Paul August Gianakon, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Upper Bay Counseling and Support Services, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 12 are shown here.

• Mrs. Rebecca Lynn Abramowicz, LCPC, NCC, CCDC Professional Counselor · Elkton, MD
• John Backert, LCPC Professional Counselor · Baltimore, MD
• Dr. Cynthia Ann Edwards, PSYD, NCC, LPCMH Counselor · Wilmington, DE
• MS. Carolyn J. King, LCSW-C Clinical Social Worker · Elkton, MD
• Shannon Kay Macturk, MALCPC Professional Counselor · Lincoln University, PA
• Abigail Doreen Miller Mental Health Counselor · Kennesaw, GA
• Mrs. Christine Nicolello, LMHC Professional Counselor · Havre de Grace, MD
• MS. Deborah Susan Parker, LCPC Professional Counselor · Berlin, MD
• Darlene Ramsey Social Worker · Elkton, MD
• MS. Susan Gay Robbins, LCSW-C Mental Health Counselor · Havre de Grace, MD
• Dr. Ralph Dalton Scoville, MD Psychiatry Physician · Havre de Grace, MD
• Michelle Rae Shaneyfelt-Jarzynski, CRNP-PMHNP Psychiatric/Mental Health Nurse Practitioner · Bel Air, MD

Other providers in Elkton

• Suzy Fawzy Nashed, MD

  Individual Psychiatry Physician · NPI 1629062492

  111 W High St Ste 315, Elkton, MD 21921-5529 · (410) 392-8770

• Dr. Mahendra C Patel, MD

  Individual Psychiatry Physician · NPI 1740358639

  111 W High St Ste 305, Elkton, MD 21921-8617 · (410) 392-9666

• S Nashed PA

  Organization Psychiatry Physician · NPI 1407962350

  111 W High St Ste 315, Elkton, MD 21921 · (410) 392-8770

• Union Hospital of Cecil County

  Organization Psychiatry Physician · NPI 1689978751

  106 Bow St, Elkton, MD 21921-5544 · (410) 398-4000