2,327
Xeljanz23$110,008$4,783
Enbrel13$65,466$5,036
Orencia14$63,532$4,538
Hydroxychloroquine Sulfate156$4,917$32
Methotrexate268$4,644$17
Mycophenolate Mofetil28$3,415$122
Prednisone214$2,475$12
Leflunomide81$2,314$29
Colchicine66$1,705$26
Azathioprine29$946$33
Acetaminophen-Codeine24$491$20
Sulfasalazine11$448$41
Allopurinol43$424$10
Duloxetine21$378$18
Meloxicam47$361$8
Diclofenac12$324$27
Tramadol22$287$13
Pregabalin11$187$17
Atorvastatin11$164$15
Gabapentin11$162$15

2022: 10 drugs

Part D drugs prescribed in 2022
Humira(Cf)15$195,910$13,061
Hydroxychloroquine Sulfate49$2,550$52
Methotrexate106$1,749$17
Mycophenolate Mofetil16$1,656$104
Leflunomide30$1,521$51
Azathioprine14$1,201$86
Prednisone74$1,033$14
Colchicine15$632$42
Allopurinol14$122$9
Meloxicam13$98$8

2021: 4 drugs

Part D drugs prescribed in 2021
Rinvoq12$66,640$5,553
Azathioprine14$2,742$196
Methotrexate20$987$49
Prednisone16$325$20

2017: 1 drug

Part D drugs prescribed in 2017
Warfarin11$139$13

2016: 1 drug

Part D drugs prescribed in 2016
Warfarin15$197$13

Money from drug and device companies

$100 in 2022

A payment is not proof that care is biased.

Payments by company
Janssen BiotechTremfya$100
1 payment
  • Education for Tremfya · 2022-06-15 · $100
See the published payment
Every published payment
Janssen BiotechEducation · 2022-06-15Tremfya$100

Professional record

NPI
1013394196
Licence
MD D93328Maryland D0093328: Active
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Federal specialty code 207RR0500X (207RR0500X); Student in a training program (390200000X)
Mailing address
700 Lawrence Expy, Santa Clara, CA, 95051
NPI first listed
2015-04-28
NPI last updated
2022-08-02
NPI record certified
2022-08-02

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.