Jericho De Mata, D.O.
NPI 1275950396ActiveIndividual· Family Medicine· Upper Marlboro, MD
Family Medicine (D.O.) with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, practicing in Upper Marlboro, Maryland. Their prescriptions cost Medicare Part D more than their services did: $11,374 for 435 claims, against $2,993 paid for services in 2024.
Overview
| NPI | 1275950396 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 26, 2014 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | H83783 | MD |
| Family Medicine | 207Q00000X | 0102205000 | VA |
| Family Medicine | 207Q00000X | MD045539 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 54 across 15 procedure codes |
| Paid by Medicare | $2,993 |
Part D prescriptions in 2024
| Prescriptions (claims) | 435 · 480 30-day fills |
|---|---|
| Patients | 302 |
| Total drug cost | $11,374 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Emergency Medicine |
| Telehealth | Offers telehealth |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 30 family medicine physicians in Upper Marlboro · All family medicine physicians in Maryland