Behavioral
Balance Point Wellness
Balance Point Wellness was paid $18.46M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 65% of everything it billed.
33Billing provider infoBALANCE POINT WELLNESS
BALTIMORE, MD 21212
BALTIMORE, MD 21212
33aNPI1003326166assigned 10/03/2017
33bProvider typeClinical Psychologist
28Total paid$18.46M
24GClaims146,199
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Maryland
Rank by total paid#1 of 38
Median peer was paid$28K
This provider vs. median658×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,340 | $552K | |
| 2019 | 8,627 | $950K | |
| 2020 | 16,316 | $1.75M | |
| 2021 | 23,674 | $2.75M | |
| 2022 | 31,587 | $3.97M | |
| 2023 | 29,910 | $4.00M | |
| 2024incomplete | 30,745 | $4.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 65% | 93,514 | 36,871 | $11.93M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 14,876 | 13,249 | $1.90M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.6% | 5,179 | 5,118 | $1.22M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 6,455 | 3,317 | $733K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 7,338 | 6,875 | $631K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.2% | 2,516 | 2,501 | $587K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 6,572 | 5,071 | $489K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.3% | 3,521 | 2,214 | $417K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 3,183 | 2,789 | $226K |
| H0032 | Mental health service plan development by non-physician | 1.2% | 2,070 | 2,024 | $214K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 484 | 428 | $64K |
| 99205 | Prolong outpt/office vis | <1% | 122 | 120 | $25K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOOK, TOM (CEO)
Parent organizationBALANCE POINT WELLNESS, LLC